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Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?

Year 2024, Volume: 14 Issue: 4, 987 - 993, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1374680

Abstract

Objective: This study was conducted to determine the relationship between the stigma experienced by infertile women, and the level of infertility distress and self-efficacy with the affecting factors.
Methods: This descriptive study carried out 352 infertile women diagnosed with primary infertility. Data were collected with the Personal Information Form, the Infertility Distress Scale (IDS), the Infertility Stigma Scale (ISS), and the Infertility Self-Efficacy Scale–Short Form (TISE-SF).
Results: The total IDS, ISS, and TISE-SF mean scores of the women included in the study were found to be 43.62±12.00, 64.24±27.40 and 19.70±5.69, respectively. While there was a high positive correlation between total IDS and ISS mean scores, there was a moderate negative correlation between total TISE-S, IDS, and ISS mean scores (p<.001). Variables such as women's income and working status, the infertility treatment process and its number, and social support factors affected infertility distress, stigma, and self-efficacy (p<.05).
Conclusion: It was concluded that infertility stigma and distress decreased with the increase in self-efficacy perception in primary infertile women, and distress increased with the increase in the level of stigma.

Ethical Statement

This study was approved by Ethics Committee of Nuh Naci Yazgan University (23.06.2022, 2022/9187)

Supporting Institution

None

Thanks

Thank you to all the participants who participated in this research.

