Abstract

BackgroundInfertility stigma is one of the greatest challenges in most societies for reproduction and sexual health of infertile women. Since no specific tool exists for assessing the infertility stigma in women, this study would be conducted to develop and evaluate the psychometric properties of Female Infertility Stigma Instrument (ISI-F).MethodsThis is a mixed method study with sequential exploratory design (qualitative and quantitative phase). In the first qualitative phase, semi-structured interviews would be performed with infertile female who had experienced infertility whithout any psychological disorder. Women who are eligible for participating in the study will be selected using purposeful sampling method with maximum variation in terms of age, education, occupation and infertility duration. Data would be analyzed using conventional content analysis and in this phase the primary item pool will be developed for the Female Infertility Stigma Instrument (ISI-F). In the quantitative phase, the psychometric properties of the Instrument would be evaluated, including the content, face and construct validity as well as reliability via the internal consistency and stability. The psychometric properties described in the COSMIN checklist will be utilized for designing the instrument.DiscussionDeveloping a valid and reliable scale for Female Infertility Stigma Instrument (ISI-F) would be helpful for future studies to assess the status of this situation. It also helps planning interventional studies for improvement of the reproductive health of infertile women.

Highlights

  • Infertility stigma is one of the greatest challenges in most societies for reproduction and sexual health of infertile women

  • For many of the infertile women, infertility is a hidden label or stigma which is associated with a sense of shame and secrecy

  • Items of the Instrument would be achieved by interviewing women with infertility who has no mental and psychological problems

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Summary

Introduction

Infertility stigma is one of the greatest challenges in most societies for reproduction and sexual health of infertile women. Since no specific tool exists for assessing the infertility stigma in women, this study would be conducted to develop and evaluate the psychometric properties of Female Infertility Stigma Instrument (ISI-F). Infertility is a common global problem and is considered as one of the greatest challenges of the reproductive ages. 8 to 12% of the couples of the reproductive ages around the world are suffering from infertility [4]. In most of the societies, getting prepared for having a child after marriage is common and even in developed countries, having a child of your own is considered a significant achievement [5, 6]. Social stigma, losing control and being flawed along with infertility would become the central part of the identity of infertile couples [11, 12]

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