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Women's attitudes and beliefs about using fertility preservation to prevent age-related fertility decline: a two-year follow-up

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Resumo:BACKGROUND: Women are using the fertility preservation (FP) technique at an age that undermines its success potential. Thus, it is crucial to understand how the process of decision-making about its use unfolds over time. The present study tries to describe and predict the actual decision-making and behaviour toward FP, based on the health belief and transtheoretical models. METHOD: A prospective study with 107 women, aged 30 to 37 years, who two years ago had a child-wish but were childless. Based on an online survey that assessed individual factors, intentions to use FP, variables of the health belief model, women’s decisional stage about its use and their behaviour. RESULTS: A low engagement in the decision-making process was observed, only 14% women decided about its use, and all decided not to use. Women realised that their chances to achieve parenthood were decreasing and have revised down their goals. Women’s intentions to use FP did not predict their decision. CONCLUSIONS: FP is not the preferred route to parenthood but seemed to remain an open option. This suggest that women do not engage in the FP decision-making process by themselves and need to have some advice, according to their personal circumstances, to start engaging.
Autores principais:Leite, Mariana dos Reis Oliveira de Sousa
Assunto:Fertility preservation Age-related fertility decline Decision-making process Health belief model Transtheoretical model Preservação da fertilidade Declínio da fertilidade relacionado com a idade Processo de tomada de decisão Modelo das crenças de saúde Modelo transteórico Ciências Sociais::Psicologia
Ano:2018
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso restrito
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
Descrição
Resumo:BACKGROUND: Women are using the fertility preservation (FP) technique at an age that undermines its success potential. Thus, it is crucial to understand how the process of decision-making about its use unfolds over time. The present study tries to describe and predict the actual decision-making and behaviour toward FP, based on the health belief and transtheoretical models. METHOD: A prospective study with 107 women, aged 30 to 37 years, who two years ago had a child-wish but were childless. Based on an online survey that assessed individual factors, intentions to use FP, variables of the health belief model, women’s decisional stage about its use and their behaviour. RESULTS: A low engagement in the decision-making process was observed, only 14% women decided about its use, and all decided not to use. Women realised that their chances to achieve parenthood were decreasing and have revised down their goals. Women’s intentions to use FP did not predict their decision. CONCLUSIONS: FP is not the preferred route to parenthood but seemed to remain an open option. This suggest that women do not engage in the FP decision-making process by themselves and need to have some advice, according to their personal circumstances, to start engaging.