Path Analysis on The Associations between Stress, Polycistic Ovarium Syndrome, and the Risk of Infertility in Female of Reproductive Age

Masters Program in Public Health, Universitas Sebelas Maret; Suci Arsita Sari; Uki Retno Budihastuti; Eti Poncorini Pamungkasari

doi:10.26911/the6thicph.03.25

Path Analysis on The Associations between Stress, Polycistic Ovarium Syndrome, and the Risk of Infertility in Female of Reproductive Age

Masters Program in Public Health, Universitas Sebelas Maret, Suci Arsita Sari, Uki Retno Budihastuti, Eti Poncorini Pamungkasari

In: Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes · 2019 · pp. 167 · doi:10.26911/the6thicph.03.25 · W4254380885

Observational OA: bronze CC0

📄 Open PDF Full text JSON View on OpenAlex View at publisher

⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-01 ⓘ

Infertility among women was directly associated with age, BMI, endometriosis, myoma uterine, metabolic syndrome, PCOS, and employment, and indirectly associated with stress and lifestyle.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-30 · read from full text ⓘ

This case-control study employed path analysis to identify factors associated with infertility risk in 200 women of reproductive age attending a hospital in Surakarta, Indonesia. The results indicated that infertility was directly and positively influenced by age over 35, elevated body mass index, metabolic syndrome, uterine myomas, polycystic ovary syndrome, and employment status. Additionally, high stress levels and lifestyle factors were found to indirectly affect the risk of infertility among the participants. Relevance to endometriosis: listed as one direct positive predictor of infertility alongside PCOS and myoma uterine, though the paper's main focus is on a broader path analysis of multiple causes rather than endometriosis specifically.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Polycystic ovary syndrome (PCOS) is a disorder that associates with an imbalance in female sex hormones. It represents 80% of anovulatory infertility cases. The purpose of this study was to examine factors associated with the risk of infertility among female of reproductive age using path analysis model. Subjects and Method: A case control study was carried out in Dr. Moewardi hospital, Surakarta, from May to July 2019. A sample of 200 women was selected by fixed disease sample. The dependent variable was infertility. The independent variables were PCOS, body mass index (BMI), lifestyle, age, stress, metabolic syndrome, endometriosis, and myoma uterine. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis run on Stata 13. Results: Infertility among women was directly and positively affected by age 35 years old (b= 2.20; 95%CI= 0.95 to 3.44; p= 0.001), BMI >25 (b= 2.11; 95%CI= 0.81 to 3.41; p= 0.001), endometriosis (b= 1.61; 95%CI= 0.16 to 3.06; p= 0.029), myoma uterine (b= 1.88; 95%CI= 0.56 to 3.20), metabolic syndrome (b= 2.73; 95%CI= 1.39 to 4.07; p <0.001), PCOS (b=4.76; 95%CI= 2.33 to 7.19; p<0.001), and employment (b= 2.11; 95%CI= 0.81 to 3.41; p= 0.001). It was indirectly affected by high stress and lifestyle. Conclusion: Infertility among women is directly and positively affected by age 35 years old, BMI >25, endometriosis, myoma uterine, metabolic syndrome, PCOS, and employment. It is indirectly affected by high stress and lifestyle.

Full text 2,429 characters · extracted from oa-pdf · 4 sections · click to expand

Abstract

Results

Infertility among women was directly and positively affected by age ≥35 years old (b= 2.20; 95%CI= 0.95 to 3.44; p= 0.001), BMI >25 (b= 2.11; 95%CI= 0.81 to 3.41; p= 0.001), endometriosis (b= 1.61; 95%CI= 0.16 to 3.06; p= 0.029), myoma uterine (b= 1.88; 95%CI = 0.56 to 3.20), metabolic syndrome (b= 2.73; 95%CI = 1.39 to 4.07; p <0.001), PCOS (b=4.76; 95%CI = 2.33 to 7.19; p<0.001), and employment (b= 2.11; 95%CI= 0.81 to 3.41; p= 0.001). It was indirectly affected by high stress and lifestyle.

Conclusion

Infertility among women is directly and positively affected by age ≥35 years old , BMI >25, endometriosis, myoma uterine, metabolic syndrome, PCOS, and employment. It is indirectly affected by high stress and lifestyle.

Keywords

infertility, polycistic ovarium syndrome, path analysis Correspondence: Suci Arsita Sari . Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085786179994.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-pdf ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisinfertility

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

openalex: last seen: 2026-06-04T00:00:01.174412+00:00

License: CC0 · commercial use OK