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Table2 Content analysis of the questionnaire including CVI, CVR and exploratory factor analysis of ISI-F

From: Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study

Factors and items of ISI-F

Factor loading

CVRa

CVIb

F1

F2

F3

Factor1: stigma profile (7 items)

Eigenvalue = 4.26, Variance = 21.34%

Others taunt me because of my infertility

.699c

.220

.204

0.87

0.92

Others’ feeling pity for my infertility is disturbing

.801

.138

.057

0.99

0.94

Others’ questions and curiosity about my infertility disturbs me

.771

.354

.091

0.86

0.98

I feel that others look at me differently because of my infertility

.597

.227

.345

0.89

0.94

Pressure from others and the society is more disturbing than infertility

.703

.245

.191

0.89

1.00

I do not like to be called “infertile”

.649

.242

.131

0.86

1.00

Other women, do not understand me

.665

.087

.175

0.81

0.80

Factor2: self-stigma (6 items)

Eigenvalue = 3.69, Variance = 18.47%

Infertility is considered as a defect for women

.076

.634

.169

0.82

1.00

I feel inferior to others because I cannot get pregnant

.228

.716

.205

0.84

0.98

I am worry that my husband would remarry or divorce me because I am infertile

.123

.534

.007

0.81

0.92

I want to have child as soon as possible to get rid of others’ negative words

.452

.551

.185

1.00

1.00

I avoid being in gatherings because of my infertility problem

.169

.680

.174

0.87

0.98

I feel sad when others have children

.051

.602

.228

0.84

0.80

Factor3: escaping from stigma (7 items)

Eigenvalue = 2.84, Variance = 14.19%

I make excuses for not getting pregnant (I have not decided to have children…)

.316

.076

.740

0.84

0.87

I do not want to talk to others about my infertility

.374

.133

.596

0.82

0.94

I hide my infertility problem from others

.146

.206

.822

0.86

1.00

I talk to my family about my infertility (R)d

.201

.168

.510

0.84

0.91

I hide my infertility problem from my in-laws

.023

.192

.721

0.90

0.98

I am worried that others know my infertility problem

.313

.161

.714

0.98

1.00

I try to keep my distance with others to avoid their interference

.350

.315

.518

1.00

0.99

  1. aContent validity index
  2. bContent validity ratio
  3. cBold numbers show the items’ loading of underlying fact
  4. dReverse scoring