Path Analysis on the Biopsychosocial Determinants of Infertility among Reproductive Aged Women in Surakarta, Central Java

Zauma, Luthfia
Budhiastuti, Uki Retno
Pamungkasari, Eti Poncorini

Journal of Maternal and Child Health
Vol 5, No 2 (2020)

Background:  Infertility is a multidimensional prob­­lem. This problem occurs not only because of health problems related to anatomic factors such as problems in the fallopian tubes, ovaries, and endo­­­metrium, but also there are more factors such as physiological, genetic, and environmental fac­tors. The purpose of this study was to analyze the factors that influence the incidence of infer­tility in women.Subjects and Method: A case control study was conducted at the Gynecology Obstetrics Poly­clinic and Sekar Fertility Clinic, Dr. Moewardi hos­pital, Surakarta, Central Java, from October to November 2019. A sample of 200 women rep­ro­­ductive age was selected by fixed disease samp­ling. The dependent variable was infertility. The inde­pen­dent variables were age, body mass index (BMI), physical activity, endo­metriosis, family his­tory, exposure to cigarette smoke, and stress. The data were obtained from medical record and question­naire. The data were analyzed by path analysis run on Stata 13.Results: Infertility in women was directly increased with age 35 years (b= 1.20; 95% CI= 0.18 to 2.22; p= 0.021), BMI <18 or ≥25 (b= 2.93; 95% CI= 1.95 to 3.91; p<0.001), high phy­sical activity (b= 1.30; 95% CI= 0.28 to 2.33; p= 0.013), endometriosis (b= 1.17; 95% CI= 0.20 to 2.13; p= 0.018), exposure to cigarette smoke (b= 1.19; 95% CI= 0.20 to 2.23; p= 0.023), and severe stress (b= 1.18; 95% CI= 0.27 to 2.08; p= 0.011). In­fer­­tility in women was indirectly increased with age, physical activity, and family history of infer­tile.Conclusion: Infertility in women is directly in­creas­ed with age 35 years, BMI <18 or ≥25, high phy­sical activity, endometriosis, exposure to ciga­ret­­­te smoke, and severe stress. Infertility in women is indirectly increased with age, physical acti­vity, and family history of infertile.Keywords: female infertility, risk factors, path analy­sisCorrespondence: Luthfia Zauma. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia, 57126. Email:[e-mail]. Mobile: [phone].Journal of Maternal and Child Health (2020), 5(2): 173-181https://doi.org/10.26911/thejmch.2020.05.02.07