ABSTRACT
OBJECTIVE: To examine the characteristics of women seeking infertility evaluation and treatment. DESIGN: Cross-sectional survey based on in-person interviews, followed by two-step hurdle analysis. SETTING: Not applicable. PATIENT(S): 4,558 married or cohabitating women ages 25 to 44 years. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Likelihood of seeking a preliminary infertility evaluation and of seeking infertility treatment once evaluated, and the treatment type provided. RESULT(S): Of 623 women (13.7%) who reported seeking an infertility evaluation, 328 reported undergoing subsequent infertility treatment. Age at marriage, marital status, education, health insurance status, race/ethnicity, and religion were associated with the likelihood of seeking infertility evaluation. For example, the predicted probability that a non-white woman who married at age 25 will seek evaluation was 12%. This probability increased to 34% for white women with a graduate degree who had married at age 30. Among women who were evaluated, income, employment status, and ethnicity correlated strongly with the likelihood of seeking infertility treatment. Infertility drug therapy was the most frequent treatment used, and reproductive surgery and in vitro fertilization (IVF) were used the least often. CONCLUSION(S): The use of infertility services is not random. Understanding the sociodemographic factors correlated with use may assist new couples with family planning. Roughly 50% of the women evaluated for infertility progressed to treatment, and only a small proportion were treated with more advanced assisted reproductive technologies such as in vitro fertilization. Future research aimed at improving access to effective health-care treatments within the boundaries of affordability is warranted.
Subject(s)
Health Knowledge, Attitudes, Practice , Infertility, Female/diagnosis , Infertility, Female/therapy , Outcome and Process Assessment, Health Care , Patient Acceptance of Health Care , Reproductive Techniques, Assisted , Adult , Age Factors , Cross-Sectional Studies , Female , Fertility , Health Care Surveys , Health Knowledge, Attitudes, Practice/ethnology , Health Services Accessibility , Humans , Infertility, Female/ethnology , Infertility, Female/physiopathology , Logistic Models , Male , Marital Status , Middle Aged , Odds Ratio , Patient Acceptance of Health Care/ethnology , Pregnancy , Socioeconomic Factors , Treatment Outcome , United States/epidemiologyABSTRACT
Compared with previous generations in the United States, men today are starting families later in life and having fewer children. As a result birthrates in the United States have dropped sharply, and some men never make the transition into parenthood. Using data from the 2006-2010 National Survey of Family Growth, this study examines the characteristics of childless men in the United States between the ages of 15 and 44 (N = 6,168) and whether these men want to have a child sometime in the future. Our main finding is that the majority of childless men want a child someday; however, by the age of 45 more than 1 in 7 still remain childless.
