Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia
Objective: To explore the associations between income levels, employment risk, lifestyles, occupational stress, and male fertility. Methods: This cross-sectional study analyzed 294 men seeking fertility treatment at fertility clinics in Terengganu, Pahang, and Kuala Lumpur from November 2021 to June...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Asian Pacific Journal of Reproduction |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/apjr.apjr_154_24 |
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| author | Nur Fatma Hasni Majid Suriyani Muhamad Suhal Kusairi Mohd Nasir Nawawi Noor Salihah Zakaria Roszaman Ramli |
| author_facet | Nur Fatma Hasni Majid Suriyani Muhamad Suhal Kusairi Mohd Nasir Nawawi Noor Salihah Zakaria Roszaman Ramli |
| author_sort | Nur Fatma Hasni Majid |
| collection | DOAJ |
| description | Objective:
To explore the associations between income levels, employment risk, lifestyles, occupational stress, and male fertility.
Methods:
This cross-sectional study analyzed 294 men seeking fertility treatment at fertility clinics in Terengganu, Pahang, and Kuala Lumpur from November 2021 to June 2023. Data were collected through structured questionnaires covering income levels, lifestyles, employment risks, occupational stress, and semen quality. Multinomial logistic regression was employed to assess predictors of semen quality, with crude and adjusted odds ratios (OR) reported.
Results:
The lower-income group exhibited higher odds of having abnormal semen quality compared to normal semen quality. Specifically, these participants were more likely to experience azoospermia [crude OR 6.68, 95% confidence interval (CI) 1.84– 52.63; adjusted OR 6.26, 95% CI 1.76–51.38], indicating a link between low income and infertility issues. Lifestyle factors did not show significant associations with semen abnormalities after adjustment. High employment risks had significant associations with oligozoospermia after adjustment (crude OR 5.50, 95% CI 2.14–14.11; adjusted OR 5.15, 95% CI 1.93–13.71), while high occupational stress was linked to asthenozoospermia (crude OR 2.26, 95% CI 1.09–4.68; adjusted OR 2.25, 95% CI 1.07–4.69).
Conclusions:
The findings underscore the influence of socioeconomic and occupational factors on male fertility, showing associations between lower income levels, high-risk occupations, and semen abnormalities. In contrast, lifestyle factors did not show significant associations with semen abnormalities after adjustment. Nevertheless, the current findings should be further confirmed through more extensive studies focusing on abnormal semen and lifestyle factors. |
| format | Article |
| id | doaj-art-866ed829f22143bfb284daf314c5400a |
| institution | OA Journals |
| issn | 2305-0500 2305-0519 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Pacific Journal of Reproduction |
| spelling | doaj-art-866ed829f22143bfb284daf314c5400a2025-08-20T01:47:32ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Reproduction2305-05002305-05192025-04-01142697610.4103/apjr.apjr_154_24Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular MalaysiaNur Fatma Hasni MajidSuriyani MuhamadSuhal KusairiMohd Nasir NawawiNoor Salihah ZakariaRoszaman RamliObjective: To explore the associations between income levels, employment risk, lifestyles, occupational stress, and male fertility. Methods: This cross-sectional study analyzed 294 men seeking fertility treatment at fertility clinics in Terengganu, Pahang, and Kuala Lumpur from November 2021 to June 2023. Data were collected through structured questionnaires covering income levels, lifestyles, employment risks, occupational stress, and semen quality. Multinomial logistic regression was employed to assess predictors of semen quality, with crude and adjusted odds ratios (OR) reported. Results: The lower-income group exhibited higher odds of having abnormal semen quality compared to normal semen quality. Specifically, these participants were more likely to experience azoospermia [crude OR 6.68, 95% confidence interval (CI) 1.84– 52.63; adjusted OR 6.26, 95% CI 1.76–51.38], indicating a link between low income and infertility issues. Lifestyle factors did not show significant associations with semen abnormalities after adjustment. High employment risks had significant associations with oligozoospermia after adjustment (crude OR 5.50, 95% CI 2.14–14.11; adjusted OR 5.15, 95% CI 1.93–13.71), while high occupational stress was linked to asthenozoospermia (crude OR 2.26, 95% CI 1.09–4.68; adjusted OR 2.25, 95% CI 1.07–4.69). Conclusions: The findings underscore the influence of socioeconomic and occupational factors on male fertility, showing associations between lower income levels, high-risk occupations, and semen abnormalities. In contrast, lifestyle factors did not show significant associations with semen abnormalities after adjustment. Nevertheless, the current findings should be further confirmed through more extensive studies focusing on abnormal semen and lifestyle factors.https://journals.lww.com/10.4103/apjr.apjr_154_24male infertilityincome levelsemployment risksoccupational stresslifestyles |
| spellingShingle | Nur Fatma Hasni Majid Suriyani Muhamad Suhal Kusairi Mohd Nasir Nawawi Noor Salihah Zakaria Roszaman Ramli Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia Asian Pacific Journal of Reproduction male infertility income levels employment risks occupational stress lifestyles |
| title | Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia |
| title_full | Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia |
| title_fullStr | Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia |
| title_full_unstemmed | Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia |
| title_short | Relationships between income levels, lifestyles, occupational factors, and male fertility in peninsular Malaysia |
| title_sort | relationships between income levels lifestyles occupational factors and male fertility in peninsular malaysia |
| topic | male infertility income levels employment risks occupational stress lifestyles |
| url | https://journals.lww.com/10.4103/apjr.apjr_154_24 |
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