Table IV.
Unadjusted and aORs of sociodemographic, clinical and attitudinal predictors of high decisional conflict scores (DCS > 37.5).
| Predictor | Unadjusted odds ratios |
Adjusted odds ratiosa |
||
|---|---|---|---|---|
| OR (95 CI%) | P | aOR (95 CI%) | P | |
| Sociodemographics | ||||
| Married/living with partner | 0.71 (0.29–1.77) | 0.47 | 2.42 (0.66–8.91) | 0.18 |
| Have used donor sperm | 0.71 (0.35–1.43) | 0.34 | 2.11 (0.84–5.27) | 0.11 |
| Have a fee for storage of embryos | 1.43 (0.90–2.28) | 0.13 | 1.70 (0.91–3.17) | 0.09 |
| Attitudes | ||||
| Unsure about disposition at time of freezing | 2.47 (1.79–3.42) | <0.001 | 1.54 (0.99–2.40) | 0.06 |
| Current intentions for embryos (somewhat/very likely to choose option) | ||||
| Store for future pregnancy | 0.58 (0.44–0.75) | <0.001 | ||
| Thaw and discard | 2.35 (1.74–3.18) | <0.001 | 2.08 (1.37–3.15) | <0.001 |
| Donate to another couple | 1.09 (0.80–1.48) | 0.59 | 1.42 (0.93–2.17) | 0.10 |
| Keep frozen forever | 2.12 (1.48–3.05) | <0.001 | 1.90 (1.14–3.16) | 0.01 |
| Donate for research | 1.24 (0.96–1.61) | 0.10 | 1.66 (1.12–2.46) | 0.01 |
| Would be likely to choose if available | ||||
| Compassionate transfer | 1.91 (1.39–2.64) | <0.001 | 1.65 (1.05–2.61) | 0.03 |
| Ceremony | 2.04 (1.46–2.84) | <0.001 | ||
| Current thinking about childbearing | <0.001 | <0.001b | ||
| Do not want to have a/another baby | 1.90 (1.34–2.68) | <0.001 | 1.69 (1.03–2.78) | 0.04 |
| Undecided whether or not | 3.74 (2.77–5.05) | <0.001 | 3.93 (2.59–5.96) | <0.001 |
| Hope to have a/another baby | Reference | Reference | ||
| Moral Status of embryos | <0.001 | 0.002b | ||
| 1 No moral status | 1.10 (0.63–1.95) | 0.73 | 1.84 (0.79–4.32) | 0.16 |
| 2 | 1.53 (0.96–2.45) | 0.08 | 1.29 (0.61–2.72) | 0.51 |
| 3 | 2.13 (1.30–3.51) | 0.003 | 1.85 (0.86–3.98) | 0.12 |
| 4 | 1.90 (1.21–2.99) | 0.005 | 1.58 (0.80–3.14) | 0.19 |
| 5 | 2.22 (1.38–3.57) | 0.001 | 1.36 (0.70–2.64) | 0.37 |
| 6 | 3.90 (2.35–6.47) | <0.001 | 4.22 (2.17–8.22) | <0.001 |
| 7 Maximum moral status | Reference | Reference | ||
| Importance of beliefs about moral status in decision making | 0.002 | 0.004b | ||
| Very important | 3.70 (1.89–7.25) | <0.001 | 3.71 (1.49–9.24) | 0.005 |
| Somewhat important | 3.24 (1.63–6.43) | <0.001 | 2.98 (1.20–7.41) | 0.02 |
| Not very important | 3.74 (1.80–7.75) | <0.001 | 5.18 (2.03–13.2) | <0.001 |
| Not important at all | Reference | Reference | ||
| Content subscale (Mean score)c | 0.27 (0.22–0.34) | <0.001 | 0.25 (0.19–0.34) | <0.001 |
| Process subscale (Mean score)d | 0.37 (0.31–0.45) | <0.001 | 0.64 (0.49–0.82) | <0.001 |
DCS, decisional conflict score.
Final multivariable logistic regression model selected by backward elimination procedure using P < 0.20.
aAdjusted ORs are controlling for all predictor variables retained by backward elimination reported in Table IV.
bOmnibus P-values.
cContent subscale: mean score of seven items asking how informed the respondent felt about information received about embryo cryopreservation, where 1 = least informed and 5 = most informed.
dProcess subscale: mean score of five items asking how satisfied the respondent was with the informed consent process, where 1 = least satisfied and 5 = most satisfied with informed consent process.