September 27th, 2020

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Fertility Desire in Chinese Kidney Transplant Recipients: A Mixed Method Study
Authors:  Guoli Yang, R.N., M.S.N., Jin Yan, R.N., Ph.D., Shan Liu, R.N., Ph.D., Shuiyuan Xiao, Ph.D., and Jia Liu, R.N., M.S.N.
  OBJECTIVE: To study fertility desire in kidney transplant recipients in China.

STUDY DESIGN: An explanatory mixed-methods design was used to describe fertility desire in kidney transplant recipients and identify factors that may influence these preferences. A 30-item survey was administered to 161 participants, of whom 9 were assessed further with a qualitative interview.

RESULTS: In the quantitative study, a total of 82.6% (43/52) of participants currently had no children and were considering a fertility plan, and 15.6% (18/109) of participants with children had a fertility plan in the future. In the univariate analysis, factors of age, length of time since transplant, and whether they had children at present were significantly associated with fertility desire. In the multiple logistic regression analysis, the results identified whether having children or not at present (OR 15.484, 95% CI 5.282–45.393) was associated with fertility desire. In the qualitative study, desire to carry on the family line and economic condition improvement were predominant themes in patients with fertility desire. Four themes emerged from the data in patients without fertility desire: economic pressure, older age, concern about risk, and personal factors.

CONCLUSION: Fertility desire is high in Chinese kidney transplant recipients of reproductive age. Traditional values, economic condition, physical condition, and personal factors influence their fertility desire.
Keywords:  Asian continental ancestry group, Asians, Chinese, chronic kidney diseases, chronic kidney failure, chronic renal diseases, end-stage kidney disease, end-stage renal disease, fertility, infertility, kidney, kidney transplantation, transplant recipients
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