Research Article
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Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences

Year 2025, Volume: 8 Issue: 3, 91 - 96, 15.05.2025
https://doi.org/10.19127/bshealthscience.1595087

Abstract

This study aimed to evaluate the knowledge, attitudes, and behaviors of university students in healthcare fields regarding infertility and assisted reproductive technologies (ART), as well as to examine the impact of demographic factors on these attitudes. This descriptive survey was conducted at Toros University Faculty of Health Sciences and Vocational School of Health Services in Mersin, Türkiye. A sample of 469 participants completed a 24-item questionnaire covering demographic information, infertility knowledge, ART-related attitudes, and opinions on gamete donation. Data were analyzed using SPSS 27 software to identify relationships between demographic variables and attitudes toward infertility. Most participants were familiar with infertility but lacked detailed knowledge of its causes. Similarly, attitudes toward in vitro fertilization (IVF) were generally positive, but misconceptions about the legitimacy of IVF-conceived children were identified. Female students scored significantly higher on infertility attitude scales than male students (P<0.001). Awareness of gamete donation and related legal frameworks was notably low. However, attitudes toward gamete donation were found to correlate with general infertility attitudes (P=0.045). No significant differences were observed in infertility attitude scores between students familiar with the concept of gamete donation and those not (P=0.535). A substantial proportion of participants (74.9%) desired seminars on infertility and ART to be organized at universities, highlighting the demand for further educational efforts. The findings highlight the need to update educational curricula in health sciences to address knowledge gaps in infertility and ART. Incorporating ethical, legal, and psychosocial dimensions into training programs would better prepare students to support infertile individuals effectively. Further studies involving more diverse demographic groups could also inform targeted interventions to address these gaps.

Ethical Statement

This study was conducted with the approval of the Toros University Faculty of Health Sciences Non-Interventional Clinical Research Ethics Committee (approval date: September 27, 2024, protocol code: 14).

Project Number

no project number

References

  • Arhin SK, Tang R, Hamid A, Dzandu D, Akpetey BK. 2022. Knowledge, attitude, and perceptions about in vitro fertilization (IVF) among women of childbearing age in Cape Coast, Ghana. Obstet Gynecol Int, 2022: 129199. https://doi.org/10.1155/2022/5129199
  • Chawłowska E, Lipiak A, Krzysztoszek J, Krupa B, Staszewski R. 2020. Reproductive Health literacy and fertility awareness among Polish female students. Front Pubc Health, 8: 499. https://doi.org/10.3389/fpubh.2020.00499
  • Cousineau TM, Domar AD. 2007. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol, 21(2): 293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003
  • Daniluk JC, Koert E. 2015. Fertility awareness online: The efficacy of a fertility education website in increasing knowledge and changing fertility beliefs: Human Reprod, 30(2): 353-363. https://doi.org/10.1093/humrep/deu328
  • Dönmez Ç, Güner T. 2021. The Knowledge and attitudes of nursing students infertility and determination of factors affecting these variables. Ordu Üniv Hemş Çalış Derg, 4(3): 375-381. https://doi.org/10.38108/ouhcd.929199
  • Ezeome IV. 2022. Gamete donation—A review of ethical and legal issues. African J Reprod Health, 26(3): 124-135.
  • Fritz R, Jindal S. 2018. Reproductive aging and elective fertility preservation. J Ovarian Res, 11: 66. https://doi.org/10.1186/s13048-018-0438-4
  • Hammarberg K, Taylor L. 2019. Survey of maternal, child and family health nurses' attitudes and practice relating to preconception health promotion. Aust J Prim Health, 25(1): 43-48.
  • Iktidar MA, Chowdhury S, Roy S, Islam AMK, Islam M, Chowdhury T, Tabassum MN, Ali TS, Akash A, Ahmed M, Zafar FA, Hawlader MDH. 2022. Knowledge, attitude and perception among medical students and healthcare professionals regarding male infertility: a cross-sectional survey from Bangladesh. BMJ Open, 12: e062251. https://doi.org/10.1136/bmjopen-2022-062251
  • Kizilkaya N, Murat M. 2022. University students' attitudes toward gender roles and infertility: A descriptive and correlational study. Persp Psychiatric Care, 58(4): 2601-2611. https://doi.org/10.1111/ppc.13100
  • Lampic C, Svanberg AS, Karlström P, Tydén T. 2006. Fertility awareness, intentions concerning childbearing, and attitudes towards parenthood among female and male academics. Human Reprod, 21(2): 558-564. https://doi.org/10.1093/humrep/dei367
  • Meissner C, Schippert C, von Versen-Höynck F. 2016. Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students. J Assisted Reprod Genet, 33(6): 719-729. https://doi.org/10.1007/s10815-016-0717-1
  • Nogueira A, Ammar O, Bilir E, Iftene L, Torrero I, Ceschin N, Nogueira-Silva C, Brandão P. 2023. University students' opinion on gamete donor identification regimes. J Assisted Reprod Genet, 40(6): 1361-1368. https://doi.org/10.1007/s10815-023-02832-w
  • Okine R, Hughes LM, Smith G, Bonus ML, Feinberg EC, Bernardi LA. 2023. Undergraduate students have low fertility knowledge and high anxiety regarding future fertility: An opportunity for education. Heliyon, 9(3): e14623. https://doi.org/10.1016/j.heliyon.2023.e14623
  • Önder H. 2018. Nonparametric statistical methods used in biological experiments. BSJ Eng Sci, 1(1): 1-6.
  • Pedro J, Brandão T, Schmidt L, Costa ME, Martins MV. 2018. What do people know about fertility? A systematic review on fertility awareness and its associated factors. Upsala J Medic Sci, 123(2): 71-81.
  • Peterson BD, Pirritano M, Tucker L, Lampic C. 2012. Fertility awareness and parenting attitudes among American male and female undergraduate university students. Human Reprod, 27(5): 1375-1382. https://doi.org/10.1093/humrep/des011
  • Siyez DM, Seymenler S, Kağnıcı Y, Esen E, Siyez E, Baran B. 2018. Investigating university students' attitudes towards infertility in terms of socio-demographic variables. Health Psychol Rep, 6(4): 351-360. https://doi.org/10.5114/hpr.2018.77181
  • WHO. 2024. URL: https://www.who.int/ (accessed date: September 10, 2024).

Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences

Year 2025, Volume: 8 Issue: 3, 91 - 96, 15.05.2025
https://doi.org/10.19127/bshealthscience.1595087

Abstract

This study aimed to evaluate the knowledge, attitudes, and behaviors of university students in healthcare fields regarding infertility and assisted reproductive technologies (ART), as well as to examine the impact of demographic factors on these attitudes. This descriptive survey was conducted at Toros University Faculty of Health Sciences and Vocational School of Health Services in Mersin, Türkiye. A sample of 469 participants completed a 24-item questionnaire covering demographic information, infertility knowledge, ART-related attitudes, and opinions on gamete donation. Data were analyzed using SPSS 27 software to identify relationships between demographic variables and attitudes toward infertility. Most participants were familiar with infertility but lacked detailed knowledge of its causes. Similarly, attitudes toward in vitro fertilization (IVF) were generally positive, but misconceptions about the legitimacy of IVF-conceived children were identified. Female students scored significantly higher on infertility attitude scales than male students (P<0.001). Awareness of gamete donation and related legal frameworks was notably low. However, attitudes toward gamete donation were found to correlate with general infertility attitudes (P=0.045). No significant differences were observed in infertility attitude scores between students familiar with the concept of gamete donation and those not (P=0.535). A substantial proportion of participants (74.9%) desired seminars on infertility and ART to be organized at universities, highlighting the demand for further educational efforts. The findings highlight the need to update educational curricula in health sciences to address knowledge gaps in infertility and ART. Incorporating ethical, legal, and psychosocial dimensions into training programs would better prepare students to support infertile individuals effectively. Further studies involving more diverse demographic groups could also inform targeted interventions to address these gaps.

Ethical Statement

This study was conducted with the approval of the Toros University Faculty of Health Sciences Non-Interventional Clinical Research Ethics Committee (approval date: September 27, 2024, protocol code: 14).