References

  • World Health Organization (WHO). Infertility. Accessed [24 November 2022] Updated [22 May 2024] https://www.who.int/news-room/fact-sheets/detail/infertility
  • Centers for Disease Control and Prevention. (CDC). Key Statistics from the National Survey of Family Growth- I Listing. Available from: https://www.cdc.gov/nchs/nsfg/key_statistics/i.htm#infertility (07.02.2022).
  • Abebe MS, Afework M, Abaynew Y. Primary and secondary infertility in Africa: systematic review with meta-analysis. Fertility Research and Practice 2020;6(1):1-11. DOI: 10.1186/s40738-020-00090-3.
  • Katole A, Saoji AV. Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study. Indian Journal of Community Medicine 2019;44(4):337-341. DOI: 10.4103/ijcm.IJCM_7_19
  • Sarac M, Koc I. Prevalence and risk factors of infertility in Turkey: evidence from demographic and health surveys, 1993-2013. Journal of Biosocial Science 2018;50(4):472-490. DOI: 10.1017/S0021932017000244
  • Zhou Z, Zheng D, Wu H, Li R, Xu S, Kang Y, Cao Y, Chen X, Zhu Y, Xu S, Chen Z-J, Mol BW, Qiao J. Epidemiology of infertility in China: A population‐based study. BJOG. 2018;125(4):432-441. DOI: 10.1111/1471-0528.14966.
  • Datta J, Palmer MJ, Tanton C, Gibson LJ, Jones KG, Macdowall W, Glasier A, Sonnenberg P, Field N, Mercer CH, Johnson AM, Wellings K. Prevalence of infertility and help-seeking among 15 000 women and men. Human Reproduction 2016;31(9):2108-2118. DOI: 10.1093/humrep/dew123.
  • Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of infertility in Iran: A systematic review and meta-analysis. Urology Journal 2020;17(4):338-345. DOI: 10.22037/uj.v0i0.5610.
  • Borumandnia N, Alavi Majd H, Khadembashi N, Alaii H. Worldwide trend analysis of primary and secondary infertility rates over past decades: A cross-sectional study. Int J Reprod BioMed. 2022;20(1):37-46. DOI: 10.18502/ijrm.v20i1.10407.
  • Ozdemir E, Kaplan S. Infertility and nursing approach. Turkish Journal of Health Sciences and Research 2021;4(1):79-89. DOI: 10.51536/tusbad.836168
  • Fırat BO, Hotun NS. Infertility and stigmatization within the context of gender roles: a systematic review. Ordu University Journal of Nursing Studies 2022;5(1):93-103. DOI:10.38108/ouhcd.933034.
  • Daibes MA, Safadi RR, Athamneh T, Anees IF, Constantino RE. Half a woman, half a man; that is how they make me feel: A qualitative study of rural Jordanian women’s experience of infertility. Culture, Health & Sexuality 2018;20(5):516-530. DOI: 10.1080/13691058.2017.1359672
  • Ergin RN, Polat A, Kars B, Oztekin D, Sofuoglu K, Calıskan E. Social stigma and familial attitudes related to infertility. Turkish Journal of Obstetrics and Gynecology 2018;15(1):46-49. DOI: 10.4274/tjod.04307.
  • Hanna E, Gough B. The social construction of male infertility: A qualitative questionnaire study of men with a male factor infertility diagnosis. Sociology of Health & Illness 2020;42(3):465-480. DOI: 10.1111/1467-9566.13038.
  • Ozturk R, Bloom TL, Li Y, Bullock LFC. Stress, stigma, violence experiences and social support of US infertile women. Journal of Reproductive and Infant Psychology 2021;39(2):205-217. DOI: 10.1080/02646838.2020.1754373.
  • Durgun Ozan Y, Duman M. The relationship between fertility adjustment and self-efficacy of women in the period of infertility treatment. The Journal of Gynecology-Obstetrics and Neonatology 2018;15(2):43-46.
  • Abd Al-Kareem M, Ameen W, Talib Abed M, Obaid HM, Obaid AF, Abdulrasol ZA. Measurement the self-efficacy among infertile women in al-hilla city, Iraq. Iranian Rehabilitation Journal 2022;20(1):109-116. DOI:10.32598/irj.20.1.1621.2.
  • Faramarzi M, Pasha H, Esmailzadeh S, Kheirkhah F, Hajian-Tilaki K, Salmalian H. A survey of correlation infertility self-efficacy with behavioral health scales in infertile women. Health 2014;6(10):943-949. DOI: 10.4236/health.2014.610119
  • Parwez S, Banaras A. Self-efficacy and coping styles of infertile women in peshawar. Pakistan Journal of Humanities & Social Sciences Research 2022;5(1):43-56. DOI: 10.37605/pjhssr.v5i1.330
