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The Study Of The Fertility Desires And Its Affecting Factors In Cancer Patients

Posted on:2010-05-22Degree:MasterType:Thesis
Country:ChinaCandidate:D H GongFull Text:PDF
GTID:2144360278969912Subject:Epidemiology and Health Statistics
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Objective:To learn the present situation of the cancer patient's fertility desire, to explore affecting factors of fertility desire in the cancer patient,in order to let society respect and rightly regard the cancer patient's fertility desire,to show government and society's care of cancer patients,to help medical worker shoot the arrow at the target on stoping or dissuading candcer patients to birth,and to provide market demand evidence of technology development which preserves and enhances the fertility of cancer patients.Methods:In this study,study sample is obtained by using multistage sampling method(cluster sampling and random sampling).Tumor Hospital of Hunan Province is randomly selected as a sample source spot,with reference to the monthly average number of hospitalizations of the hospital section, randomly selecting all patients of 11 divisions to be investigated,a total of 239 study cases were obtained.In this study,SPSS13.0 statistical software is used to build up a database and complete the statistical analysis.The median and(?)±s are used to describe the average level of measurement data. Constitute ratio is used to describe the internal structure of count data.Ratio is used to describe the occurrence frequency of an event.χ~2 test is respectively used to test single-factor analysis for the willing fertility quantity,willing fertility time,and willing fertility gender;Binary Logistic regression respectively is used to analyse influence factors of the willing fertility quantity, the male appropriate fertility age,the female appropriate fertility age and if only permitting fertility one child,the "boy's preference "(α_入=0.05,α_出= 0.10);the Multinomial Logistic regression is used to analyse influence factors of the "gender preference" when only one child.If there is no special note,all P values are the bilateral probability and test level is 0.05.Results:The fertility quantity median is 2 individuals,the arithmetic mean is (1.97±0.49) individuals.If only permitted bear one child,51(21.30%) individuals hope child is a boy,20(8.40%) individuals hope child is a girl, and 168(70.30%) individuals have no preference,the most appropriate reproductive age of men mainly concentrated in the 25~28-year-old, followed by 29~35 years old;the most appropriate fertility age of female mainly concentrated in the 25~28-year-old,followed by 22~24-year-old. The most appropriate birth spacing hours is 3.22±1.16 years old.Out of the most appropriate combination of sex,1 male and 1 female accountts for 60.3%(144/239) and is the largest proportion.The willing of bearing one child is different in different educational levels,different family structures, and different attitudes of family planning fertility policies.In the multivariate Logistic regression analysis,the family structure and the attitude of policy on fertility enter the regression equation.The OR values respectively is 0.139 (the family structure that parents live alone comparing with the backbone family structure),0.201(nuclear family structure comparing with the backbone family structure),0.505.The appropriate fertility age of male is different in different educational levels,different marriage situations,different annual per capita income,different fertility purposes,different appropriate marriageable age of male,and different appropriate marriageable age of female.In the multivariate Logistic regression analysis,the birth purpose and the male appropriate marriageable age enter the regression equation.The OR values respectively is 20.122,0.050.the appropriate fertility age of female is different in different education levels,different annual per capita income, different household registration natures,different appropriate marriageable age of male,and different appropriate marriageable age of female.In the multivariate Logistic regression analysis,the household registration nature, whether or not having brothers or sisters,the appropriate marriageable age of male,the appropriate marriageable age of female enter the regression equation. The OR values respectively is 2.958,6.709,5.639,7.390.If only permitting bearing one child,the willing fertility gender is different in different gender, different household registration nature,different tumor existing system, different fertility conditions,and different appropriate marriageable age of male and different appropriate marriageable age of female.In the Multinomial Logistic regression analysis,"boy preference" analysis in relation to no gender preference,the household registration nature,appropriate marriageable age of male(22-28 as opposed to 29~) and the past illness history enter the regression equation.The OR values respectively is 3.916,3.065,2.709;"girl preference" analysis comparing with the no gender preference,the gender,the education(high school or secondary school is relation to college and above) levels,and the willing fertility quantity enter the regression equation.The OR value respectively is 0.015,10.306,0.037.In the Binary Logistic regression analysis of "boy preference",the household registration nature,the male appropriate marriageable age,the first marriage age,the previous disease history and the number of the willing fertility(willing bearing 2 individuals is relation to 3 individuals and above) enter the regression equation.The OR values respectively is 0.438,0.229,0.512,0.427,2.231.Conclusion:1.The fertility quantity median is 2 individuals,and the most appropriate fertility age of male mainly concentrated in the 25~28-year-old, followed by 29~35 years of age;the most appropriate fertility age of female mainly concentrated in the 25~28-year-old,followed by 22~24-year-old. The most appropriate birth spacing hours is 3.22±1.16 years old.If there are no policy restrictions,out of the most appropriate combination of sex,1 male and 1 female accountts for 60.3%(144/239) and is the largest proportion,no preference accounts for 35.6%(55/239).2.The willing fertility quantity of cancer patients is mainly affected by the family structure and the attitudes for fertility policy.3.The male willing fertility age of cancer patients mainly affected by the birth of purpose and the appropriate marriageable age of male; The female willing fertility age of cancer patients mainly affected by the household registration nature,whether or not having brothers or sisters,the appropriate marriageable age of male and the appropriate marriageable age of female.4.If only permitting bearing one child,the willing fertility gender of cancer patients,the "boy preference" comparing with no preference mainly affected by the household registration nature,the appropriate marriageable age of male,and the previous disease history;the "girl preference" comparing with no preference mainly affected by the gender,the education levels,and the willing fertility quantity;if only permitting bearing one child,"the boy's preference "of cancer patients mainly affected by the household registration nature,the appropriate marriageable age of male,the first marriage age,the previous disease history and the willing fertility quantity.
Keywords/Search Tags:cancer, fertility desires, affecting factors, Logistic regression
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