Details:

Alternative Title:
J Womens Health (Larchmt)
Personal Author:
Crawford, Sara ; Smith, Ruben A. ; Kuwabara, Sachiko A. ; Grigorescu, Violanda
Crawford, Sara ; Smith, Ruben A. ; Kuwabara, Sachiko A. ; Grigorescu, Violanda Less -
Description:
Introduction

Population-level data on infertility and impaired fecundity are sparse. We explored the use of self-reported information provided by reproductive-aged women participating in the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS).

Materials and Methods

Three out of 12 questions on reproductive history, family planning, and infertility that seven states included in the 2013 BRFSS were used for this study. In addition to descriptive statistics, we used multinomial logistic regression to identify factors associated with ever experiencing infertility only, difficulty staying pregnant only, and neither infertility nor difficulty staying pregnant. We also explored the association between healthcare coverage and type of treatment received among women ever experiencing infertility only or difficulty staying pregnant only.

Results

Compared with women reporting having never experienced either infertility or difficulty staying pregnant, women who reported ever experiencing difficulty staying pregnant only were significantly more likely to report a history of depressive disorders and smoking (adjusted odds ratio [aOR] = 1.69, 95% confidence interval [CI] = 1.07–2.68 and aOR = 1.98, 95% CI = 1.22–3.20, respectively). Women who ever experienced infertility only were also more likely to report a history of depressive disorders (aOR = 2.02, 95% CI = 1.14–3.59), but less likely to report healthcare coverage (aOR = 0.26, 95% CI = 0.14–0.46). Only 18.9% (95% CI = 11.4–29.9) of women who ever experienced difficulty staying pregnant only reported seeking infertility treatment compared with 49.6% (95% CI = 34.9–64.4) of women who ever experienced infertility only.

Conclusions

Ongoing public health surveillance systems of state-specific self-reported data, such as BRFSS, provide the opportunity to explore preventable risk factors and treatment use related to infertility and impaired fecundity.


Subjects:
[+]
Adolescent Adult Behavioral Risk Factor Surveillance System Female Fertility Humans Infertility, Female Population Surveillance Pregnancy Public Health Surveillance Referral And Consultation Reproductive Health Risk Factors Young Adult
Source:
J Womens Health (Larchmt). 26(5):500-510
Pubmed ID:
28186831
Pubmed Central ID:
PMC5576020
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Name as Subject:
Behavioral Risk Factor Surveillance System (U.S.) ; Centers for Disease Control and Prevention (U.S.) ; Centers for Disease Control and Prevention (U.S.)
Behavioral Risk Factor Surveillance System (U.S.) ; Centers for Disease Control and Prevention (U.S.) ; Centers for Disease Control and Prevention (U.S.) Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2a5b152cdc240dae09620e525073259e2ff62fe0a8966da5c7acd153a05607b2
Download URL:
https://stacks.cdc.gov/view/cdc/47866/cdc_47866_DS1.pdf
File Type:

Supporting Files

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