Abstract：
UNASSIGNED: In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.
UNASSIGNED: In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).
UNASSIGNED: The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).
UNASSIGNED: The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.
UNASSIGNED: In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).
UNASSIGNED: The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).
UNASSIGNED: The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.
摘要：
■在中国，有一种独特的第二次婚姻（SM）家庭，女人再婚，这个男人正在经历他的第一次婚姻。此外,那个女人比那个男人大。因此,这些家庭经历了许多挑战：心理，情感,社会压力。这样的家庭是研究影响辅助生殖技术（ART）结果的社会文化和心理压力的典型样本。本研究旨在探讨社会心理压力对AR活产结局的影响。
■在这个回顾性队列中，2012年1月至2022年12月在河北医科大学第二医院生殖中心就诊的二婚（SM）家庭进行筛查，561个婚姻家庭（SM组）和5600个初婚（FM）家庭（FM组）被纳入了他们的第一个ART周期。这项研究的主要结果是活产率（LBR）。
■SM组的活产率（LBR）（30.7％）低于FM组（43.6％）（p<0.01）。经过逻辑回归调整后，第二婚姻组（OR=1.269，95CI1.031-1.562，p=0.025）是与活产结局相关的独立因素。在倾向得分匹配(PSM)之后，SM组活产率(28.7%)低于FM组(35.9%)(0=0.011)。
■SM家庭经历更高水平的社会和心理压力，这导致LBR的水平低于FM系列。
■在这个回顾性队列中，2012年1月至2022年12月在河北医科大学第二医院生殖中心就诊的二婚（SM）家庭进行筛查，561个婚姻家庭（SM组）和5600个初婚（FM）家庭（FM组）被纳入了他们的第一个ART周期。这项研究的主要结果是活产率（LBR）。
■SM组的活产率（LBR）（30.7％）低于FM组（43.6％）（p<0.01）。经过逻辑回归调整后，第二婚姻组（OR=1.269，95CI1.031-1.562，p=0.025）是与活产结局相关的独立因素。在倾向得分匹配(PSM)之后，SM组活产率(28.7%)低于FM组(35.9%)(0=0.011)。
■SM家庭经历更高水平的社会和心理压力，这导致LBR的水平低于FM系列。
