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Religious coping self-efficacy as facilitator: How infertility experience moderates reproductive technology
1Regional Institute for Population Studies, University of Ghana, Accra, Ghana.
Summary
Religiosity influences acceptance of assisted reproductive technology (ART) indirectly through religious coping self-efficacy, not directly. Infertility experience moderates this relationship in a Ghanaian population.
Area of Science:
- Reproductive Health
- Psychology of Religion
- Sociology of Health
Background:
- Religiosity is a significant factor in health decisions, particularly in African contexts.
- Understanding the mechanisms linking religiosity and assisted reproductive technology (ART) acceptance is crucial for culturally sensitive care.
- Religious coping self-efficacy may mediate the relationship between religiosity and health behaviors.
Purpose of the Study:
- To investigate if religious coping self-efficacy mediates the association between religiosity and ART acceptance.
- To examine if personal infertility experience moderates this indirect association.
- To explore these relationships within a highly religious Ghanaian population.
Main Methods:
- Cross-sectional survey of 938 adults in Ghana using multi-stage probability sampling.
- Generalized additive models employed to test a dual-stage moderated mediation framework.
- Bootstrapped confidence intervals used to assess indirect associations.
Main Results:
- Religiosity had a negligible direct effect on ART acceptance but a significant positive indirect effect via religious coping self-efficacy (ab=0.031).
- Infertility experience demonstrated compensatory moderation, weakening the religiosity-coping link but strengthening the coping-acceptance link.
- Religious coping self-efficacy showed a stronger association with ART acceptance than belief intensity.
Conclusions:
- Religiosity's impact on ART acceptance is primarily mediated by religious coping self-efficacy.
- Pargament's religious coping theory is presented as a contextually contingent model.
- Fertility services should consider assessing religious coping capabilities alongside belief intensity.
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