Adoption of fertility protective behaviours: Congruence within couples and relationship quality. By Juliana Pedro [PORTUGUESE]

Posted by on in 5. Social Sciences and Humanities, 5.1 Psychology, ISSUE 3, Paper presentation, Português (Portugal)

Details

 Video type: Communication Knowledge Field: Psychology Language: Portuguese Issue: ISSUE 3, October 2021

Adoption of Fertility Protective Behaviours: Congruence within Couples and Relationship Quality.

Adopção de comportamentos protectores da fertilidade: congruência entre casais e qualidade da relação.

Pedro, J.1, 2, 3, Fernandes, J.2, 3, Schmidt, L.4, Costa, M. E.2, 3 & Martins, M. V. 2, 3

1) Centro de Genética da Reprodução Prof Alberto Barros; 2) Center for Psychology at University of Porto; 3) Faculty of Psychology and Educational Sciences of the University of Porto; 4) Copenhagen University, Department of Public Health.

Filmed: 25/09/2021 Submitted: 30/09/2021 Published: 07/10/2021
CITE THIS CONFERENCE PRESENTATION

Pedro, J., Fernandes, J., Schmidt, L., Costa, M. E. & Martins, M. V. (2021, September 24-25). Adoption of fertility protective behaviours: Congruence within couples and relationship quality [Paper presentation]. XXXVII Reproductive Studies Journeys, Portugal. https://www.academy-on.com/videos/juliana-pedro-3-2021

SYNOPSIS

This communication presents, in a couple perspective, the variables associated to intentions to adopt fertility protective behaviours (FPB). The author highlighted the role of fertility awareness and relationship quality on couples’ congruence regarding reproductive life-plan and intentions to adopt FPB. This work was presented at XXXVII Reproductive Studies Journeys organized by the Portuguese Society for Reproductive Medicine.

A comunicação apresenta, numa perspectiva de casais, as variáveis associadas a intenções mais elevadas de adoptar comportamentos protectores da fertilidade (CPF). O autor destaca o papel dos conhecimentos da fertilidade e da qualidade da relação na congruência do casal do plano reprodutivo e nas intenções para adoptar CPF. A comunicação foi apresentada nas XXXVII Jornadas de Estudos da Reprodução organizados pela Sociedade Portuguesa de Medicina de Reprodução.

AUTHOR BIOGRAPHY

Juliana Pedro, PhD, Psychologist at Centre for Reproductive Genetics A. Barros, Porto, Portugal, and researcher at the Centre for Psychology at University of Porto (CPUP), Portugal. Her research interests are: health psychology, promotion of reproductive health, fertility education issues and psychosocial consequences of infertility and transition to third-party parenthood. She is also Deputy of the ESHRE Psychology and Counselling Special Interest Group and Associate Editor in Human Reproduction.

ABSTRACT

Recent studies have explored the effectiveness of educational programs aimed at increasing fertility literacy. However, the role of relationship quality and fertility literacy has not yet been explored. The study aimed to explore, using a couple perspective, which variables are associated with higher intentions to adopt fertility-protective behaviour (FPB) in couples wishing to have children. 112 couples without children, in a heterosexual relationship (<1 year), answered an online questionnaire (2016 to 2018) about the reproductive plan, knowledge of fertility, quality of the romantic relationship and intentions to adopt FPB. Correlation and discrepancy analyses were performed between the variables of the two members of the couple. Subsequently, multivariate analysis of covariance was used to analyse differences between 3 groups according to intentions to adopt FPB: low, medium and high intentions. A multiple linear regression was performed to explore the role of fertility knowledge and relationship quality in intentions to adopt FPB. The couples had been in a relationship for 6 years(SD=3.06). The women are 27.6 and her male partner 29.7 years old. 62% (men) and 80% (women) had higher education. The members of the couple were congruent in their reproductive project and intentions in case of infertility. By controlling for both partners’ education levels, age and the duration of the relationship, female partners who report higher quality of relationship and greater intention to use fertility treatments are more likely to adopt FPB. In the case of their partners, greater knowledge of themselves and their partners, their own perception of the high quality of the relationship, and greater willingness to remain childless on the part of their partners are associated with a greater intention to adopt FPB. The regression was not significant.

