Connaissance sur les facteurs de risque de l'infertilité et acceptabilité de l’attitude expectative comme option de traitement de l’infertilité inexpliquée à Kisangani, RDC
Mots-clés :
Connaissance sur l’infertilité, mythes, style de vie, attitude expectative, KisanganiRésumé
Introduction : Compte tenu des conséquences sociales de l’infertilité en Afrique, et de l’accès limité des couples infertiles aux soins spécialisés, il est important que les personnes en âge de procréer soient armées des connaissances nécessaires pour augmenter les chances de concevoir sans avoir besoin d'une intervention médicale. La présente étude vise à évaluer les connaissances des patientes infertiles sur les facteurs de risque et mythes associés à l'infertilité, et d'évaluer leurs attitudes à l'égard de l’expectative comme une conduite de prise en charge de l'infertilité inexpliquée.
Méthodes : Une étude transversale était menée à Kisangani auprès des patientes infertiles. Le questionnaire portait sur la connaissance des facteurs de risque de l’infertilité, les mythes en rapport avec l’infertilité, et sur la perception de l’infertilité inexpliquée et l’acceptabilité de l’attitude expectative comme moyen de prise de prise en charge. Le niveau de connaissance des enquêtées était évalué par la détermination du pourcentage des réponses correctes. Les déterminants de l’acceptabilité de l’expectative comme une conduite de prise en charge de l’infertilité inexpliquée étaient établis par la régression logistique multivariée.
Résultats : parmi les 313 enquêtées, 62% avaient un gap de connaissance sur les facteurs étiologiques de l’infertilité, et 54,4% avaient des fausses croyances et des mythes sur l’infertilité. L’infertilité inexpliquée était généralement perçue comme le résultat d’un mauvais (38,98%) sort ou d’une incompatibilité entre les deux conjoints (57,51%), et les déterminants de l’acceptabilité de l’attitude expectative étaient le fait d’avoir un emploi et la durée de l’infertilité < 5 ans.
Conclusion : A Kisangani, les patientes infertiles présentent un faible niveau de connaissance et beaucoup de mythes et de fausses croyances sur l’infertilité.
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