# Knowledge, attitudes, and practices toward assisted reproductive technology and painless egg retrieval among infertile women in the northwest region of China

## TL;DR

This study explores the knowledge, attitudes, and practices of infertile women in Northwest China regarding assisted reproductive technology and painless egg retrieval.

## Contribution

The study identifies knowledge and attitudes as key predictors of ART practices among infertile women in the region.

## Key findings

- Participants had moderate KAP scores, with knowledge and attitudes positively correlated with practices.
- Knowledge directly and indirectly influenced practices through improved attitudes.
- Tailored support is needed for women with lower education and less ART experience.

## Abstract

With the increasing use of assisted reproductive technology (ART) as a solution for infertility, understanding patient knowledge, attitudes, and practices (KAP) is essential. This study aimed to assess the KAP of infertile women in Northwest China regarding ART and painless egg retrieval.

This cross-sectional study enrolled infertile female population in the Northwest Region of China from April to September.

A total of 403 participants were included, with scores of 12.16 ± 5.63 (range: 0–20) for knowledge, 34.30 ± 4.38 (range: 10–50) for attitudes, and 25.28 ± 4.89 (range: 7–35) for practices. Spearman correlation analysis demonstrated the positive correlations between KAP (r = 0.246–0.589, P < 0.001). Structural equation modeling (SEM) showed that knowledge and attitudes are key predictors of practices. Notably, knowledge not only directly influenced practice (β = 0.33, P < 0.001) but also had an indirect effect through its positive impact on attitudes (β = 0.02, P = 0.007).

Infertile women in Northwest China have moderate KAP scores. To improve their adoption of ART, interventions should focus on enhancing their knowledge and improving their attitudes. Tailored support systems, including improved doctor-patient communication and peer support, are particularly vital for women with lower education and less experience with ART.