Skip to main content
Top
Published in: BMC Women's Health 1/2021

Open Access 01-12-2021 | Infertility | Research article

The social stigma of infertile women in Zhejiang Province, China: a questionnaire-based study

Authors: Fang Zhang, Yan Lv, Yanting Wang, Xuzhen Cheng, Yuying Yan, Ye Zhang, Yue Wang

Published in: BMC Women's Health | Issue 1/2021

Login to get access

Abstract

Background

Infertile women often face stigmatization worldwide. This study aimed to investigate the stigma against infertile women in China and to analyze its influencing factors.

Methods

Of 270 women who were randomly selected from patients receiving adjuvant fertility treatment in Zhejiang Province, China, 254 successfully completed the general information questionnaire, disease information questionnaire, and Chinese version of the infertility stigma scale (ISS). The ISS contained 27 positively worded items, each of which was graded on a 5-point Likert-type scale.

Results

The total stigma score of female infertility patients was 66.39 ± 21.96. By dividing the number of items, the average score for each ISS item was 2.13 ± 0.81, indicating the presence of stigma. Among the four ISS factors, the social withdrawal score was the highest (2.64 ± 1.05), whereas the family stigma score was the lowest (1.88 ± 0.88). Multiple stepwise regression analysis further revealed that the duration of infertility and monthly income were important predictors of the stigma of infertile women.

