The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families
Objective In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Journal of Psychosomatic Obstetrics and Gynecology |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/0167482X.2024.2351809 |
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| _version_ | 1846101956719804416 |
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| author | Jiajia Zhai Shibin Zhao Guimin Hao |
| author_facet | Jiajia Zhai Shibin Zhao Guimin Hao |
| author_sort | Jiajia Zhai |
| collection | DOAJ |
| description | Objective In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.Methods In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).Results The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031–1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).Conclusion The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family. |
| format | Article |
| id | doaj-art-dc1307b78bda4b22a87776ec519b9082 |
| institution | Kabale University |
| issn | 0167-482X 1743-8942 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Psychosomatic Obstetrics and Gynecology |
| spelling | doaj-art-dc1307b78bda4b22a87776ec519b90822024-12-28T05:40:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422024-12-0145110.1080/0167482X.2024.2351809The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried familiesJiajia Zhai0Shibin Zhao1Guimin Hao2Department of Reproductive Medicine, The Second Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, ChinaDepartment of Reproductive Medicine, The Fourth Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, ChinaDepartment of Reproductive Medicine, The Second Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, ChinaObjective In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.Methods In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).Results The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031–1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).Conclusion The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.https://www.tandfonline.com/doi/10.1080/0167482X.2024.2351809Second marriage familysocial pressurepsychological pressurelive birth ratein vitro fertilizationintracytoplasmic sperm injection |
| spellingShingle | Jiajia Zhai Shibin Zhao Guimin Hao The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families Journal of Psychosomatic Obstetrics and Gynecology Second marriage family social pressure psychological pressure live birth rate in vitro fertilization intracytoplasmic sperm injection |
| title | The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| title_full | The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| title_fullStr | The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| title_full_unstemmed | The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| title_short | The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| title_sort | impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families |
| topic | Second marriage family social pressure psychological pressure live birth rate in vitro fertilization intracytoplasmic sperm injection |
| url | https://www.tandfonline.com/doi/10.1080/0167482X.2024.2351809 |
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