Evidence map›Paper›PMID 34843498›Full record

ArticlePloS one2021

Men and infertility in The Gambia: Limited biomedical knowledge and awareness discourage male involvement and exacerbate gender-based impacts of infertility.

Susan Dierickx, Kelvin Onyango Oruko, Ed Clarke, Sainey Ceesay, Allan Pacey, Julie Balen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  14. Experiences of infertility among couples in Morocco.Frontiers in reproductive health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Susan DierickxResearch Center Gender, Diversity and Intersectionality, Vrije Universiteit Brussel, Brussel, Belgium.ORCID 0000-0003-3140-0771
Kelvin Onyango OrukoSchool of Health and Related Research, The University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0001-7281-4036
Ed ClarkeVaccines and Immunity Theme, Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Sainey CeesaySafe Haven Foundation, Fajara, The Gambia.
Allan PaceyDepartment of Oncology and Metabolism, The Medical School, The University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-4387-8871
Julie BalenSchool of Health and Related Research, The University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-4736-8465
University of Sheffield · GBKenya Medical Training College · KEMRC Unit the Gambia · GMVrije Universiteit Brussel · BE

Funding

Medical Research Council MC_UP_A900_1115
6 · The paper itself

Abstract

introductionInfertility in Sub-Saharan Africa constitutes an important social and public health problem. Yet, there is a paucity of research on the experiences of men living with infertility, especially in West Africa. This study explored men's aetiological knowledge, views and experiences of infertility in the West Coast region of The Gambia, West Africa. METHODOLOGY: An explorative qualitative study was conducted among men living in the rural and urban communities of the West Coast region of The Gambia using in-depth interviews. Data collection and analysis were performed concurrently, and thematic data analysis was an iterative process carried out using NVivo 11 Analysis Software.

resultsGambian men had generally poor knowledge of infertility, allocating it to God, spiritual powers and bodily (biomedical) factors. While societal norms meant that infertility was generally attributed to women, some men allocated male-factor infertility to poor sperm quality and impotence. Infertility threatened participants' sense of masculinity and resulted in psychosocial distress, including stigma, feelings of isolation, and low self-esteem.

conclusionNormative gendered frameworks of infertility result in high levels of female responsibilisation in the Gambian context. Yet men diagnosed with infertility experience significant, often unrecognized, psychological and social distress. We therefore call for increased attention to male-factor infertility, and the promotion of male engagement with infertility-care and services, both of which are essential for successfully addressing infertility and it's psychosocial consequences in The Gambia.

Indexed as

AdultAfrica South of the SaharaData AnalysisData CollectionEmotionsErectile DysfunctionGambiaHealth Knowledge, Attitudes, PracticeHumansInfertility, MaleKnowledgeMaleMasculinityMiddle AgedPilot ProjectsPublic Health

Identifiers

PMID34843498
PMCPMC8629172
OpenAlexW3216563509

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.