Conclusions

Infertile women experience moderate to high levels of stigma in Zhejiang, China. Thus, supportive psychological interventions and public education are required to change patients’ cognition and assist patients in coping with negative experiences.
Appendix
Available only for authorised users
Literature
1.
go back to reference Infections, pregnancies, and infertility: perspectives on prevention. World Health Organization. Fertil Steril 1987; 47(6):964–8. Infections, pregnancies, and infertility: perspectives on prevention. World Health Organization. Fertil Steril 1987; 47(6):964–8.
2.
go back to reference Sundby J, Mboge R, Sonko S. Infertility in the Gambia: frequency and health care seeking. Soc Sci Med. 1998;46(7):891–9.CrossRefPubMed Sundby J, Mboge R, Sonko S. Infertility in the Gambia: frequency and health care seeking. Soc Sci Med. 1998;46(7):891–9.CrossRefPubMed
3.
go back to reference Nachtigall RD. International disparities in access to infertility services. Fertil Steril. 2006;85(4):871–5.CrossRefPubMed Nachtigall RD. International disparities in access to infertility services. Fertil Steril. 2006;85(4):871–5.CrossRefPubMed
4.
go back to reference Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356.PubMedPubMedCentral Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356.PubMedPubMedCentral
5.
go back to reference Schwerdtfeger KL, Shreffler KM. Trauma of pregnancy loss and infertility for mothers and involuntarily childless women in the contemporary United States. J Loss Trauma. 2009;14(3):211–27.CrossRefPubMedPubMedCentral Schwerdtfeger KL, Shreffler KM. Trauma of pregnancy loss and infertility for mothers and involuntarily childless women in the contemporary United States. J Loss Trauma. 2009;14(3):211–27.CrossRefPubMedPubMedCentral
7.
go back to reference Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. Infertility in South Africa: women’s reproductive health knowledge and treatment-seeking behaviour for involuntary childlessness. Hum Reprod. 2002;17(6):1657–62.CrossRefPubMed Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. Infertility in South Africa: women’s reproductive health knowledge and treatment-seeking behaviour for involuntary childlessness. Hum Reprod. 2002;17(6):1657–62.CrossRefPubMed
8.
go back to reference Slade P, O’Neill C, Simpson AJ, Lashen H. The relationship between perceived stigma, disclosure patterns, support and distress in new attendees at an infertility clinic. Hum Reprod. 2007;22(8):2309–17.CrossRefPubMed Slade P, O’Neill C, Simpson AJ, Lashen H. The relationship between perceived stigma, disclosure patterns, support and distress in new attendees at an infertility clinic. Hum Reprod. 2007;22(8):2309–17.CrossRefPubMed
9.
go back to reference Jansen NA, Saint Onge JM. An internet forum analysis of stigma power perceptions among women seeking fertility treatment in the United States. Soc Sci Med. 2015;147:184–9.CrossRefPubMed Jansen NA, Saint Onge JM. An internet forum analysis of stigma power perceptions among women seeking fertility treatment in the United States. Soc Sci Med. 2015;147:184–9.CrossRefPubMed
10.
go back to reference Feldman-Savelsberg P. Plundered kitchens and empty wombs: fear of infertility in the Cameroonian grassfields. Soc Sci Med. 1994;39(4):463–74.CrossRefPubMed Feldman-Savelsberg P. Plundered kitchens and empty wombs: fear of infertility in the Cameroonian grassfields. Soc Sci Med. 1994;39(4):463–74.CrossRefPubMed
11.
go back to reference Donkor ES, Sandall J. The impact of perceived stigma and mediating social factors on infertility-related stress among women seeking infertility treatment in Southern Ghana. Soc Sci Med. 2007;65(8):1683–94.CrossRefPubMed Donkor ES, Sandall J. The impact of perceived stigma and mediating social factors on infertility-related stress among women seeking infertility treatment in Southern Ghana. Soc Sci Med. 2007;65(8):1683–94.CrossRefPubMed
12.
go back to reference Liu Q. A comparative study and causal analysis of women’s family status in contemporary China. Chin J Popul Sci. 1994;6(2):101–11.PubMed Liu Q. A comparative study and causal analysis of women’s family status in contemporary China. Chin J Popul Sci. 1994;6(2):101–11.PubMed
14.
go back to reference Ying LY, Wu LH, Loke AY. The experience of Chinese couples undergoing in vitro fertilization treatment: perception of the treatment process and partner support. PLoS ONE. 2015;10(10):e0139691.CrossRefPubMedPubMedCentral Ying LY, Wu LH, Loke AY. The experience of Chinese couples undergoing in vitro fertilization treatment: perception of the treatment process and partner support. PLoS ONE. 2015;10(10):e0139691.CrossRefPubMedPubMedCentral
15.
go back to reference Fu B, Qin N, Cheng L, Tang G, Cao Y, Yan C, Huang X, Yan P, Zhu S, Lei J. Development and validation of an Infertility Stigma Scale for Chinese women. J Psychosom Res. 2015;79(1):69–75.CrossRefPubMed Fu B, Qin N, Cheng L, Tang G, Cao Y, Yan C, Huang X, Yan P, Zhu S, Lei J. Development and validation of an Infertility Stigma Scale for Chinese women. J Psychosom Res. 2015;79(1):69–75.CrossRefPubMed
16.
go back to reference Remenick L. Childless in the land of imperative motherhood: stigma and coping among infertile Israeli women. Sex Roles. 2000;43:821–41.CrossRef Remenick L. Childless in the land of imperative motherhood: stigma and coping among infertile Israeli women. Sex Roles. 2000;43:821–41.CrossRef
17.
go back to reference Hollos M, Larsen U. Motherhood in sub-Saharan Africa: the social consequences of infertility in an urban population in northern Tanzania. Cult Health Sex. 2008;10(2):159–73.CrossRefPubMed Hollos M, Larsen U. Motherhood in sub-Saharan Africa: the social consequences of infertility in an urban population in northern Tanzania. Cult Health Sex. 2008;10(2):159–73.CrossRefPubMed
18.
go back to reference Jing X, Gu W, Xu X, Yan C, Jiao P, Zhang L, Li X, Wang X, Wang W: Stigma predicting fertility quality of life among Chinese infertile women undergoing in vitro fertilization-embryo transfer. J Psychosom Obstet Gynaecol 2020;1–7. Jing X, Gu W, Xu X, Yan C, Jiao P, Zhang L, Li X, Wang X, Wang W: Stigma predicting fertility quality of life among Chinese infertile women undergoing in vitro fertilization-embryo transfer. J Psychosom Obstet Gynaecol 2020;1–7.
20.
go back to reference van der Geest S. Wisdom and counselling: a note on advising people with HIV/AIDS in Ghana. Afr J AIDS Res. 2015;14(3):255–64.CrossRefPubMed van der Geest S. Wisdom and counselling: a note on advising people with HIV/AIDS in Ghana. Afr J AIDS Res. 2015;14(3):255–64.CrossRefPubMed
21.
go back to reference Agarwal A, Baskaran S, Parekh N, Cho C-L, Henkel R, Vij S, Arafa M, Panner Selvam MK, Shah R. Male infertility. The Lancet. 2021;397(10271):319–33.CrossRef Agarwal A, Baskaran S, Parekh N, Cho C-L, Henkel R, Vij S, Arafa M, Panner Selvam MK, Shah R. Male infertility. The Lancet. 2021;397(10271):319–33.CrossRef
Metadata
Title
The social stigma of infertile women in Zhejiang Province, China: a questionnaire-based study
Authors
Fang Zhang
Yan Lv
Yanting Wang
Xuzhen Cheng
Yuying Yan
Ye Zhang
Yue Wang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2021
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-021-01246-z

Other articles of this Issue 1/2021

BMC Women's Health 1/2021 Go to the issue