Lack of Knowledge, the main Stumbling Block of Fertility Preservation Promotion in China
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Lack of Knowledge, the main Stumbling Block of Fertility Preservation Promotion in China Meng Wang 1 & Lixia Zhu 1 & Hua Xiong 2 & Jiaming Wang 3 & Zhou Li 1 & Liu Yang 1 & Lei Jin 1
&
Qingsong Xi 2
Accepted: 9 September 2020 # American Association for Cancer Education 2020
Abstract The aim of this study is to evaluate fertility preservation (FP) popularization in China among female cancer patients in terms of awareness of fertility, knowledge about FP, and attitudes toward FP. A questionnaire-based survey was conducted among female cancer patients in Tongji Hospital in China from March 2019 to July 2019. The 29 fertility-related issues, which were presented in either five-point Likert scales or “yes or no”, in this questionnaire consisted of demographic characteristic and disease-related situation, awareness of fertility, knowledge about FP, and attitudes toward FP. Participants were required to finish the questionnaire, and data were gathered and analyzed by SPSS. Forty-five valid questionnaires without missing data remained in the final analysis. The survey discovered that a regional imbalanced limitation in knowledge of infertility risk and FP in young cancer patients acted as a major obstacle in FP promotion nationwide and FP decision-making in patients. Compared with rural patients, patients from urban areas were more eager to give birth and more likely to have a better understanding of FP with a more positive attitude. Moreover, most of the participants (62.2%) had a low level of understanding of FP, although they remained positive toward it. “Cancer treatment as the priority”, “Cancer relapse caused by FP”, and “Health of the next generation” were the top three factors affecting decisions on FP. The findings revealed a general FP actuality in China and specifically offered some intervention targets in the near future to improve FP service and networks, benefiting more female patients of childbearing age who are at risk of infertility. Keywords Fertility preservation . Cancer education . Oncofertility . Cancer patients . Female
Background With the rapid development of oncological therapies in recent years, survival of cancer patients has been steadily increased for most cancer types [1], and the 5-year survival rate of Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13187-020-01875-2) contains supplementary material, which is available to authorized users. * Lei Jin [email protected] * Qingsong Xi [email protected] 1
Reproductive Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
2
Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
3
State Key Laboratory of Information Engineering in Surveying, Mapping and Remote Sensing, Wuhan University, Wuhan, China
children and adolescents is currently 84% [2]. China is one of the largest countries in the world and has the largest cancer population, with many cases occu
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