The social epidemiology of coping with infertility
Open Access
- 1 April 2005
- journal article
- research article
- Published by Oxford University Press (OUP) in Human Reproduction
- Vol. 20 (4), 1044-1052
- https://doi.org/10.1093/humrep/deh687
Abstract
BACKGROUND: To analyse the cross-sectional association between coping responses with infertility and occupational social class. Infertility is evenly distributed across social classes in Denmark, and there is free access to high-quality assisted reproduction technology. METHODS: Data were based on a questionnaire in a consecutive sample of 1169 women and 1081 Danish men who were about to begin assisted reproduction treatment. The coping measure was developed from an adaptation of Lazarus and Folkman's Ways of Coping Questionnaire and based on results from interviews with infertile people. The measure was developed in four categories: active-avoidance coping; active-confronting coping; passive-avoidance coping; meaning-based coping. These subscales were later confirmed by factor analysis. Occupational social class was measured in a standardized way. RESULTS: Contrary to expectations, the logistic regression analyses showed that women from lower social classes V+VI and men from social classes III+IV used significantly more active-confronting coping. Women from lower social classes V+VI used significantly more meaning-based coping. Both men and women from social classes III–VI used significantly more passive-avoidance coping and significantly less active-avoidance coping. CONCLUSION: Due to the significant social differences in coping with infertility, the study suggested that elements of coping may be learned from one's social network and reference group.Keywords
This publication has 29 references indexed in Scilit:
- Psychological well-being and coping patterns in infertile menFertility and Sterility, 2000
- Infertility and psychological distress: A critical review of the literatureSocial Science & Medicine (1982), 1997
- Positive psychological states and coping with severe stressSocial Science & Medicine (1982), 1997
- Infertility and Subjective Well-Being: The Mediating Roles of Self-Esteem, Internal Control, and Interpersonal ConflictJournal of Marriage and Family, 1992
- Gender's Role in Responses to InfertilityPsychology of Women Quarterly, 1991
- Coping with infertility in couples: Gender differencesHealth Care for Women International, 1988
- Ways of Coping QuestionnairePublished by American Psychological Association (APA) ,1988
- Does coping help? A reexamination of the relation between coping and mental health.Journal of Personality and Social Psychology, 1987
- Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.Journal of Personality and Social Psychology, 1986
- Coping, stress, and social resources among adults with unipolar depression.Journal of Personality and Social Psychology, 1984