O-036 Are male infertility patients and male partners to infertility patients impacted differently by fertility challenges?
Notice bibliographique
Résumé
Abstract Study question How do male infertility patients and male partners to infertility patients differ on the impact of diagnosis on their daily lives, relationships and mental health? Summary answer Significantly more male patients than male partners agreed that diagnosis impacted their activities of daily living, partner relationships and mental health. What is known already Globally, male factor infertility is causal (solely or with other factors) in approximately 50% of infertility cases1. The male patient perspective on infertility remains under-researched as is that of the male partner to the infertile patient. A recent James Lind Alliance priority setting study, including health professionals, patients and health care providers, identified psychological aspects of male infertility as one of the top 10 research priorities within male infertility2. Previous literature has documented that men with male factor infertility can experience significant mental distress compared to other diagnoses. However, there is a paucity of evidence about other aspects of life. Study design, size, duration This is a secondary analysis of the male subpopulation of the international, online, 30-minute, quantitative ‘1000 dreams’ survey, which collected data from March to May 2019 among 1944 respondents. The male subpopulation consisted of 847 respondents from nine countries (United States [US], United Kingdom [UK], Germany, Spain, Italy, France, China, Australia, and Canada). Male respondents had either been diagnosed with infertility (patients) or had a partner who had received a diagnosis of infertility (partners). Participants/materials, setting, methods Infertile patients (n = 351) and partners (n = 496) were at different stages of the treatment journey (diagnosis, treatment). Average age at time of questionnaire completion was 36.33 years (SD = 10.06). Survey topics covered impact on mental health, relationships and daily activities. Respondents indicated their extent of agreement with each statement on a scale from 1 to 7 (do not agree at all–completely agree). Response categories 5-7 (somewhat to fully agree) were combined. Chi-square comparison tests were used. Main results and the role of chance Significantly more male patients (57%, n = 351) than male partners (40%, n = 496) agreed with some impact of their diagnosis on their activities of daily living (p < 0.001). Of those reporting any impact, male patients were significantly more likely to agree that they withdraw from social engagements than male partners (55% vs 38%, p < 0.001). A significantly greater proportion of male patients agreed that the diagnosis had a negative impact on their work-life balance compared with male partners (58% vs 42%, p < 0.001) and a negative impact on their career progression (51% vs 36%, p < 0.001). Similarly, 60% of male patients and 52% of male partners agreed that there were some impacts on their relationship with their partners (p = 0.03). Of these, more male patients than male partners somewhat or fully agreed that the financial commitment began to put a strain on their partner relationship (54% vs 43%, p < 0.01). Among male patients (n = 351), 62% felt that their diagnosis had an impact on their mental health, and of these, 30% sought professional support services. Among male partners (n = 496) 47% reported an impact of their partners diagnosis on their mental health and of these 23% sought professional support services (all differences were NS). Limitations, reasons for caution This survey is based on an anonymous, self-reported online survey with no opportunities to validate data by health care professionals and respondents were not able to ask clarifying questions. There is a risk that the data is not fully representative of the male patient/partner population. Wider implications of the findings The presence of a male factor diagnosis impacts the emotional experience of infertility on males. It highlights the importance of recognizing that while infertility is a couple diagnosis, men may have varying needs for support depending on whether the source of fertility problems is male. Trial registration number Not applicable
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».