Background: Knowledge of fecundity and infertility in women with a disability (WWD) is limited. This study aims to compare the fecundity and infertility experiences of women with a self-identified disability, in domains of sensory (hearing and vision loss), cognitive (difficulty concentrating, remembering, and making decisions), and physical (difficulty walking or climbing stairs) disabilities, with those without a self-identified disability. Materials and Methods: Cross-sectional survey data from the National Survey of Family Growth (NSFG), 2011-2015, were analyzed. A final analytic sample of 383 women from the NSFG, aged 18-44 years, was included to study the fecundity rates of WWD and women without a disability, using the current duration approach. Results: Fecundity hazard ratios (FHRs) and the proportion of women experiencing infertility after 12 months of actively attempting pregnancy were reported for the comparison group and by each disability type. Women with a self-identified cognitive disability experienced significant decreases in fecundity (FHR = 0.56; 95% confidence interval [CI]: 0.30-0.88) when adjusting for age, education level, parity, living in a metropolitan area, and infertility services. Furthermore, the estimated proportion of infertile women without a disability was 0.38 (95% CI: 0.23-0.62) versus 0.51 (95% CI: 0.34-0.72) for women with a self-identified cognitive disability. Conclusions: Women with a self-identified cognitive disability experienced significant decreases in fecundity.

译文


背景:
对残疾妇女(WWD)的生殖力和不育的了解是有限的。这项研究的目的是在感觉(听力和视力丧失),认知(难以集中注意力,记忆和做出决定)和身体(难以行走或爬楼梯)领域比较自我识别残疾妇女的生殖力和不育经历。 )残障人士,以及没有自我识别残障人士的残障人士。
材料和方法:
分析了2011-2015年美国家庭成长状况调查(NSFG)的横断面调查数据。最后的分析样本包括来自NSFG的383名年龄在18-44岁之间的妇女,使用当前持续时间方法研究了WWD和无残疾妇女的生育率。
结果:
比较组和每种残疾类型均报告了女性生殖力危险比(FHRs)和在积极尝试怀孕12个月后遭受不育的妇女比例。在调整年龄,教育水平,均等性,居住在大都市地区和不育服务后,具有自我识别性认知障碍的妇女的生育力显着下降(FHR = 0.56; 95%可信区间[CI]:0.30-0.88)。此外,不具残疾的不育妇女的估计比例为0.38(95%CI:0.23-0.62),而具有自我识别的认知障碍的妇女为0.51(95%CI:0.34-0.72)。
结论:
具有自我识别的认知障碍的妇女的生殖力明显下降。

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