Impact of Symptom and Social Support on Fertility Intention in Reproductive-Age Women With Breast Cancer

Huang, Sheng-Miauh; Tseng, Ling Ming; Lai, Jerry Cheng-Yen; Tsai, Yi Fang; Lien, Pei Ju; Chen, Ping Ho

doi:10.1177/1054773818770814

Cited by 15 publications

(18 citation statements)

References 32 publications

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“…Increased perceived stress is associated with decrease in fertility intention (measured via the fertility intension scale developed by Li et al. [ 16 ]), whereas increased social support from family and friends is positively associated with fertility intention ( 17 ). Qualitative studies also have found higher anxiety in general, specifically about financial issues, and these issues decrease people’s desire for more children ( 18 ), and changes in fertility treatment are correlated with both anxiety and depressive symptoms ( 8 ).…”

Section: Methodsmentioning

confidence: 99%

Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study

Naya

Saxbe

Dunton

2021

Fertility and Sterility

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Objective To explore early disparate impacts of the COVID-19 pandemic on fertility preferences Design Cross-sectional study Setting Online survey questionnaire Patient(s) A total of 440 female participants who were trying to conceive (TTC) in the past year or currently are TTC. Intervention(s) No interventions administered. Main Outcome Measure(s) Change in fertility preference Result(s) Approximately 1 in 3 participants reported changing their fertility preferences because of the COVID-19 pandemic. Of those that reported changing their fertility preferences, 23.9% reported TTC earlier and 61.6% reported TTC later. Preliminary findings show the odds of changing fertility preferences in black or African American women were 5.45 (95% confidence interval [CI], 1.50–19.90) times that of white women and in nonheterosexual women were 2.76 (95% CI, 1.41–5.42) times that of heterosexual women. Furthermore, every 1 unit increase in state anxiety and depressive symptoms was associated with a 26% (95% CI, 3%–54%) or 17% (95% CI, 5%–31%) increase in odds of pushing back TTC, respectively. Conclusion(s) This exploratory study highlights how the fertility preferences of racial and ethnic minorities, sexual minorities, and those experiencing mental health issues may be disparately influenced by the pandemic. Research is needed to examine further the disparate effect of the COVID-19 pandemic on fertility preferences.

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Section: Methodsmentioning

confidence: 99%

Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study

Naya

Saxbe

Dunton

2021

Fertility and Sterility

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“…Birth intention could be defined as a mental mechanism that is used to explain behaviors by portraying the individual as an actor who has desires and who attempts to achieve the pregnancy, which is directed by her beliefs [ 15 , 16 ]. In the current study, we conceptualize third birth intention as the desire or intent to have three children.…”

mentioning

confidence: 99%

Third birth intention of the childbearing-age population in mainland China and sociodemographic differences: a cross-sectional survey

et al. 2021

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Background Global fertility declines have become an inevitable trend, and many countries are adopting policies to drive fertility increases. Fertility intention plays an important role in predicting fertility behavior. The Chinese government has recently issued the ‘three-child’ policy, and there is still little research on the third birth intention of the childbearing-age population. Therefore, the aim of this study is to investigate the prevalence and related reasons of third birth intention in the childbearing-age population in mainland China, and analyze the sociodemographic differences. Method A cross-sectional survey was conducted in mainland China from June to July 2021. A total of 15,332 childbearing-age participants responded and completed the Fertility Intention Questionnaire online through the Wenjuanxing Platform. Data were explored and analyzed by SPSS (version 22.0) software. Descriptive statistics were used to describe the current situation and reasons of third birth intention. Binary logistic regression analysis was applied to assess the influencing factors in the sociodemographic level. Results The mean age of the participants was 32.9 ± 5.94 years. Only 12.2% of participants reported having third birth intention. The subjective norm of having both son and daughter (22.0%) and busy at work (29.2%) accounted for the largest proportion in the reasons of acceptance and rejection, respectively. Age has negative impact on third birth intention (OR = 0.960). Men were 2.209 times more likely to have three children than women (P < 0.001). With the improvement of education and family monthly income, the birth intention shows a downward trend. Compared with Han nationalities, first marriage and city residents, the ethnic minorities, remarriage and rural residents have stronger birth intention (all P < 0.05). And individuals with two existing children are inclined to have the third child (OR = 1.839). Conclusion The third birth intention in the childbearing-age population in China is still low after the announcement of the three-child policy. It is necessary to create a favorable fertility context for childbearing-age group with high level of third birth intention, like younger, male, minority, remarriage, with lower education and family monthly income, living in rural and two existing children. Furthermore, removing barriers for those unintended is also prominent to ensure the impetus of policy.

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“…The SDM part included providing comparisons of treatment and fertility preservation options, assessing each patient's values and preferences (such as cost or safety), assessing their degree of knowledge regarding infertility and fertility preservation options, and reaching a collective decision on the best option. We also linked the organizations that provide fertility preservation services in a resource section [38]. Appropriate literature was also provided in the reference section.…”

Section: Results Of the Reflect And Plan Phasementioning

confidence: 99%

Developing a Web-Based Shared Decision-Making Tool for Fertility Preservation Among Reproductive-Age Women With Breast Cancer: An Action Research Approach

Tseng¹,

Lien²,

Huang³

et al. 2021

J Med Internet Res

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Background The pregnancy rate after cancer treatment for female survivors is lower than that of the general population. Future infertility is a significant concern for patients with breast cancer and is associated with a poor quality of life. Reproductive-age patients with breast cancer have safe options when choosing a type of fertility preservation method to be applied. Better information and support resources aimed at women to support their decision making are needed. Objective The objective of this study was to develop a web-based shared decision-making tool for helping patients with breast cancer make decisions on fertility preservation. Methods We used the action research cycle of observing, reflecting, planning, and acting to develop a web-based shared decision-making tool. The following four phrases were applied: (1) observe and reflect—collect and analyze the decision-making experiences of patients and health care providers; (2) reflect and plan—apply the initial results to create a paper design and modify the content; (3) plan and act—brainstorm about the web pages and modify the content; (4) act and observe—evaluate the effectiveness and refine the website’s shared decision-making tool. Interviews, group meetings, and constant dialogue were conducted between the various participants at each step. Effectiveness was evaluated using the Preparation for Decision-Making scale. Results Five major parts were developed with the use of the action research approach. The Introduction (part 1) describes the severity of cancer treatment and infertility. Options (part 2) provides the knowledge of fertility preservation. The shared decision-making tool was designed as a step-by-step process (part 3) that involves the comparison of options, patient values, and preferences; their knowledge regarding infertility and options; and reaching a collective decision. Resources (part 4) provides information on the hospitals that provide such services, and References (part 5) lists all the literature cited in the website. The results show the web-based shared decision-making meets both patients’ and health providers’ needs and helps reproductive-age patients with breast cancer make decisions about fertility preservation. Conclusions We have created the first web-based shared decision-making tool for making fertility preservation decisions in Taiwan. We believe female patients of reproductive age will find the tool useful and its use will become widespread, which should increase patient autonomy and improve communication about fertility preservation with clinicians. Trial Registration Clinicaltrials.gov NCT04602910; https://clinicaltrials.gov/ct2/show/NCT04602910

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Impact of Symptom and Social Support on Fertility Intention in Reproductive-Age Women With Breast Cancer

Cited by 15 publications

References 32 publications

Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study

Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study

Third birth intention of the childbearing-age population in mainland China and sociodemographic differences: a cross-sectional survey

Developing a Web-Based Shared Decision-Making Tool for Fertility Preservation Among Reproductive-Age Women With Breast Cancer: An Action Research Approach

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