  • Mirzaasgari H, Momeni F, Pourshahbaz A, Keshavarzi F, Hatami M. The relationship between coping strategies and infertility self-efficacy with pregnancy outcomes of women undergoing in vitro fertilization: A prospective cohort study. International Journal of Reproductive Biomedicine 2022;20(7):539-548. DOI: 10.18502/ijrm.v20i7.11556
  • Yanık D, Kavak Budak F. The effect of positive psychotherapy-based training on stigma and self-efficacy in women receiving infertility treatment. Journal of the American Psychiatric Nurses Association 2022;30(2):384-396. DOI: 10.1177/10783903221122801
  • Akyuz A, Gurhan N, Bakır B. Development and validation of an infertility distress scale for Turkish women. TAF Preventive Medicine Bulletin 2008;7(6):469-476.
  • Capık A, Aksoy M, Yılmaz E, Yılmaz F. Infertility stigma scale: A psychometric study in a Turkish sample. Perspectives in Psychiatric Care 2019;55(2):328-335. DOI: 10.1111/ppc.12360
  • Arslan Ozkan I, Okumus H, Aytekin Lash A, Fırat MZ. Cultural validation of the Turkish Version of the Infertility Self-Efficacy Scale-Short Form (TISE-SF). Journal of Transcultural Nursing 2014;25(3):232-240. DOI: 10.1177/1043659613508784
  • Gerrits T, Kroes H, Russell S, Rooij FV. Breaking the silence around infertility: A scoping review of interventions addressing infertility-related gendered stigmatisation in low- and middle-income countries. Sexual and Reproductive Health Matters 2023;31(1):2134629. DOI: 10.1080/26410397.2022.2134629
  • Yilmaz E, Kavak F. The effect of stigma on depression levels of Turkish women with infertility. Perspectives in Psychiatric Care 2019;55(3):378-382. DOI: 10.1111/ppc.12319.
  • Kucukkaya M, Kılıc M. The effect of stigma on level of infertility-related psychological distress in women with infertility. African Journal of Reproductive Health 2022;26(2):13-25. DOI: 10.29063/ajrh2022/v26i2.2
  • Zhao Q, Huangfu C, Li J, Liu H, Tang N. Psychological resilience as the mediating factor between stigma and social avoidance and distress of ınfertility patients in China: A structural equation modeling analysis. Psychology Research and Behavior Management 2022;15:391-403. DOI: 10.2147/PRBM.S354803
  • Akarsu RH, Beji NK. Spiritual and religious issues of stigmatization women with infertility: A qualitative study. Journal of Religion and Health 2021;60(1):256-267. DOI: 10.1007/s10943-019-00884-w.
  • Fang M, Li G, Kang X. The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples. Psychology Health Medicine 2021;26(10):1181-1194. DOI: 10.1080/13548506.2020.1808233
  • Wang L, Tang Y, Wang Y. Predictors and incidence of depression and anxiety in women undergoing infertility treatment: A cross-sectional study. PLoS ONE. 2023;18(4): e0284414. DOI: 10.1371/journal.pone.0284414
  • Tural GN, Sis Celik A. Determination of the relationship between the levels of psychological effects of infertility and social support perceived by primary infertile women. Journal of Health Sciences and Professions 2019;6(1):91-104. DOI: 10.17681/hsp.410980
  • Yokota R, Okuhara T, Okada H, Goto E, Sakakibara K, Kiuchi T. Association between stigma and anxiety, depression, and psychological distress among japanese women undergoing infertility treatment. Healthcare 2022;10(7):1300. DOI: 10.3390/healthcare10071300
  • Kaya Z, Oskay U. Stigma, hopelessness and coping experiences of Turkish women with infertility. Journal of Reproductive and Infant Psychology 2020;38(5):485-496. DOI: 10.1080/02646838.2019.1650904.
  • Jafari H, Seraj Shirvan F, Latifnejad Roudsari R. The Relationship between self-efficacy and psychological distress among ınfertile women. Journal of Midwifery and Reproductive Health 2023;11(2):3744-3750. DOI: 10.22038/JMRH.2023.63739.1848
  • Turkish Statistical Institute. Birth Statistics. (2021). Published [12 May 2022] Accessed [01 September 2023] https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2021-45547 (Turkish)
Year 2024, Volume: 14 Issue: 4, 987 - 993, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1374680

