Identifying High Psychosocial Distress among Adults Experiencing Infertility: Contextual and Treatment-Related Factors in Juba, South Sudan

Infertility-related distress is often screened as an individual emotional problem, yet treatment exposure, stigma, financial burden and family support may be equally important in determining who requires closer psychosocial assessment. This paper examined contextual and clinical predictors of an analytical high-psychosocial-distress classification among adults experiencing infertility in Juba, South Sudan. Methods: A pragmatist convergent mixed-methods analytical cross-sectional study generated 100 individual participant records (55 women and 45 men). The high-distress outcome was used as a research screening category and was not interpreted as a psychiatric diagnosis. Candidate predictors were age, gender, treatment duration, family/community stigma, economic burden, family-support deficit, adaptive coping and psychoeducation. Binary logistic regression estimated odds ratios and 95% confidence intervals. Bivariate family-support analysis, multiple linear regression of continuous psychosocial influence and qualitative thematic findings were used for triangulation. Results: The logistic model was significant, likelihood-ratio χ²(8)=39.262, p