Knowledge attitudes and practices regarding conception and fertility A population based survey among reproductive age United States women

Capsule:
Knowledge regarding ovulation, fertility, and conception is limited in key areas among a sample of reproductive-age US women. Future initiatives should prioritize improved provider engagement and accurate information dissemination in Web-based venues.

Authors:
Lisbet S. Lundsberg, Ph.D., M.P.H., Lubna Pal, M.B.B.S., M.R.C.O.G., M.S., Aileen Gariepy, M.D., M.P.H., Xiao Xu, Ph.D., Micheline C. Chu, M.D., Jessica L. Illuzzi, M.D., M.S.

Volume 101, Issue 3, Pages 767-774.e2, March 2014

Abstract:

Objective:
To assess overall knowledge, attitudes, and practices related to conception and fertility among reproductive-age women in the United States.

Design:
Online survey of a cross-sectional sample of 1,000 women.

Setting:
United States, March 2013.

Patient(s):
Women aged 18–40 years.

Intervention(s):
None.

Main Outcome Measure(s):
Knowledge, attitudes, and practices regarding selected topics in reproductive health.

Result(s):
Forty percent of women across all age groups expressed concerns about their ability to conceive. Yet one-third of women were unaware of adverse implications of sexually transmitted infections, obesity, or irregular menses for procreative success, and one-fifth were unaware of the effects of aging. Approximately 40% were unfamiliar with the ovulatory cycle. Overall, younger women (18–24 years) demonstrated less knowledge regarding conception, fertility, and ovulation, whereas older women tended to believe in common myths and misconceptions. Respondents in all age groups identified women’s health care providers (75%) and Web sites (40%) as top sources of reproductive health–related information; however, engagement with providers on specific factors affecting fertility is sparse.

Conclusion(s):
Knowledge regarding ovulation, fertility, and conception is limited among this sample of reproductive-age US women. Future initiatives should prioritize improved provider engagement and accurate information dissemination in Web-based venues.

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