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Cited by 92Reproductive Health and TechnologiesReproductive Health and ContraceptionHealth Education and Validation

Low fertility awareness in United States reproductive-aged women and medical trainees: creation and validation of the Fertility & Infertility Treatment Knowledge Score (FIT-KS)

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Kudesia, Rashmi, Chernyak, Elizabeth, McAvey, Beth·2017·Fertility and Sterility
DOI 10.1016/j.fertnstert.2017.07.1158
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Abstract

Objective To create, validate, and use a fertility awareness survey based on current U.S. Data Design Cross-sectional study. Setting Not applicable. Patient(s) Phase 1 included U.S. women ages 18-45; phase 2 included female medical students and obstetrics and gynecology trainees at two urban academic programs. Intervention(s) Survey including demographics, the Fertility & Infertility Treatment Knowledge Score (FIT-KS) instrument, and General Nutrition Knowledge Questionnaire. Main outcome measure(s) Knowledge of natural fertility and infertility treatments. Result(s) The FIT-KS was validated through detailed item and validity analyses. In phase 1, 127 women participated; their median age was 31 years, and 43.7% had children. Their mean FIT-KS score was 16.2 ± 3.5 (55.9% correct). In phase 2, 118 medical trainees participated; their median age was 25 years, and 12.4% had children. Their mean FIT-KS score was 18.8 ± 2.1 (64.9% correct), with year of training correlating to a higher score (r=0.40). Participant awareness regarding lifestyle factors varied, but it was particularly low regarding the effects of lubricants. The majority underestimated the spontaneous miscarriage rate and overestimated the fecundability of 40-year-old women. There was general overestimation of success rates for assisted reproductive technologies, particularly among medical trainees. Conclusion(s) The FIT-KS is validated to current U.S. data for use in both general and medical populations as a quick assessment of fertility knowledge. The knowledge gaps demonstrated in this study correlate with national trends in delayed childbearing and time to initiate treatment. For medical trainees, these results raise concerns about the quality of fertility counseling they may be able to offer patients. Greater educational outreach must be undertaken to enhance fertility awareness.

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  • There is a lack of understanding regarding fertility, even in women seeking to conceive.

    “There is a lack of understanding regarding fertility, even in women seeking to conceive (Kudesia et al. 2017).”

    From Real-life insights on menstrual cycles and ovulation using big data (2020) · cites this paper as Kudesia et al. 2017

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Authors
Kudesia, R., Chernyak, E., & McAvey, B.
Affiliations
Albert Einstein College of Medicine (US)
Corresponding author
Kudesia, Rashmi
ORCID
Venue
Fertility and Sterility
Publisher
Elsevier BV
Published
2017-10
Volume
108
Issue
4
Pages
711-717
ISSN
0015-0282 (ISSN-L)
DOI
10.1016/j.fertnstert.2017.07.1158
OpenAlex
W2755151657
Cited by
92
References
18
Citations by year
2026: 4 · 2025: 13 · 2024: 12 · 2023: 16 · 2022: 8 · 2021: 10 · 2020: 10 · 2019: 11 · 2018: 7 · 2017: 1
FWCI
9.21
Type
journal article
Language
en
Open access
Licence
Locations
  • Fertility and Sterility (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (UL1TR001073)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Social Sciences › Education › Health Education and Validation
Keywords
fertility awareness, instrument validation, women of reproductive age, medical trainees, fertility counseling, fecundability, lubricants, delayed childbearing
MeSH terms
Adolescent, Adult, Awareness, Cross-Sectional Studies, Educational Measurement, Female, Gynecology, Humans, Infertility, Female, Health Knowledge, Attitudes, Practice, Middle Aged, Obstetrics, Surveys and Questionnaires, Reproduction, Research Design, Students, Medical, United States, Reproductive Techniques, Assisted, Young Adult

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