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Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea

Received: 24 November 2022     Accepted: 7 December 2022     Published: 15 December 2022
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Abstract

Introduction: This study aimed to determine the prevalence of infertility among women of reproductive age in Conakry, to identify its explanatory factors and to assess its psychosocial consequences among victims. Methods: This was a 6-month cross-sectional study from 18 June to 18 November 2021 involving 4,910 women of childbearing age (15-49 years) in the five municipalities of Conakry. Medians were used to summarise quantitative variables, and proportions were used to summarise categorical variables. Multivariate logistic regression was used to investigate factors associated with infertility (p-value ≤ 0.05). GHQ-28 questionnaire items were used to assess the psychosocial impact of infertility in female victims. Results: The overall prevalence of infertility was 17.8% (5.40% primary and 12.4% secondary infertility). Risk factors associated with infertility were non-education (AOR: 6.146; CI: [4.961 - 7.614]), sexually transmitted infections (AOR: 2.461; CI: [1.997 - 3.033]), (AOR: 3.141; CI: [2.291 - 4.307]), salpingitis (AOR: 4.766; AOR: [3.165 - 7.177]), ovarian cystectomies (AOR: 3.286; CI: [2.008 - 5.376]), uterine myomas (AOR: 3.141; CI: [2.291 - 4.307]) and induced abortions (AOR: 3.372; CI: [2.556 - 4.448]). Social stress, feelings of spousal rejection, anxiety, insomnia, somatic injury, depression and psychosocial dysfunction were the main psychosocial consequences of infertility in the women who experienced it. Conclusion: This study showed the importance of the problem of infertility among women of childbearing age in Conakry. It also helped to understand the need to set up and/or strengthen prevention and care interventions (medical and psychosocial) for victims of infertility. Another study taking into account the clinical and Para clinical explorations of women and men improved the understanding of the phenomenon of infertility in Guinea.

Published in World Journal of Public Health (Volume 7, Issue 4)
DOI 10.11648/j.wjph.20220704.17
Page(s) 166-176
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Infertility, Prevalence, Associated Factors, Psychosocial Consequences, Women of Childbearing Age, Conakry

References
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Cite This Article
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    Niouma Nestor Leno, Kadio Jean-Jacques Olivier Kadio, Alioune Camara, Zeze Charles Romuald Bley, Djaky Armande Olivia Ehora, et al. (2022). Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea. World Journal of Public Health, 7(4), 166-176. https://doi.org/10.11648/j.wjph.20220704.17

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    ACS Style

    Niouma Nestor Leno; Kadio Jean-Jacques Olivier Kadio; Alioune Camara; Zeze Charles Romuald Bley; Djaky Armande Olivia Ehora, et al. Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea. World J. Public Health 2022, 7(4), 166-176. doi: 10.11648/j.wjph.20220704.17

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    AMA Style

    Niouma Nestor Leno, Kadio Jean-Jacques Olivier Kadio, Alioune Camara, Zeze Charles Romuald Bley, Djaky Armande Olivia Ehora, et al. Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea. World J Public Health. 2022;7(4):166-176. doi: 10.11648/j.wjph.20220704.17

