Difference between Primary and Secondary Infertility in Morocco: Frequencies and Associated Factors

International Journal of Fertility and Sterility

Noureddine Elkhoudri¹  Mohamed Cherkaoui²  Abdelhafid Benksim²  Rachid Ait Addi²  Abdellatif Baali³ 

[1] High Institute of Nursing and Technical Health, Marrakech, Morocco;Laboratory of Human Ecology, Department of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakech, Morocco;Laboratory of Sciences and Health Technologies, Higher Institute of Health Sciences University Hassan First;

关键词: infertility;    morocco;    women;   

DOI  :  10.22074/ijfs.2018.5188

来源: DOAJ

【 摘 要 】

BackgroundThe main objective of this survey was to determine the difference between primary and secondaryinfertility in Morocco and the associated factors among women, who are referred to public and private health centersin Morocco.Materials and MethodsIn this cross-sectional study, 619 infertile women referring to public and private health cent-ers in Marrakech-Safi region, were selected by simple random sampling method. This study was conducted between1 October 2013 and 31 December 2015. Socio-economic status, demographic characteristics, couple’s age, nutritionalstatus and other data related to both male and female reproductive organs were collected by a questionnaire. Logisticregression was used to identify the associated factors to infertility. Statistical significance was set at 0.05.ResultsThe rates of primary and secondary infertility were 67.37, and 32.63%, respectively. Multivariate analysisidentified a model with three significant predictive factors of secondary infertility: duration of marriage [odds ratio(OR)=12.263: 2.289-65.685], socio-economic status (OR=3.83: 1.011-14.70) and the ages of women (OR=1.268:1.038-1.549).ConclusionThe causes of primary and secondary infertility were not always a woman’s problem, but both man andwoman contribute to infertility. Multiple regression analysis showed that women’s age, duration of marriage, and socio-economic status are predictive variables that decrease the chance of fertility among women with secondary infertility.

【 授权许可】

Unknown