Family, Life Course, and Society Commons^™

Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders

Dissertations

Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …

Is A Dyadic Stressor Experienced As Equally Distressing By Both Partners? The Case Of Perceived Fertility Problems, Julia Mcquillan, Arthur L. Greil, Anna Rybińska, Stacy Tiemeyer, Karina M. Shreffler, Colleen Warner Colaner

Department of Sociology: Faculty Publications

Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25–45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjusted for characteristics associated with fertility problems and depressive symptoms, those who perceived a problem exhibited significantly more depressive symptoms than those who did not. Fertility problems are sometimes …

A Qualitative Exploration Of Social Support In Males And Females Experiencing Issues With Infertility., Maya Pinzon, Shawna Rotoli

Rowan-Virtua School of Osteopathic Medicine Departmental Research

INTRODUCTION: The purpose of this study was to qualitatively investigate and compare male and female experiences of infertility in the context of social support.

METHODS: A Qualtrics survey (Qualtrics, Provo, Utah, United States) was posted to online fertility support groups and the responses were thematically analyzed. Only participants that completed the qualitative component of the survey were included in the study. Responses were subsequently thematically analyzed.

RESULTS: A sample of 110 participants (13 males and 97 females) were included in the present study. Thematic analyses revealed that isolation and loneliness, stigma, sentiments of misunderstanding, insensitive reactions, and others' unhelpful attempts …

Is Perceived Inability To Procreate Associated With Life Satisfaction? Evidence From A German Panel Study, Julia Mcquillan, Jasmin Passet-Wittig, Arthur L. Greil, Martin Bujard

Department of Sociology: Faculty Publications

Most studies of the psychosocial consequences of infertility have focused on those who seek medical treatment, leaving a research gap regarding the psychosocial consequences of perceived inability to procreate in the general population. Moreover, most studies are cross-sectional and the results are thus likely affected by omitted variable bias. Inspired by aspects of the Theory of Conjunctural Action, this study analysed 10 waves of data from the German Family Panel (pairfam) for women and men using fixed effects panel regression and including time-varying control variables suggested by theory and research. This study found that both women and men experienced lower …

Female Infertility In The United States And India: An Analysis Of Treatment Barriers And Coping Strategies, Devneet Singh

Honors Theses

This research studies barriers to accessing fertility treatment in the United States (U.S.) and India, as well as the coping strategies infertile women use. Barriers include reproductive health knowledge, cost, and politics, while coping is affected by cultural stigma, family, and religion. These two countries were chosen for their different cultural contexts, healthcare systems, and political infrastructure. Ten fertility specialists across both countries were interviewed as expert informants. Reproductive health knowledge was the most important barrier to accessing care in both countries, with similar gaps in understanding when and what type of care to utilize, though social media can educate …

Contact, Moral Foundations Or Knowledge? What Predicts Attitudes Towards Women Who Undergo Ivf, Alicja Malina, Marta Roczniewska, Julie Ann Pooley

Research outputs 2014 to 2021

Background: The willingness to try in vitro fertilization (IVF) as an infertility treatment, as well as its psychosocial consequences for couples, may be influenced by how they perceive the attitudes of general public towards this procedure. The focus of the current study was to identify predictors of attitudes towards mothers who underwent IVF to conceive a child. Three predictors were derived from attitude components: contact with someone who had undergone IVF (behavior), moral foundations (emotions), and the level of knowledge (cognition) about IVF. Method: In total, 817 participants (118 male and 692 female, 7 unreported) from Poland took part in …

A Unique Type Of Loneliness: Infertility In Nineteenth-Century America, Abigail Butler

Theses and Dissertations from 2020

Many diaries and letters written by nineteenth-century Americans display the aching for parenthood and pain of loss due to miscarriage. Though some women felt joy or relief when they recognized they had miscarried or were not pregnant, infertility negatively affected the everyday lives of many men and women in the nineteenth century. Infertility not only disturbed their personal beliefs of family and their role in society, but could cause marital discord, feeling outcast from society, and could lead to other health problems. Women in slavery faced even more serious consequences that included being sold away from their family and/or receiving …

