Predictive factors for infertility of women: an univariate and multivariate logistic regression analysis

Background and aims: Infertility is a major problem during reproductive age. Physical and psychological effects of infertility in women are problematic. The aim of this study was to determine the potential predictive factors of infertility, among women referring both public and private health centers in Ilam province, western Iran, in 2013. Methods: In this cross-sectional study, 1013 women referring the health care centers of Ilam province were enrolled in 2013. The participants were selected by simple random sampling method and their demographic, medical and obstetric variables were collected. The univariate and multiple logistic regression analyses were used to predict the potential risk factors of infertility. Results: The husband’s education and occupation showed to be suitable independent predictor variables for infertility by multivariate logistic regression analysis (OR: 1.36 and 2, respectively). Overall percentage of correct classification of the model was 88.7. It means that, considering the husband’s education and women’s occupation, the ability of the model to predict the actual category of the cases was 88.7. Conclusions: It seems that husband education level and women occupation are independent predictive variables. The women at risk of infertility have to be identified and high-quality counseling should be given in order to minimize the complications of infertility in both genders

General health status among high school students in Ilam: a cross-sectional study

Background and aims: Many factors could affect on the health status. This study aimed to assess the general health status of high-school students in Ilam province in 2014. Methods:This cross– sectional study determined the general health status of high-school students in Ilam, located in west of Iran in 2014. The samples were selected by multi-stage random sampling method. Data were collected by a two-part questionnaire. The first part of the questionnaire included the personal characteristics and the second part of the questionnaire contained General Health Questionnaire- 28 (GHQ-28. Results: A total of 381 students were enrolled in this study. Overall 236 (61.9) of students had healthy status. In addition, 145 (38.1) of all participants had disorder in one or more dimensions of their general health status. The mean±SD of overall score of general health was 5.78±4.53 in healthy status students and 7.83±5.72 in disorder status students. The difference in overall score of general health was statistically significant between healthy and disorder status students (P<0.001). Moreover, the differences in the age, school grade, parental education and number of children living with families were significant between healthy and disorder status students (P<0.05). Conclusion: General health is an important issue among adolescents and high-school students who are at high risk of general health disorder. Therefore, the regular evaluation of their general health status is necessary for planning an appropriate counseling program

Compare the quality of life in fertile and infertile women attending public

Background and aim: Infertile women experience many problems in their life. Evaluation the quality of lifein infertile makes the healthcare provider aware of their needs for providing quality care. The aim of presentstudy was to compare the quality of life in fertile and infertile women attending public and private centers IIlam,Iran.Methods and material : In a cross - sectional study , quality of life of a group of infertile and fertilewomen attending to public and private health care centers of Ilam in 2013 was compared. Simple randomsampling method was used. Inclusion criteria consisted of: being married, age between 15-49 years , nonpregnantand non-lactating. Postmenopausal women with known physical and mental illness, or a history ofthem were excluded. Data were collected by the quality of life questionnaires SF-36 and demographicquestionnaire. Data were analyzed using SPSS software, chi-square test and t-test.Results: 450 women participated in the present study . Mean age in women of fertile group was 32.17± 3.09years and in infertile women 35.93± 8.07, respectively. The mean scores for physical functioning, rolelimitations due to physical problems, general health, vitality, social functioning, role limitations due toemotional problems and mental health were significantly different in fertile and infertile women. But thephysical pain scores were not significantly different in fertile and infertile women.Conclusion: The physical and mental dimensions of quality of life scores was lower in infertile women incomparison to fertile women group . Therefore it is important to provide support and education to improvequality of life in infertile women.Key words: Infertility, quality of life, SF-3