Causal explanations for lack of pregnancy applying the common sense model of illness representation to the fertility context
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Causal explanations for lack of pregnancy applying the common sense model of illness representation to the fertility context. / Koert, Emily; Harrison, China; Bunting, Laura; Gladwyn-Khan, Misbah; Boivin, Jacky.
In: Psychology & health, Vol. 33, No. 10, 2018, p. 1284-1301.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Causal explanations for lack of pregnancy applying the common sense model of illness representation to the fertility context
AU - Koert, Emily
AU - Harrison, China
AU - Bunting, Laura
AU - Gladwyn-Khan, Misbah
AU - Boivin, Jacky
PY - 2018
Y1 - 2018
N2 - OBJECTIVES: The current study explored causal explanations for lack of pregnancy and association with help-seeking behaviour. Differences based on gender and country Human Development Index were examined.DESIGN: A mixed method design was used.MAIN OUTCOME MEASURES: Data were drawn from the International Fertility Decision-Making Study, a cross-sectional study of 10,045 individuals (1690 men; 8355 women) from 79 countries. Respondents rated to what extent they believed their lack of pregnancy was due to something they or their partner had done/not done or other factors and described their reasons for making this rating.RESULTS: Respondents were aged 18-50 (M = 31.83) years, partnered and had been trying to achieve a pregnancy/father a child for over six months (M = 2.8 years). Men and women primarily believed their lack of pregnancy was due to medical problems or chance/bad luck. Thematic analysis of textual responses from 29.7% of the sample found that respondents focused on their personal experience or a salient life event when describing the cause of their lack of pregnancy. Women expressed more regret and helplessness about causes than men. Significant country differences were observed.CONCLUSIONS: Individuals may develop inaccurate causal explanations based on their personal experiences. Access to accurate information is necessary to facilitate timely help-seeking.
AB - OBJECTIVES: The current study explored causal explanations for lack of pregnancy and association with help-seeking behaviour. Differences based on gender and country Human Development Index were examined.DESIGN: A mixed method design was used.MAIN OUTCOME MEASURES: Data were drawn from the International Fertility Decision-Making Study, a cross-sectional study of 10,045 individuals (1690 men; 8355 women) from 79 countries. Respondents rated to what extent they believed their lack of pregnancy was due to something they or their partner had done/not done or other factors and described their reasons for making this rating.RESULTS: Respondents were aged 18-50 (M = 31.83) years, partnered and had been trying to achieve a pregnancy/father a child for over six months (M = 2.8 years). Men and women primarily believed their lack of pregnancy was due to medical problems or chance/bad luck. Thematic analysis of textual responses from 29.7% of the sample found that respondents focused on their personal experience or a salient life event when describing the cause of their lack of pregnancy. Women expressed more regret and helplessness about causes than men. Significant country differences were observed.CONCLUSIONS: Individuals may develop inaccurate causal explanations based on their personal experiences. Access to accurate information is necessary to facilitate timely help-seeking.
KW - Adolescent
KW - Adult
KW - Cross-Sectional Studies
KW - Female
KW - Fertility
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Male
KW - Middle Aged
KW - Models, Psychological
KW - Pregnancy
KW - Young Adult
U2 - 10.1080/08870446.2018.1494831
DO - 10.1080/08870446.2018.1494831
M3 - Journal article
C2 - 30461312
VL - 33
SP - 1284
EP - 1301
JO - Psychology and Health
JF - Psychology and Health
SN - 0887-0446
IS - 10
ER -
ID: 242207656