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. 2023 Jul 24;183(9):1018–1021. doi: 10.1001/jamainternmed.2023.2570

Table 2. Psychosocial Burden Associated With Family Building Among Study Participants.

Characteristic Overall, No. (%)a Age group, No. (%)a χ2 (df) P value
Age ≤31 y Age 32 to 36 y Age ≥37 y
Have you delayed childbearing due to training? (n = 3303)a
Yes 1985 (60.1) 680 (53.8) 506 (66.9) 799 (62.2) 37.951 (2) <.001
No 1320 (39.9) 584 (46.2) 250 (33.1) 486 (37.8)
Do you regret delaying childbearing due to training? (n = 1985)a,b
Not at all 451 (22.7) 172 (25.4) 96 (19.0) 183 (22.8) 68.802 (8) <.001
A little bit 424 (21.4) 178 (26.3) 85 (16.8) 161 (20.1)
Somewhat 491 (24.7) 178 (26.3) 135 (26.7) 178 (22.2)
Moderately so 394 (19.8) 112 (16.5) 130 (25.7) 152 (19.0)
Extremely so 225 (11.3) 38 (5.6) 60 (11.9) 127 (15.9)
Have you or a partner sought therapy to cope with the stress of family building? (n = 2716)a,c,d
Yes 393 (14.5) 82 (8.9) 110 (16.2) 201 (18.0) 35.713 (2) <.001
No 2323 (85.5) 837 (91.1) 571 (83.8) 915 (82.0)
Do you currently or have you in the past met the criteria to be diagnosed with infertility? (n = 3310)a,e
Yes 698 (21.1) 55 (4.3) 187 (24.7) 456 (35.4) 411.284 (4) <.001
No 2248 (67.9) 994 (78.5) 507 (67.1) 747 (58.0)
Not applicable 364 (11.0) 218 (17.2) 62 (8.2) 84 (6.5)
Have you used assisted reproductive technology? (n = 3063)a
Yes 589 (19.2) 40 (3.5) 149 (21.0) 400 (33.4) 340.904 (2) <.001
No 2474 (80.8) 1115 (96.5) 561 (79.0) 798 (66.6)
To what degree have fertility issues affected your well-being? (n = 3238)a
Not at all 1858 (57.4) 894 (73.3) 357 (47.9) 607 (47.6) 265.290 (8) <.001
Slightly 477 (14.7) 170 (13.9) 129 (17.3) 178 (14.0)
Somewhat 332 (10.3) 75 (6.2) 94 (12.6) 163 (12.8)
Moderately so 304 (9.4) 46 (3.8) 94 (12.6) 164 (12.9)
Extremely so 267 (8.2) 34 (2.8) 71 (9.5) 162 (12.7)
To what degree have fertility issues negatively affected your relationship with your partner? (n = 2697)a,c
Not at all 1826 (67.7) 715 (79.4) 432 (63.7) 679 (60.7) 118.688 (8) <.001
Slightly 490 (18.2) 125 (13.9) 153 (22.6) 212 (19.0)
Somewhat 232 (8.6) 43 (4.8) 62 (9.1) 127 (11.4)
Moderately so 116 (4.3) 14 (1.6) 28 (4.1) 74 (6.6)
Extremely so 33 (1.2) <5 (<0.9) <5 (<0.9) 26 (2.3)
a

Total numbers may vary due to item nonresponse. Only participants who reported their age were included.

b

Only asked of participants who delayed childbearing.

c

Only asked of participants who were partnered.

d

Of the 393 participants who have sought therapy to cope with the stress of family building, 6 did not indicate whether they had used assisted reproductive technology.

e

A diagnosis of infertility was defined as not getting pregnant under age 35 after a year of trying or over age 35 after 6 months of trying. A total of 380 participants replied “not applicable” to this question; these individuals had not tried to conceive (n = 270), did not want biological children (n = 73), are men who only partner with men (n = 60), or are women who only partner with women (n = 21).