Abstract

References

  • World Health Organization (WHO). Infertility. Accessed [24 November 2022] Updated [22 May 2024] https://www.who.int/news-room/fact-sheets/detail/infertility
  • Centers for Disease Control and Prevention. (CDC). Key Statistics from the National Survey of Family Growth- I Listing. Available from: https://www.cdc.gov/nchs/nsfg/key_statistics/i.htm#infertility (07.02.2022).
  • Abebe MS, Afework M, Abaynew Y. Primary and secondary infertility in Africa: systematic review with meta-analysis. Fertility Research and Practice 2020;6(1):1-11. DOI: 10.1186/s40738-020-00090-3.
  • Katole A, Saoji AV. Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study. Indian Journal of Community Medicine 2019;44(4):337-341. DOI: 10.4103/ijcm.IJCM_7_19
  • Sarac M, Koc I. Prevalence and risk factors of infertility in Turkey: evidence from demographic and health surveys, 1993-2013. Journal of Biosocial Science 2018;50(4):472-490. DOI: 10.1017/S0021932017000244
  • Zhou Z, Zheng D, Wu H, Li R, Xu S, Kang Y, Cao Y, Chen X, Zhu Y, Xu S, Chen Z-J, Mol BW, Qiao J. Epidemiology of infertility in China: A population‐based study. BJOG. 2018;125(4):432-441. DOI: 10.1111/1471-0528.14966.
  • Datta J, Palmer MJ, Tanton C, Gibson LJ, Jones KG, Macdowall W, Glasier A, Sonnenberg P, Field N, Mercer CH, Johnson AM, Wellings K. Prevalence of infertility and help-seeking among 15 000 women and men. Human Reproduction 2016;31(9):2108-2118. DOI: 10.1093/humrep/dew123.
  • Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of infertility in Iran: A systematic review and meta-analysis. Urology Journal 2020;17(4):338-345. DOI: 10.22037/uj.v0i0.5610.
  • Borumandnia N, Alavi Majd H, Khadembashi N, Alaii H. Worldwide trend analysis of primary and secondary infertility rates over past decades: A cross-sectional study. Int J Reprod BioMed. 2022;20(1):37-46. DOI: 10.18502/ijrm.v20i1.10407.
  • Ozdemir E, Kaplan S. Infertility and nursing approach. Turkish Journal of Health Sciences and Research 2021;4(1):79-89. DOI: 10.51536/tusbad.836168
  • Fırat BO, Hotun NS. Infertility and stigmatization within the context of gender roles: a systematic review. Ordu University Journal of Nursing Studies 2022;5(1):93-103. DOI:10.38108/ouhcd.933034.
  • Daibes MA, Safadi RR, Athamneh T, Anees IF, Constantino RE. Half a woman, half a man; that is how they make me feel: A qualitative study of rural Jordanian women’s experience of infertility. Culture, Health & Sexuality 2018;20(5):516-530. DOI: 10.1080/13691058.2017.1359672
  • Ergin RN, Polat A, Kars B, Oztekin D, Sofuoglu K, Calıskan E. Social stigma and familial attitudes related to infertility. Turkish Journal of Obstetrics and Gynecology 2018;15(1):46-49. DOI: 10.4274/tjod.04307.
  • Hanna E, Gough B. The social construction of male infertility: A qualitative questionnaire study of men with a male factor infertility diagnosis. Sociology of Health & Illness 2020;42(3):465-480. DOI: 10.1111/1467-9566.13038.
  • Ozturk R, Bloom TL, Li Y, Bullock LFC. Stress, stigma, violence experiences and social support of US infertile women. Journal of Reproductive and Infant Psychology 2021;39(2):205-217. DOI: 10.1080/02646838.2020.1754373.
  • Durgun Ozan Y, Duman M. The relationship between fertility adjustment and self-efficacy of women in the period of infertility treatment. The Journal of Gynecology-Obstetrics and Neonatology 2018;15(2):43-46.
  • Abd Al-Kareem M, Ameen W, Talib Abed M, Obaid HM, Obaid AF, Abdulrasol ZA. Measurement the self-efficacy among infertile women in al-hilla city, Iraq. Iranian Rehabilitation Journal 2022;20(1):109-116. DOI:10.32598/irj.20.1.1621.2.
  • Faramarzi M, Pasha H, Esmailzadeh S, Kheirkhah F, Hajian-Tilaki K, Salmalian H. A survey of correlation infertility self-efficacy with behavioral health scales in infertile women. Health 2014;6(10):943-949. DOI: 10.4236/health.2014.610119
  • Parwez S, Banaras A. Self-efficacy and coping styles of infertile women in peshawar. Pakistan Journal of Humanities & Social Sciences Research 2022;5(1):43-56. DOI: 10.37605/pjhssr.v5i1.330
  • Mirzaasgari H, Momeni F, Pourshahbaz A, Keshavarzi F, Hatami M. The relationship between coping strategies and infertility self-efficacy with pregnancy outcomes of women undergoing in vitro fertilization: A prospective cohort study. International Journal of Reproductive Biomedicine 2022;20(7):539-548. DOI: 10.18502/ijrm.v20i7.11556
  • Yanık D, Kavak Budak F. The effect of positive psychotherapy-based training on stigma and self-efficacy in women receiving infertility treatment. Journal of the American Psychiatric Nurses Association 2022;30(2):384-396. DOI: 10.1177/10783903221122801
  • Akyuz A, Gurhan N, Bakır B. Development and validation of an infertility distress scale for Turkish women. TAF Preventive Medicine Bulletin 2008;7(6):469-476.
  • Capık A, Aksoy M, Yılmaz E, Yılmaz F. Infertility stigma scale: A psychometric study in a Turkish sample. Perspectives in Psychiatric Care 2019;55(2):328-335. DOI: 10.1111/ppc.12360
  • Arslan Ozkan I, Okumus H, Aytekin Lash A, Fırat MZ. Cultural validation of the Turkish Version of the Infertility Self-Efficacy Scale-Short Form (TISE-SF). Journal of Transcultural Nursing 2014;25(3):232-240. DOI: 10.1177/1043659613508784
  • Gerrits T, Kroes H, Russell S, Rooij FV. Breaking the silence around infertility: A scoping review of interventions addressing infertility-related gendered stigmatisation in low- and middle-income countries. Sexual and Reproductive Health Matters 2023;31(1):2134629. DOI: 10.1080/26410397.2022.2134629
  • Yilmaz E, Kavak F. The effect of stigma on depression levels of Turkish women with infertility. Perspectives in Psychiatric Care 2019;55(3):378-382. DOI: 10.1111/ppc.12319.
  • Kucukkaya M, Kılıc M. The effect of stigma on level of infertility-related psychological distress in women with infertility. African Journal of Reproductive Health 2022;26(2):13-25. DOI: 10.29063/ajrh2022/v26i2.2
  • Zhao Q, Huangfu C, Li J, Liu H, Tang N. Psychological resilience as the mediating factor between stigma and social avoidance and distress of ınfertility patients in China: A structural equation modeling analysis. Psychology Research and Behavior Management 2022;15:391-403. DOI: 10.2147/PRBM.S354803
  • Akarsu RH, Beji NK. Spiritual and religious issues of stigmatization women with infertility: A qualitative study. Journal of Religion and Health 2021;60(1):256-267. DOI: 10.1007/s10943-019-00884-w.
  • Fang M, Li G, Kang X. The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples. Psychology Health Medicine 2021;26(10):1181-1194. DOI: 10.1080/13548506.2020.1808233
  • Wang L, Tang Y, Wang Y. Predictors and incidence of depression and anxiety in women undergoing infertility treatment: A cross-sectional study. PLoS ONE. 2023;18(4): e0284414. DOI: 10.1371/journal.pone.0284414
  • Tural GN, Sis Celik A. Determination of the relationship between the levels of psychological effects of infertility and social support perceived by primary infertile women. Journal of Health Sciences and Professions 2019;6(1):91-104. DOI: 10.17681/hsp.410980
  • Yokota R, Okuhara T, Okada H, Goto E, Sakakibara K, Kiuchi T. Association between stigma and anxiety, depression, and psychological distress among japanese women undergoing infertility treatment. Healthcare 2022;10(7):1300. DOI: 10.3390/healthcare10071300
  • Kaya Z, Oskay U. Stigma, hopelessness and coping experiences of Turkish women with infertility. Journal of Reproductive and Infant Psychology 2020;38(5):485-496. DOI: 10.1080/02646838.2019.1650904.
  • Jafari H, Seraj Shirvan F, Latifnejad Roudsari R. The Relationship between self-efficacy and psychological distress among ınfertile women. Journal of Midwifery and Reproductive Health 2023;11(2):3744-3750. DOI: 10.22038/JMRH.2023.63739.1848
  • Turkish Statistical Institute. Birth Statistics. (2021). Published [12 May 2022] Accessed [01 September 2023] https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2021-45547 (Turkish)
There are 36 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Articles
Authors

