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Examination Survey, United States, 2013–2016
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July 2019
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Source: Sex Transm Dis. 46(7):446-451
[PDF-165.54 KB]
Details:
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Alternative Title:Sex Transm Dis
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Personal Author:
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Description:Background
Sexually transmitted diseases (STDs) including chlamydia and gonorrhea, cause pelvic inflammatory disease and infertility. We estimated the prevalence of infertility and infertility healthcare seeking.
Methods
We analyzed self-reported lifetime infertility and infertility healthcare-seeking in women aged 18–49 years in the 2013 and 2015 National Health and Nutrition Examination Surveys. Weighted prevalence of infertility and infertility healthcare seeking, prevalence ratios (PRs), and 95% confidence intervals (CIs) were calculated.
Results
Among 2,626 eligible women, 13.8% had self-reported infertility [95% CI 12.3–15.3] with higher prevalence by age: 6.4% [95% CI 4.8–8.0], n=960 18–29 year olds; 14.8% [95 % CI 12.2–17.3], n=799 30–39 year olds; and 20.8% [95% CI 17.2–24.4], n=867 40–49 year olds. Non-Hispanic white women (15.4% [95% CI 13.0–17.8]; n=904) and non-Hispanic black women (12.9% [95% CI 10.3–15.5]; n=575) had the highest infertility prevalences. Women reporting PID treatment (n=122) had higher infertility prevalence (24.2% [95% CI 16.2–32.2]) than women without PID treatment (13.3% [95% CI 11.6–15.0], n=2,485), especially among 18–29 year old women (PR 3.8 [95% CI 1.8–8.0)]. Of 327 women with infertility, 60.9% (95% CI 56.1–65.8) sought healthcare. Women without healthcare insurance sought care less frequently than women with insurance.
Conclusions
In a nationally-representative sample, 13.8% of reproductive-age women reported a history of infertility, of whom 40% did not access healthcare. Self-reported PID was associated with infertility, especially in young women. Annual chlamydia and gonorrhea screening to avert PID may reduce the burden of infertility in the US.
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Source:
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Pubmed ID:31194716
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Pubmed Central ID:PMC6579036
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Volume:46
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Issue:7
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