Journal article
Affordability of Fertility Treatments and Multiple Births in the United States
Paediatric and perinatal epidemiology, Vol.31(5), pp.438-448
09/01/2017
DOI: 10.1111/ppe.12383
PMID: 28762537
Abstract
BackgroundAffordability plays an important role in the utilisation of in vitro fertilisation (IVF) and non-IVF fertility treatments. Fertility treatments are associated with increased risk of multiple births. The objective of this study was to investigate the association between the affordability of fertility treatments across US states and the percentage of multiple births due to natural conception, non-IVF treatments, and IVF, and the association between these percentages and state-specific multiple birth rates.
MethodsState-specific per capita disposable personal income and state-specific infertility insurance mandates were used as measures of affordability. Maternal age-adjusted percentages of multiple births due to natural conception, non-IVF treatments, and IVF were estimated for each state using birth certificate and IVF data. Scatter plots and regression analysis were used to explore associations between state-level measures of affordability, the percentage of multiple births due to natural conception and fertility treatments, and state-specific multiple birth rates.
ResultsIn 2013, age-adjusted contributions of natural conception, non-IVF fertility treatments, and IVF to multiple births in US were 58.2, 22.8, and 19.0% respectively. States with greater affordability of fertility treatments had higher percentages of multiples due to IVF and lower percentages due to natural conception. Higher percentages of multiples due to IVF and lower percentages due to natural conception were associated with higher state-specific multiple birth rates.
ConclusionIncreasing affordability of fertility treatments may increase state-specific multiple birth rates. Policies and treatment practices encouraging single-gestation pregnancies may help reduce multiple births resulting from these treatments.
Details
- Title: Subtitle
- Affordability of Fertility Treatments and Multiple Births in the United States
- Creators
- Aniket D. Kulkarni - Centers for Disease Control and PreventionEli Y. Adashi - Brown UniversityDenise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionSara B. Crawford - National Center for Chronic Disease Prevention and Health PromotionSaswati Sunderam - National Center for Chronic Disease Prevention and Health PromotionDmitry M. Kissin - Centers for Disease Control and Prevention
- Resource Type
- Journal article
- Publication Details
- Paediatric and perinatal epidemiology, Vol.31(5), pp.438-448
- Publisher
- Wiley
- DOI
- 10.1111/ppe.12383
- PMID
- 28762537
- ISSN
- 0269-5022
- eISSN
- 1365-3016
- Number of pages
- 11
- Language
- English
- Date published
- 09/01/2017
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446530402771
Metrics
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