Estudos recentes têm explorado a eficácia de programas educativos com vista a aumentar a literacia em fertilidade. No entanto, o papel da qualidade da relação e da literacia em fertilidade na adopção de comportamentos protectores da fertilidade ainda não foi explorado. O objectivo do estudo foi explorar, usando uma perspectiva de casal, quais as variáveis associadas a intenções mais elevadas de adoptar comportamentos protectores da fertilidade (CPF) em casais que desejam ter filhos. 112 casais sem filhos, numa relação heterossexual (<1 ano), responderam a um questionário online (entre 2016 e 2018), contendo questões acerca do plano reprodutivo (número filhos e idades desejadas), aos conhecimentos de fertilidade, qualidade da relação amorosa e intenções para adoptar comportamentos protectores da fertilidade (CPF). Foram realizadas análises de correlação e discrepância entre as variáveis dos dois membros do casal. Posteriormente, análise de co-variância multivariada foi usada para analisar diferenças entre 3 grupos em função intenções para adoptar CPF: baixas, médias e elevadas intenções. Por fim, foi realizada uma regressão linear múltipla com vista explorar o papel dos conhecimentos da fertilidade e da qualidade da relação nas intenções para adoptar CPF. Os casais estavam numa relação há 6 anos (DP=3.06). A mulher tinha idade média de 27.6 e o seu parceiro masculino 29.7. 62% (homens) e 80%(mulheres) tinham educação de nível superior. Os membros do casal revelaram-se congruentes no seu projecto reprodutivo e nas intenções em caso de infertilidade. Controlando os níveis de escolaridade e idade de ambos os parceiros e a duração da relação, as parceiras femininas que reportam maior qualidade da relação e maior intenção de recorrer a tratamentos de fertilidade têm maiores intenções de adoptar CPF. No caso dos seus parceiros, maiores conhecimentos próprios e das suas parceiras, própria percepção de elevada qualidade da relação, e maior disponibilidade para permanecer sem filhos por parte das suas parceiras estão associadas a maior intenção de adoptar CPF. Os resultados da regressão não foram significativos.

 KEYWORDS

Couples; fertility awareness; reproductive life plan; health behaviours; relationship quality.
Casais; literacia em fertilidade; plano reprodutivo; comportamentos de saúde; qualidade da relação.

 ACKNOWLEDGMENTS

We would like to kindly thank all couples that participated in this study.

 DISCLOSURES

The author certifies that there is no actual or potential conflict of interest in relation to this video article.

REFERENCES

Pedro, J., Fernandes, J.,Schmidt, L, Costa, M. E. & Martins, M. V. (2021). Mapping intentions to adopt fertility protective behaviours: the role of couple congruence and the importance of relationship and fertility awareness, Human Fertility, 1-10. https://doi.org/10.1080/14647273.2021.1960436

Ekelin, M., Åkesson, C., Ångerud, M., & Kvist, L. J. (2012). Swedish high school students ’ knowledge and attitudes regarding fertility and family building. Reproductive Health, 9(1), 1–8. https://doi.org/10.1186/1742-4755-9-6

Fulford, B., Bunting, L., Tsibulsky, I., & Boivin, J. (2013). The role of knowledge and perceived susceptibility in intentions to optimize fertility: findings from the International Fertility Decision-Making Study (IFDMS). Human Reproduction, 28(12), 3253–3262. https://doi.org/10.1093/humrep/det373

Hammarberg, K., Collins, V., Holden, C., Young, K., & McLachlan, R. (2017). Men’s knowledge, attitudes and behaviours relating to fertility. Human Reproduction Update, 23(4), 458–480. https://doi.org/10.1093/humupd/dmx005

Lampic, C., Svanberg, A. S., Karlström, P., & Tydén, T. (2006). Fertility awareness, intentions concerning childbearing, and attitudes towards parenthood among female and male academics. Human Reproduction, 21(2), 558–564. https://doi.org/doi:10.1093/humrep/dei367

Pedro, J., Brandão, T., Schmidt, L., Costa, M. E., & Martins, M. V. (2018). What do people know about fertility? A systematic review on fertility awareness and its associated factors. Upsala Journal of Medical Sciences, 123(2), 71–81. https://doi.org/10.1080/03009734.2018.1480186

Pedro, J., Fernandes, J., Barros, A., Xavier, P., Almeida, V., Costa, M. E., … Martins, M. V. (2020). Effectiveness of a video-based education on fertility awareness: a randomized controlled trial with partnered women. Human Fertility, 1–17. https://doi.org/10.1080/14647273.2020.1854482

SCIENTIFIC EVENT

XXXVII Reproductive Studies Journeys, September 24-25, 2021, Lisbon, Portugal.
Organized by: Portuguese Society for Reproductive Medicine


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