Risk factors for infertility and barriers to treatment in Tanzania: a survey and medical records study Article Swipe
Emily A. Groene
,
Mutabuzi Cyrialis
,
Chinunje Dickson
,
Shango Ester
,
Mkhoi Mkhoi L
,
Susan M. Mason
,
Shalini Kulasingam
,
Majinge Charles R
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4314/ahs.v23i4.50
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4314/ahs.v23i4.50
Background: The burden of infertility is serious for women in high-fertility countries.Objectives: We sought to identify demographic, behavioral/environmental, and reproductive risk factors for various infertility factors (i.e., ovarian, tubal, uterine/cervical, male/other) among women seeking infertility treatment in central Tanzania; to determine the association between pelvic inflammatory disease (PID) and tubal factor infertility (TFI); and to identify barriers to infertility treatment by women’s home regional zone.Methods: We conducted a cross-sectional survey of women seeking infertility treatment in Dodoma, Tanzania from January-March 2020. We surveyed 168 participants aged 18-49 years and reviewed their medical records to confirm infertility status and potential risk factors. We estimated prevalence ratios for factors associated with infertility using logistic regression. Treatment barriers were compared by women’s regional zone to see if barriers varied geographically.Results: The median age of participants was 32 years (range: 18-48). Infertility factors did not vary greatly by patient demographics, behavioral/environmental, or reproductive risk factors. Approximately 31.48% of women had PID diagnoses. Those with PID had 1.94 (95% CI: 1.30, 2.90) times the prevalence of TFI diagnosis as those with other infertility factors, after adjusting for age, pesticide use, alcohol use, age at sexual debut, prior obstetric events, and family history of infertility. Logistical barriers to treatment, such as time and cost, were more frequently reported than emotional, stigma, or other barriers, regardless of regional zone.Conclusions: PID was strongly associated with TFI after adjustment for confounders. Infertility treatment access due to cost remains a challenge in Tanzania.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4314/ahs.v23i4.50
- https://www.ajol.info/index.php/ahs/article/download/261397/246744
- OA Status
- diamond
- Cited By
- 5
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4393956158
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4393956158Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4314/ahs.v23i4.50Digital Object Identifier
- Title
-
Risk factors for infertility and barriers to treatment in Tanzania: a survey and medical records studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-27Full publication date if available
- Authors
-
Emily A. Groene, Mutabuzi Cyrialis, Chinunje Dickson, Shango Ester, Mkhoi Mkhoi L, Susan M. Mason, Shalini Kulasingam, Majinge Charles RList of authors in order
- Landing page
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https://doi.org/10.4314/ahs.v23i4.50Publisher landing page
- PDF URL
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https://www.ajol.info/index.php/ahs/article/download/261397/246744Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
- OA URL
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https://www.ajol.info/index.php/ahs/article/download/261397/246744Direct OA link when available
- Concepts
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Medicine, Tanzania, Infertility, Medical record, Family medicine, Gynecology, Environmental health, Pregnancy, Internal medicine, Socioeconomics, Biology, Genetics, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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