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Impact of Childbearing Decisions on Family Size of Korean Women with Systemic Lupus Erythematosus

Title
Impact of Childbearing Decisions on Family Size of Korean Women with Systemic Lupus Erythematosus
Authors
Kim, In JeKim, Hyoun-AhSuh, Chang-HeePark, Yong-WookLee, Hye-SoonBang, So-YoungBae, Sang-CheolKang, Young MoLee, Won KyungPark, HyesookLee, Jisoo
Ewha Authors
박혜숙이지수김인제
SCOPUS Author ID
박혜숙scopus; 이지수scopus; 김인제scopus
Issue Date
2016
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
1011-8934JCR Link1598-6357JCR Link
Citation
vol. 31, no. 5, pp. 729 - 734
Keywords
Systemic Lupus ErythematosusFamily SizeChildbearing DecisionsKorean
Publisher
KOREAN ACAD MEDICAL SCIENCES
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Systemic lupus erythematosus (SLE) predominantly affects women in their reproductive years and has a significant impact on childbearing. We investigated the influence of personal decision on family size among Korean women with SLE and factors that affect the decisions. A case-control study comparing childbearing history and decisions of 112 SLE patients and 135 controls was performed. Women with SLE participating in the Network for Lupus Clinical Research in South Korea and matching controls between ages of 18-45, who are/were married or living with a partner were included. Data regarding socio-demographics, reproductive history, and childbearing decisions were collected through a survey using a standardized questionnaire and medical record review. More women with SLE reported at least one pregnancy (85.7% vs. 71.9%, P = 0.009) or at least one live birth (85.7% vs. 71.9%, P = 0.003) compared with controls. Mean number of pregnancies was significantly higher (2.4 +/- 1.6 vs. 1.4 +/- 1.3, P< 0.001), and mean number of live births was significantly lower in women with SLE (1.2 +/- 0.8 vs. 1.6 +/- 0.8, P< 0.001). Significantly more women with SLE made the decision not to have children compared with controls (54.5% vs. 40.7%, P = 0.031), and health-related concerns were the major cause of the decision. Other socio-demographic factors did not influence the decision to limit childbearing in SLE women. The disease-related concerns had significant impact on family size and childbearing decisions among Korean women with SLE.
DOI
10.3346/jkms.2016.31.5.729
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의과대학 > 의학과 > Journal papers
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