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Self-estee m in crisis: Psychosocial adaptation and masculine identity among Chinese men with azoospermia

Author

Listed:
  • Fangliang Zou
  • Jue Li
  • Yi Fang
  • Jiliang Huang
  • Zikai Feng
  • Hang Shi
  • Yu Lan
  • Yang Zhang
  • Ruiyun Chen
  • Yanshan Lin

Abstract

Background: Azoospermia affects 1% of men and 10–20% of infertile males, yet the psychosocial mechanisms underlying self-esteem impairment remain poorly characterized. Guided by Connell’s Masculinity Theory and Bury’s Biographical Disruption Framework, this mixed methods study examined self-esteem experiences among Chinese men with azoospermia. Methods: An explanatory sequential design was employed. Phase 1 surveyed 216 men using Rosenberg’s Self-Esteem Scale, with multiple regression identifying predictors. Phase 2 involved semi-structured interviews with 16 purposively sampled participants, analyzed through thematic analysis. Integration of quantitative and qualitative findings provided comprehensive interpretation. Results: Quantitative analysis revealed moderate self-esteem overall (mean = 30.18 ± 3.99), with 10.19% exhibiting low self-esteem. Significant predictors included monthly income (β = 0.210, p

Suggested Citation

  • Fangliang Zou & Jue Li & Yi Fang & Jiliang Huang & Zikai Feng & Hang Shi & Yu Lan & Yang Zhang & Ruiyun Chen & Yanshan Lin, 2026. "Self-estee m in crisis: Psychosocial adaptation and masculine identity among Chinese men with azoospermia," PLOS ONE, Public Library of Science, vol. 21(1), pages 1-16, January.
    • Handle: RePEc:plo:pone00:0338811
    DOI: 10.1371/journal.pone.0338811
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