ArticleInternational perspectives on sexual and reproductive health2020
Perceived Infertility Among Young Adults in Balaka, Malawi.
Article in International perspectives on sexual and reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Impacts of Contraception on Future Fertility: Addressing Concerns to Improve Understanding.Studies in family planning · 2026Article
- Measuring Nuance in Individual Contraceptive Need: A Case Study from a Cohort in Malawi.Studies in family planning · 2023Article
- Life After Loss: A Prospective Analysis of Mortality Exposure and Unintended Fertility.Demography · 2022Article
- Return to pregnancy after contraceptive discontinuation to become pregnant: a pooled analysis of West and East African populations.Reproductive health · 2021Article
- Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi.Studies in family planning · 2021Article
- Perceived likelihood of becoming pregnant and contraceptive use: Findings from population-based surveys in Côte d'Ivoire, Nigeria, and Rajasthan, India.Contraception · 2021Article
- Prevalence and Correlates of Perceived Infertility in Ghana.Studies in family planning · 2020Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
contextPerceived infertility-an individual's belief that she or he is unable to conceive or impregnate a partner-may lead to contraceptive nonuse and unintended pregnancy, among other concerns, but has not been widely studied in low-income settings.
methodsA measure of perceived infertility previously used in the United States was included in a 2015 survey of young adults in Balaka, Malawi. The prevalence of potential perceived infertility (i.e., believing it is a little or substantially likely that one is infertile, or would have difficulty getting pregnant or impregnating a partner; PPI) was estimated among the analytic sample of 1,064 women and 527 men aged 21-29. Multivariable logistic regression was used to identify variables associated with PPI; respondents' reasons for PPI and their estimates of the probability of pregnancy after unprotected sex were also investigated.
resultsThe prevalence of PPI was 8% overall, and 20% among nulliparous women. Factors associated with PPI and reasons for PPI varied by gender. For women, PPI was significantly associated with age, education, an interaction term between age and education, number of sexual partners, feelings if she were to become pregnant next month, parity and contraceptive use. For men, PPI was associated with an interaction term between age and education, number of sex partners and marital status. Respondents tended to overestimate the probability of pregnancy after unprotected sex.
conclusionsPerceived infertility was lower in Malawi than in the United States, although substantial among certain subgroups. Educational interventions aimed at increasing knowledge about pregnancy probabilities and the return of fertility after contraceptive discontinuation may reduce concerns around perceived infertility.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.