Women’s Knowledge and Awareness of the Effect of Age on Fertility in Kazakhstan

Sarría‐Santamera, Antonio; Bapayeva, Gauri; Utepova, Gulnara; Krstić, Jelena; Terzić, Sanja; Aimagambetova, Gulzhanat; Shauyen, Fariza; Terzić, Milan

doi:10.3390/sexes1010006

Cited by 9 publications

(22 citation statements)

References 32 publications

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“…In Kazakhstan, there were studies assessing the relationship between age, psychological distress and IVF outcome [ 5 , 6 , 15 , 16 ], as well as the impact of governmental support to the IVF clinical pregnancy rates [ 17 ], while there were no investigations evaluating the quality of life in women undergoing IVF using fertility-specific measurement. The mentality of the country is based on putting pressure on couples that they need to become parents.…”

Section: Introductionmentioning

confidence: 99%

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Suleimenova

Локшин²,

Glushkova

et al. 2022

IJERPH

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Infertility is a problem that affects millions of couples worldwide and has a significant impact on their quality of life. The recently introduced “Fertility Quality of Life Questionnaire (FertiQoL)” quickly became a gold standard for evaluation of the quality of life of patients suffering from infertility. The aim of this study was to determine the quality of life of Kazakhstani women coping with infertility problems by FertiQoL and assess the validity of the questionnaire. This cross-sectional study involved women of reproductive age undergoing an in vitro fertilization (IVF) cycle at a large IVF center in Kazakhstan in the period from 1 September 2020 to 31 September 2021. A total of 453 women out of 500 agreed to participate in the study, and the response rate was 90.6%. The overall Core FertiQoL was 56.95 ± 14.05, and the Treatment FertiQoL was 66.18 ± 11.13 points. Respondents with secondary infertility had statistically significantly higher Emotional (p < 0.001), Mind–body (p = 0.03), Social (p < 0.001), Environment (p = 0.02), and Treatment (p < 0.001) domains of FertiQoL than women with primary infertility. Respondents with a low income had the lowest levels of Total FertiQoL (56.72 ± 11.65). The longer duration of infertility of women undergoing IVF treatment presented the worse scale of Treatment and Total FertiQoL. Cronbach’s alpha revealed good internal reliability for all FertiQoL subscales on the Kazakhstan women’s questionnaire and averaged 0.8, which is an indicator of a high degree of reliability. The Total FertiQoL of Kazakhstan women undergoing IVF treatment was 59.6 ± 11.5, which is considerably lower than European countries. We identified statistically significant differences across medical and demographic groups. As this questionnaire had validity in Kazakhstan survey it possibly be used for both medical counseling and future investigation in our country.

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Section: Introductionmentioning

confidence: 99%

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Suleimenova

Локшин²,

Glushkova

et al. 2022

IJERPH

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“…3 13-16 Fertility as a cornerstone of family planning in Central Asian culture plays an important role in the strength of couples' relationships. 16 However, the fertility rate in Kazakhstan decreased significantly from 4.6 in 1960 to 2.8 in 2015, 15 and the infertility prevalence varies from 12% to 15.5%. [14][15][16] Considering the infertility issue in Kazakhstan, the need for accessible and affordable ART is found to be very high.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…16 However, the fertility rate in Kazakhstan decreased significantly from 4.6 in 1960 to 2.8 in 2015, 15 and the infertility prevalence varies from 12% to 15.5%. [14][15][16] Considering the infertility issue in Kazakhstan, the need for accessible and affordable ART is found to be very high.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Impact of governmental support to the IVF clinical pregnancy rates: differences between public and private clinical settings in Kazakhstan—a prospective cohort study

et al. 2022

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ObjectivesInfertility rates have been increasing in low-income and middle-income countries, including Kazakhstan. The need for accessible and affordable assisted reproductive technologies has become essential for many subfertile women. We aimed to explore whether the public funding and clinical settings are independently associated with in vitro fertilisation (IVF) clinical pregnancy and to determine whether the relationship between IVF clinical pregnancy and clinical settings is modified by payment type.DesignA prospective cohort study.SettingThree private and two public IVF clinics located in major cities.ParticipantsWomen aged ≥18 seeking first or repeated IVF treatment and agreed to complete a survey were included in the study. Demographical and previous medical history data were collected from a survey, while clinical data from medical records. The total response rate was 14%.Primary and secondary outcome measuresClinical pregnancy was defined as a live intrauterine pregnancy identified by ultrasound scan at 8 gestational weeks. The outcome data were missing for 22% of women.ResultsOut of 446 women in the study, 68.2% attended private clinics. Two-thirds of women attending public clinics and 13% of women attending private clinics were publicly funded. Private clinics retrieved, on average, a higher number of oocytes (11.5±8.4 vs 8.1±7.2, p<0.001) and transferred more embryos (2.2±2.5 vs 1.4±1.1, p<0.001) and had a statistically significantly higher pregnancy rate compared with public clinics (79.0% vs 29.7%, p<0.001). Publicly funded women had on average a higher number of oocytes retrieved and a statistically significantly higher probability of clinical pregnancy (RR=1.23, 95% CI 1.02 to 1.47) than self-paid women, after adjusting for covariates. There was no statistically significant interaction between clinical setting and payment type.ConclusionsPrivate clinics and public funding were independently associated with higher IVF clinical pregnancy rates. There is also a need to further investigate whether the increase in public funding will influence clinical pregnancy rates.

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“…Infertility is a medical and social problem which poses a serious problem world wide. [1][2][3][4][5] Generally, a couple is considered clinically infertile when there is no pregnancy occurring after a minimum of twelve months of regular unprotected sexual activity. [1][2][3]The rate of infertility in Africa was documented to be between the range of 8.6 to 21.5%.…”

Section: Introductionmentioning

confidence: 99%

Awareness of infertility amongst women of reproductive age in southern Nigerian study

Dan-Jumbo¹,

S²,

KE³

et al. 2023

Int. J. Sci. Res. Arch.

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Infertility is a medical and social problem which poses a serious public health problem worldwide. Women of reproductive age with infertility have social and psychological distress due to inability to achieve social role of motherhood.The rate of infertility in Africa was documented to be between the range of 8.6 to 21.5%. Aim: To determine the awareness ofinfertility amongst women of reproductive age in Rivers State Nigeria. Method: It was a cross sectional study of women of reproductive age who attended enlightenment campaign by the Mother and Baby Care Global Foundation. Information were coded and analysed using SPSS version 25. Results: Two hundred and fifty (250) subjects were enrolled for the study. The mean age was 24 ± 4 years. One hundred and fifteen (46%) were between ages 20 – 29 years, 30 – 39 years represented 85 (34%) of the, respondents 50 (20%) were between ages 40 – 49years. The respondents aware of infertility were 113 (45%). The educational status of the respondents were made up of tertiary and secondary levels of education 200 (80%) and 50 (20%) respectively. The highest level of awareness infertility was amongst women between ages 20 t0 29 years represented by 66 (26.3%) respondents. Conclusion: The study showed the level of awarenessinfertility among women of reproductive age as 45%. This was below average. Awareness campaign on infertility should be carried out by the government and non-governmental organisations on infertility and its impact on reproductive health especially as it affects the mental, physical, emotional and financial aspects of couples.

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Women’s Knowledge and Awareness of the Effect of Age on Fertility in Kazakhstan

Cited by 9 publications

References 32 publications

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Impact of governmental support to the IVF clinical pregnancy rates: differences between public and private clinical settings in Kazakhstan—a prospective cohort study

Awareness of infertility amongst women of reproductive age in southern Nigerian study

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