Is Perception Of Inability To Procreate A Temporal Phenomenon? A Longitudinal Exploration Of Changes And Determinants Among Women And Men Of Reproductive Age In Germany, Jasmin Passet-Wittig, Martin Bujard, Julia Mcquillan, Arthur L. Greil

Department of Sociology: Faculty Publications

Continued postponement of births and increasing use of reproductive medicine enhance the relevance of infertility and related perceptions for fertility research. Fertility researchers tend to assume that an existing perception of inability to procreate is a stable trait among persons of reproductive age. This assumption is questionable from a life course perspective and has not been thoroughly investigated. Therefore we investigate the prevalence, stability, and correlates of perceived inability to procreate. We apply between-within logit models to annual panel data (2008-2015) to study variation in perceived inability to procreate within individuals over time and between individuals. We find that approximately …

Relationship Satisfaction Among Infertile Couples: Implications Of Gender And Self-Identification, Arthur L. Greil, Kathleen S. Slauson-Blevins, Julia Mcquillan, Michele H. Lowry, Andrea R. Burch, Karina M. Shreffler

Department of Sociology: Faculty Publications

We use path analysis to analyze heterosexual couples from the U.S. National Survey of Fertility Barriers, a probability-based sample of women and their male partners. We restrict the sample to couples in which the women are infertile. We estimate a path model of each partner’s relationship satisfaction on indicators of self-identifying as having a fertility problem or not at the individual and couple levels. We find a gender effect: for women, but not men, relationship satisfaction was significantly higher when neither partner self-identified as having a fertility problem. Women’s relationship satisfaction exerted a strong influence on their partners’ relationship satisfaction, …

Fertility And Infertility: Toward An Integrative Research Agenda, Katherine M. Johnson, Arthur L. Greil, Karina M. Shreffler, Julia Mcquillan

Department of Sociology: Faculty Publications

In this article, we show that social science research on fertility and infertility consists of largely separate research traditions, despite shared interest in pregnancies and births (or lack thereof). We describe four ways these two traditions differ: (1) publication trajectories and outlets, (2) fields of study and major theoretical frameworks, (3) degree of attention to the other topic, and (4) language and definitions used. We then discuss why future integration of these bodies of research would be beneficial, outline potential steps toward rapprochement, and provide common areas of dialogue that could facilitate and enrich these bodies of research. We offer …

“Just Because A Doctor Says Something, Doesn’T Mean That [It] Will Happen”: Self-Perception As Having A Fertility Problem Among Infertility Patients, Ophra Leyser-Whalen, Arthur L. Greil, Julia Mcquillan, Katherine M. Johnson

Department of Sociology: Faculty Publications

Only some individuals who have the medically defined condition ‘infertility’ adopt a self-definition as having a fertility problem, which has implications for social and behavioral responses, yet there is no clear consensus on why some people and not others adopt a medical label. We use interview data from 28 women and men who sought medical infertility treatment to understand variations in self-identification. Results highlight the importance of identity disruption for understanding the dialectical relationship between medical contact and self-identification, as well as how diagnosis acts both as a category and a process. Simultaneously integrating new medical knowledge from testing and …

A Christian Ethical Perspective On Surrogacy, Mark E. Lones

Bioethics in Faith and Practice

Infertility is a painful reality for many couples. Assisted reproductive technologies (A.R.T.) are becoming increasingly more popular for infertile couples desperate to conceive. In 1972 physician and ethicist Leon Kass warned that “infertility is a relationship as much as a condition – a relationship between husband and wife, and also between generations too. More is involved than the interests of any single individual”. Yet, most Christians have been reticent in asking what boundaries or principles need to be drawn. A recent Pew Research study found Americans, including evangelical Christians, largely do not see in vitro fertilization and surrogacy as a …

