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Perceived Threat of Infertility and Women’s Intention to Anticipate Childbearing: The Mediating Role of Personally Perceived Barriers and Facilitators

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Abstract

To study the role of perceived threat of infertility, barriers, and facilitators in intention to anticipate childbearing, a cross-sectional study was conducted with 240 women desiring to have children and committed in a heterosexual relationship. Participants answered an online survey between July 2016 and February 2018. Results showed that perceiving infertility as a strong barrier and being willing to use fertility treatment as a facilitator fully mediated the effect of perceived threat on intention to anticipate childbearing. In conclusion, women who perceive themselves at risk of being infertile will consider, to a higher degree, infertility as a strong barrier to achieve their reproductive life plan or will report higher willingness to use fertility treatments, which in turn would increase intentions to anticipate childbearing. Since evidence showed lack of fertility awareness, intervention initiatives should target these mediators.

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Acknowledgements

We would like to thank all private clinics (Centro de Genética da Reprodução Prof. Alberto Barros, Porto, Portugal; PortoClínica, Porto, Portugal; Centros de Estudos de Esterilidade e Infertilidade, Porto, Portugal) and leaders from the pre-marital courses who allowed us to invite the participants. We would also like to thank all participants.

Funding

This study was supported by the Portuguese Foundation for Science and Technology, under the individual doctoral grant SFRH/BD/103234/2014 attributed to the first author.

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Correspondence to Juliana Pedro.

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Conflict of interest

Juliana Pedro, Tânia Brandão, Joana Fernandes, Alberto Barros, Pedro Xavier, Lone Schmidt, Maria E. Costa, and Mariana V. Martins declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals, performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Pedro, J., Brandão, T., Fernandes, J. et al. Perceived Threat of Infertility and Women’s Intention to Anticipate Childbearing: The Mediating Role of Personally Perceived Barriers and Facilitators. J Clin Psychol Med Settings 28, 457–467 (2021). https://doi.org/10.1007/s10880-020-09743-3

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  • DOI: https://doi.org/10.1007/s10880-020-09743-3

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