Project Number

no project number

References

  • Arhin SK, Tang R, Hamid A, Dzandu D, Akpetey BK. 2022. Knowledge, attitude, and perceptions about in vitro fertilization (IVF) among women of childbearing age in Cape Coast, Ghana. Obstet Gynecol Int, 2022: 129199. https://doi.org/10.1155/2022/5129199
  • Chawłowska E, Lipiak A, Krzysztoszek J, Krupa B, Staszewski R. 2020. Reproductive Health literacy and fertility awareness among Polish female students. Front Pubc Health, 8: 499. https://doi.org/10.3389/fpubh.2020.00499
  • Cousineau TM, Domar AD. 2007. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol, 21(2): 293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003
  • Daniluk JC, Koert E. 2015. Fertility awareness online: The efficacy of a fertility education website in increasing knowledge and changing fertility beliefs: Human Reprod, 30(2): 353-363. https://doi.org/10.1093/humrep/deu328
  • Dönmez Ç, Güner T. 2021. The Knowledge and attitudes of nursing students infertility and determination of factors affecting these variables. Ordu Üniv Hemş Çalış Derg, 4(3): 375-381. https://doi.org/10.38108/ouhcd.929199
  • Ezeome IV. 2022. Gamete donation—A review of ethical and legal issues. African J Reprod Health, 26(3): 124-135.
  • Fritz R, Jindal S. 2018. Reproductive aging and elective fertility preservation. J Ovarian Res, 11: 66. https://doi.org/10.1186/s13048-018-0438-4
  • Hammarberg K, Taylor L. 2019. Survey of maternal, child and family health nurses' attitudes and practice relating to preconception health promotion. Aust J Prim Health, 25(1): 43-48.
  • Iktidar MA, Chowdhury S, Roy S, Islam AMK, Islam M, Chowdhury T, Tabassum MN, Ali TS, Akash A, Ahmed M, Zafar FA, Hawlader MDH. 2022. Knowledge, attitude and perception among medical students and healthcare professionals regarding male infertility: a cross-sectional survey from Bangladesh. BMJ Open, 12: e062251. https://doi.org/10.1136/bmjopen-2022-062251
  • Kizilkaya N, Murat M. 2022. University students' attitudes toward gender roles and infertility: A descriptive and correlational study. Persp Psychiatric Care, 58(4): 2601-2611. https://doi.org/10.1111/ppc.13100
  • Lampic C, Svanberg AS, Karlström P, Tydén T. 2006. Fertility awareness, intentions concerning childbearing, and attitudes towards parenthood among female and male academics. Human Reprod, 21(2): 558-564. https://doi.org/10.1093/humrep/dei367
  • Meissner C, Schippert C, von Versen-Höynck F. 2016. Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students. J Assisted Reprod Genet, 33(6): 719-729. https://doi.org/10.1007/s10815-016-0717-1
  • Nogueira A, Ammar O, Bilir E, Iftene L, Torrero I, Ceschin N, Nogueira-Silva C, Brandão P. 2023. University students' opinion on gamete donor identification regimes. J Assisted Reprod Genet, 40(6): 1361-1368. https://doi.org/10.1007/s10815-023-02832-w
  • Okine R, Hughes LM, Smith G, Bonus ML, Feinberg EC, Bernardi LA. 2023. Undergraduate students have low fertility knowledge and high anxiety regarding future fertility: An opportunity for education. Heliyon, 9(3): e14623. https://doi.org/10.1016/j.heliyon.2023.e14623
  • Önder H. 2018. Nonparametric statistical methods used in biological experiments. BSJ Eng Sci, 1(1): 1-6.
  • Pedro J, Brandão T, Schmidt L, Costa ME, Martins MV. 2018. What do people know about fertility? A systematic review on fertility awareness and its associated factors. Upsala J Medic Sci, 123(2): 71-81.
  • Peterson BD, Pirritano M, Tucker L, Lampic C. 2012. Fertility awareness and parenting attitudes among American male and female undergraduate university students. Human Reprod, 27(5): 1375-1382. https://doi.org/10.1093/humrep/des011
  • Siyez DM, Seymenler S, Kağnıcı Y, Esen E, Siyez E, Baran B. 2018. Investigating university students' attitudes towards infertility in terms of socio-demographic variables. Health Psychol Rep, 6(4): 351-360. https://doi.org/10.5114/hpr.2018.77181
  • WHO. 2024. URL: https://www.who.int/ (accessed date: September 10, 2024).
There are 19 citations in total.

Details

Primary Language English
Subjects Medical Education
Journal Section Research Article
Authors

Tiinçe Aksak 0000-0001-7841-8456

Project Number no project number
Publication Date May 15, 2025
Submission Date December 3, 2024
Acceptance Date January 15, 2025
Published in Issue Year 2025 Volume: 8 Issue: 3

Cite

APA Aksak, T. (2025). Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences. Black Sea Journal of Health Science, 8(3), 91-96. https://doi.org/10.19127/bshealthscience.1595087
AMA Aksak T. Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences. BSJ Health Sci. May 2025;8(3):91-96. doi:10.19127/bshealthscience.1595087
Chicago Aksak, Tiinçe. “Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies Among University Students in Health Sciences”. Black Sea Journal of Health Science 8, no. 3 (May 2025): 91-96. https://doi.org/10.19127/bshealthscience.1595087.
EndNote Aksak T (May 1, 2025) Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences. Black Sea Journal of Health Science 8 3 91–96.
IEEE T. Aksak, “Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences”, BSJ Health Sci., vol. 8, no. 3, pp. 91–96, 2025, doi: 10.19127/bshealthscience.1595087.
ISNAD Aksak, Tiinçe. “Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies Among University Students in Health Sciences”. Black Sea Journal of Health Science 8/3 (May 2025), 91-96. https://doi.org/10.19127/bshealthscience.1595087.
JAMA Aksak T. Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences. BSJ Health Sci. 2025;8:91–96.
MLA Aksak, Tiinçe. “Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies Among University Students in Health Sciences”. Black Sea Journal of Health Science, vol. 8, no. 3, 2025, pp. 91-96, doi:10.19127/bshealthscience.1595087.
Vancouver Aksak T. Assessment of Knowledge, Attitudes, and Practices Regarding Infertility and Assisted Reproductive Technologies among University Students in Health Sciences. BSJ Health Sci. 2025;8(3):91-6.