Perceived Infertility Among Young Adults in Balaka, Malawi
- 1 January 2020
- journal article
- research article
- Published by Guttmacher Institute in International Perspectives on Sexual and Reproductive Health
- Vol. 46, 61-72
- https://doi.org/10.1363/46e8620
Abstract
CONTEXT: Perceived infertility anindividual'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. METHODS: A 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; PPO 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. RESULTS: The 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, PP, 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. CONCLUSIONS: Perceived 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.Keywords
This publication has 29 references indexed in Scilit:
- Perceptions of susceptibility to pregnancy among U.S. women obtaining abortionsSocial Science & Medicine (1982), 2013
- Misperceptions, misinformation and myths about modern contraceptive use in Ghana: Table 1BMJ Sexual & Reproductive Health, 2013
- Consequences of infertility in developing countriesPerspectives in Public Health, 2013
- National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health SurveysPLoS Medicine, 2012
- Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in UgandaReproductive Health Matters, 2012
- 'Zero is not good for me': implications of infertility in GhanaHuman Reproduction, 2012
- Mother of nothing: the agony of infertilityBulletin of the World Health Organization, 2010
- Motherhood in sub‐Saharan Africa: The social consequences of infertility in an urban population in northern TanzaniaCulture, Health & Sexuality, 2008
- Validating the self-reported fertility status of rural Malawian womenAmerican Journal of Human Biology, 2006
- Associates of self-reported fertility status and infertility treatment-seeking in a rural district of MalawiHuman Reproduction, 2005