Does Fertility-Specific Distress Vary By Race/Ethnicity Among A Probability Sample Of Women In The United States?, Arthur L. Greil, Julia Mcquillan, Delida Sanchez

Department of Sociology: Faculty Publications

This study explored whether fertility-specific distress varied by race/ethnicity among a nationally representative sample of US women. Participants were 2363 White (n = 1266), Black (n = 569), Hispanic (n = 453), and Asian (n = 51) women who participated in the National Survey of Fertility Barriers. Participants were given the Fertility-Specific Distress Scale and assessed for strength of pregnancy intent, primary versus secondary infertility, and socioeconomic hardship. Black women reported lower levels of fertility-specific distress than White women, but these were fully mediated by the strength of pregnancy intentions. Primary versus secondary infertility and economic hardship were not associated …

Finding Parenthood- Parental Identity Through Assisted Reproductive Methods And The Implications For Efficacy Based And Worth Based Self-Esteem, Ashley Rae Steckler

All Graduate Theses, Dissertations, and Other Capstone Projects

This research examined the implications for efficacy based and worth based self-esteem among 266 infertile women who had utilized reproductive technologies within heterosexual partnerships in order to have genetic children and become parents. Drawing on a theory of self-esteem, within an identity theory framework, this research compared self-esteem between women who were currently utilizing assisted reproductive technologies to have children and women who had successfully used assisted reproductive technologies to have children and become parents. Self-esteem was measured by utilizing Cast and Burke’s (2002) Worth-Based and Efficacy-Based Self-esteem Scale in order to test the following three hypotheses: 1) self-verification (successfully …

Severe Depressive Symptoms Predict Individual And Partner Infertility-Related Distress At One-Year Follow-Up, Brennan Peterson, Camilla Sejbaek, Matthew Pirritano, Lone Schmidt

Marriage and Family Therapy Faculty Presentations

Poster presentation on whether severe depressive symptoms at baseline are a predictor of individual and partner infertility-related distress after one-year of unsuccessful fertility treatments.

Infertility Help Seeking And Social Support: Do Conventional Theories Explain Internet Behaviors And Outcomes, Kathleen S. Slauson-Blevins

Kathleen S. Slauson-Blevins

This dissertation uses data from the National Survey of Fertility Barriers (NSFB), a nationally representative sample, to assess factors associated with face-to-face and internet help seeking (study 1) and perceived social support (study 2). In study one, I examine whether the General Help Seeking Model, a theory that has been used to explain in-person help seeking, generalizes to internet help seeking. I assess four types of help seeking: (1) no help seeking, (2) only internet help seeking, (3)only medical help seeking, and (4) both online and medical help seeking. Results suggest that online help seeking is differentiated from in person …

Does The Reason Matter? Variations In Childlessness Concerns Among U.S. Women, Julia Mcquillan, Arthur L. Greil, Patricia Wonch Hill, Kari C. Gentzler, John D. Hathcoat

Department of Sociology: Faculty Publications

Does the reason why women have no children matter with regard to level of childlessness concerns? Reasons include biomedical barriers, situational barriers, delaying motherhood, and choosing to be childfree. The concept of ‘‘childlessness concerns’’ captures the idea that holidays and family gatherings are difficult because of not having children or feeling left out or sad that others have children. Life course and identity theories guided the structural equation model analyses of a representative sample of 1,180 U.S. women without children from the National Survey of Fertility Barriers. The results indicated that women with the least control over pregnancy, those with …

Infertility Help Seeking And Social Support: Do Conventional Theories Explain Internet Behaviors And Outcomes, Kathleen S. Slauson-Blevins