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  • @article{10.11648/j.wjph.20220704.17,
      author = {Niouma Nestor Leno and Kadio Jean-Jacques Olivier Kadio and Alioune Camara and Zeze Charles Romuald Bley and Djaky Armande Olivia Ehora and Adoum Aganaye and Alexandre Delamou},
      title = {Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea},
      journal = {World Journal of Public Health},
      volume = {7},
      number = {4},
      pages = {166-176},
      doi = {10.11648/j.wjph.20220704.17},
      url = {https://doi.org/10.11648/j.wjph.20220704.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20220704.17},
      abstract = {Introduction: This study aimed to determine the prevalence of infertility among women of reproductive age in Conakry, to identify its explanatory factors and to assess its psychosocial consequences among victims. Methods: This was a 6-month cross-sectional study from 18 June to 18 November 2021 involving 4,910 women of childbearing age (15-49 years) in the five municipalities of Conakry. Medians were used to summarise quantitative variables, and proportions were used to summarise categorical variables. Multivariate logistic regression was used to investigate factors associated with infertility (p-value ≤ 0.05). GHQ-28 questionnaire items were used to assess the psychosocial impact of infertility in female victims. Results: The overall prevalence of infertility was 17.8% (5.40% primary and 12.4% secondary infertility). Risk factors associated with infertility were non-education (AOR: 6.146; CI: [4.961 - 7.614]), sexually transmitted infections (AOR: 2.461; CI: [1.997 - 3.033]), (AOR: 3.141; CI: [2.291 - 4.307]), salpingitis (AOR: 4.766; AOR: [3.165 - 7.177]), ovarian cystectomies (AOR: 3.286; CI: [2.008 - 5.376]), uterine myomas (AOR: 3.141; CI: [2.291 - 4.307]) and induced abortions (AOR: 3.372; CI: [2.556 - 4.448]). Social stress, feelings of spousal rejection, anxiety, insomnia, somatic injury, depression and psychosocial dysfunction were the main psychosocial consequences of infertility in the women who experienced it. Conclusion: This study showed the importance of the problem of infertility among women of childbearing age in Conakry. It also helped to understand the need to set up and/or strengthen prevention and care interventions (medical and psychosocial) for victims of infertility. Another study taking into account the clinical and Para clinical explorations of women and men improved the understanding of the phenomenon of infertility in Guinea.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea
    AU  - Niouma Nestor Leno
    AU  - Kadio Jean-Jacques Olivier Kadio
    AU  - Alioune Camara
    AU  - Zeze Charles Romuald Bley
    AU  - Djaky Armande Olivia Ehora
    AU  - Adoum Aganaye
    AU  - Alexandre Delamou
    Y1  - 2022/12/15
    PY  - 2022
    N1  - https://doi.org/10.11648/j.wjph.20220704.17
    DO  - 10.11648/j.wjph.20220704.17
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 166
    EP  - 176
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20220704.17
    AB  - Introduction: This study aimed to determine the prevalence of infertility among women of reproductive age in Conakry, to identify its explanatory factors and to assess its psychosocial consequences among victims. Methods: This was a 6-month cross-sectional study from 18 June to 18 November 2021 involving 4,910 women of childbearing age (15-49 years) in the five municipalities of Conakry. Medians were used to summarise quantitative variables, and proportions were used to summarise categorical variables. Multivariate logistic regression was used to investigate factors associated with infertility (p-value ≤ 0.05). GHQ-28 questionnaire items were used to assess the psychosocial impact of infertility in female victims. Results: The overall prevalence of infertility was 17.8% (5.40% primary and 12.4% secondary infertility). Risk factors associated with infertility were non-education (AOR: 6.146; CI: [4.961 - 7.614]), sexually transmitted infections (AOR: 2.461; CI: [1.997 - 3.033]), (AOR: 3.141; CI: [2.291 - 4.307]), salpingitis (AOR: 4.766; AOR: [3.165 - 7.177]), ovarian cystectomies (AOR: 3.286; CI: [2.008 - 5.376]), uterine myomas (AOR: 3.141; CI: [2.291 - 4.307]) and induced abortions (AOR: 3.372; CI: [2.556 - 4.448]). Social stress, feelings of spousal rejection, anxiety, insomnia, somatic injury, depression and psychosocial dysfunction were the main psychosocial consequences of infertility in the women who experienced it. Conclusion: This study showed the importance of the problem of infertility among women of childbearing age in Conakry. It also helped to understand the need to set up and/or strengthen prevention and care interventions (medical and psychosocial) for victims of infertility. Another study taking into account the clinical and Para clinical explorations of women and men improved the understanding of the phenomenon of infertility in Guinea.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Conakry, Guinea

  • Department of Pharmacy, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • African Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT), Conakry, Guinea

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