Occupation and the follow-up of infertile couples.

Abstract:

OBJECTIVE:To evaluate the influence of socioeconomic factors on the outcomes of infertility, including pregnancy, adoption, resolution, and loss to follow-up. DESIGN:Prospective observational study. SETTING:Infertility clinics in 11 teaching hospitals. PATIENTS:Newly registered couples with infertility of > 1 year. INTERVENTIONS:Demographic, clinical, and occupational data were recorded at registration, and events including treatment, pregnancy, adoption, and resolution were recorded during up to 7 years of follow-up. MAIN OUTCOME MEASURES:Time to outcomes was evaluated by means of proportional hazards analyses with respect to the occurrence of conception of livebirth, adoption, resolution, or loss to follow-up. RESULTS:[1] The clinical predictors of pregnancy included duration of infertility, pregnancy history, female partner's age, diagnosis of tubal defect or endometriosis, and treatment; [2] the likelihood of livebirth was 1.38 times greater in partnerships with a male professional; [3] adoption was 1.64 times more likely with male professional partners; [4] loss to follow-up was 1.61 times more likely if the female partner was unemployed; and [5] the likelihood of resolution was unrelated to occupation or income variables. CONCLUSION:Socioeconomic factors, as expressed by occupation, are significantly associated with important outcomes among infertile couples.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Collins JA,Burrows EA,Willan AR

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

477-85

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)56164-0

journal_volume

60

pub_type

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