{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:16:14Z","timestamp":1783682174620,"version":"3.55.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Semen quality is a key factor in male reproductive health. The multifactorial etiology of male infertility involves complex interactions between environmental exposures and psychological states. The \u201cmind-body\u201d interaction, specifically the synergistic impact of lifestyle, social support, and fertility stress on semen quality, remains underexplored. This cross-sectional study recruited 485 men from our hospital between May 2021 and April 2023. Participants were categorized into normal (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 256) and low semen quality (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 229) groups based on\n                    <jats:italic toggle=\"yes\">WHO Laboratory Manual for the Examination and Processing of Human Semen (6th Edition)<\/jats:italic>\n                    . Participants completed the Social Support Rating Scale (SSRS), Fertility-related Quality of Life (FertiQoL), and Fertility Problem Inventory (FPI). Backward stepwise logistic regression was employed to identify independent predictors. Occupational heat exposure was the strongest risk factor (adjusted odds ratio [OR] = 4.188, 95% confidence interval [CI]: [1.527, 11.484],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .005). Higher fertility-related stress showed a trend toward an independent association with low semen quality (adjusted OR = 1.005 per point, 95% CI: [1.000, 1.011],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .068). Higher education level was a protective factor of semen quality (adjusted OR = .624, 95% CI: [0.415, 0.937],\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .023). Clinical management of male infertility should integrate psychological screening with occupational health guidance to optimize reproductive outcomes.\n                  <\/jats:p>","DOI":"10.1177\/15579883261454721","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T07:26:18Z","timestamp":1783495578000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Heat Exposure and Fertility Stress as Independent Factors of Low Semen Quality: A Multidimensional Analysis"],"prefix":"10.1177","volume":"20","author":[{"given":"Ningning","family":"Han","sequence":"first","affiliation":[{"name":"Department of Prenatal Diagnosis, Reproductive Medicine Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China"},{"name":"State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Xinjiang Medical University, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Prenatal Diagnosis, Reproductive Medicine Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijuan","family":"He","sequence":"additional","affiliation":[{"name":"School of Public Health, Xinjiang Medical University, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4782-3998","authenticated-orcid":false,"given":"Rui","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Prenatal Diagnosis, Reproductive Medicine Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China"},{"name":"State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Xinjiang Medical University, Urumqi, China"},{"name":"Xinjiang Clinical Research Centre for Reproductive Immunology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abulizi M. 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