Didem Kaya 0000-0001-6723-9321

Rabia Atilla 0000-0003-2854-9508

Ahmet Emin Mutlu 0000-0002-5092-1364

Publication Date December 29, 2024
Submission Date October 11, 2023
Acceptance Date December 14, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA Kaya, D., Atilla, R., & Mutlu, A. E. (2024). Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?. Clinical and Experimental Health Sciences, 14(4), 987-993. https://doi.org/10.33808/clinexphealthsci.1374680
AMA Kaya D, Atilla R, Mutlu AE. Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?. Clinical and Experimental Health Sciences. December 2024;14(4):987-993. doi:10.33808/clinexphealthsci.1374680
Chicago Kaya, Didem, Rabia Atilla, and Ahmet Emin Mutlu. “Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?”. Clinical and Experimental Health Sciences 14, no. 4 (December 2024): 987-93. https://doi.org/10.33808/clinexphealthsci.1374680.
EndNote Kaya D, Atilla R, Mutlu AE (December 1, 2024) Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?. Clinical and Experimental Health Sciences 14 4 987–993.
IEEE D. Kaya, R. Atilla, and A. E. Mutlu, “Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 987–993, 2024, doi: 10.33808/clinexphealthsci.1374680.
ISNAD Kaya, Didem et al. “Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?”. Clinical and Experimental Health Sciences 14/4 (December 2024), 987-993. https://doi.org/10.33808/clinexphealthsci.1374680.
JAMA Kaya D, Atilla R, Mutlu AE. Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?. Clinical and Experimental Health Sciences. 2024;14:987–993.
MLA Kaya, Didem et al. “Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?”. Clinical and Experimental Health Sciences, vol. 14, no. 4, 2024, pp. 987-93, doi:10.33808/clinexphealthsci.1374680.
Vancouver Kaya D, Atilla R, Mutlu AE. Is the Stigma Experienced by Infertile Women Related to Being Affected by Infertility and the Level of Self-Efficacy?. Clinical and Experimental Health Sciences. 2024;14(4):987-93.

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