Department of Sociology: Dissertations, Theses, and Student Research

This dissertation uses data from the National Survey of Fertility Barriers (NSFB), a nationally representative sample, to assess factors associated with face-to-face and internet help seeking (study 1) and perceived social support (study 2). In study one, I examine whether the General Help Seeking Model, a theory that has been used to explain in-person help seeking, generalizes to internet help seeking. I assess four types of help seeking: (1) no help seeking, (2) only internet help seeking, (3)only medical help seeking, and (4) both online and medical help seeking. Results suggest that online help seeking is differentiated from in person …

A Typology Of Coping In Couples Undergoing Fertility Treatment, Brennan Peterson, Matthew Pirritano, Lone Schmidt

Marriage and Family Therapy Faculty Presentations

Poster presentation about the use of cluster analysis to identify clinically meaningful groups of infertile couples, and how such profiles can be used by medical and mental health professionals.

Are Prior Pregnancy Outcomes Relevant For Models Of Fertility-Specific Distress Or Infertility Helpseeking?, Arthur L. Greil, Katherine M. Johnson, Julia Mcquillan, Naomi L Lacy

Department of Sociology: Faculty Publications

Women with prior pregnancy but no live birth are inconsistently termed as either ‘primary infertile’ or ‘secondary infertile’ in psychosocial studies of infertile women. The goal of this study was to discover whether infertile women who had experienced pregnancies but no live births were more similar in attitudes and behavior to infertile women who had not experienced pregnancies or to those who had live births. We used the National Survey of Fertility Barriers (NSFB), which contains self-reported data from a probability-based sample of US women aged between 25 and 45, to accomplish our goal. In this cross-sectional analysis, infertile women …

Choice, Conscience, And Context, Mary Crossley

Articles

Building on Professor Michael H. Shapiro's critique of arguments that some uses of new reproductive technologies devalue and use persons inappropriately (which is part of a Symposium on New Reproductive Technologies), this work considers two specific practices that increasingly are becoming part of the new reproductive landscape: selective reduction of multiple pregnancy and prenatal genetic testing to enable selective abortion. Professor Shapiro does not directly address either practice, but each may raise troubling questions that sound suspiciously like the arguments that Professor Shapiro sought to discredit. The concerns that selective reduction and prenatal genetic screening raise, however, relate not to …

The Association Between Perceived Family Support And Psychological Well-Being In Infertile Couples, Linda Marquardt Mintle

Health Services Research Dissertations

A correlational research design utilizing a cross-sectional survey methodology was used to investigate the association between perceived family support and psychological well-being in infertile couples. Family stress theory and the construct of boundary ambiguity were conceptual frameworks applied to the developmental family life cycle. Respondents were 35 married infertile couples with primary infertility recruited from a private For-profit infertility clinic located in Virginia Beach, Virginia. Responses on the Moos and Moos (1984) Family Environment Scale and from the SCL-90-R developed by Derogatis (1977) measured perceived family support and psychological distress respectively. Major findings indicated that infertile couples rated their families …

Crisis Of Infertility: Effects Of Length Of Treatment On Emotional And Marital Adjustment, Christie L. Markestad

Graduate Theses

Twenty infertile couples participated in the present study to investigate whether infertile couples receiving medical treatment experience changes in their emotional, marital and sexual adjustment as a result of the length of time they have been in treatment. The couples were divided into three groups based on how long they had been seeking medical attention for infertility. The instruments administered were: SCL-90-R (Symptom Checklist), Dyadic Adjustment Scale (DAS) and Index of Sexual Satisfaction (ISS). It was predicted couples who were in the initial stages of treatment would experience increased levels of emotional, marital and sexual distress, however those levels would …

Review Of: The Ethics Of Reproductive Technology (Kenneth D. Alpern Ed., Oxford University Press 1992), Rochelle S. Ferber

RISK: Health, Safety & Environment (1990-2002)

Review of: The Ethics of Reproductive Technology (Kenneth D. Alpern ed., Oxford University Press 1992). Additional readings, glossary, introduction, notes, preface. LC 92-8252; ISBN 0-19-507435-1. [370 pp. Paper $19.95. 200 Madison Avenue, New York NY 10016.]