Evidence map›Paper›PMID 32681982›Full record

ArticleAnnals of epidemiology2020

Association of income and education with fecundability in a North American preconception cohort.

Nina L Schrager, Amelia K Wesselink, Tanran R Wang, Elizabeth E Hatch, Kenneth J Rothman, Ellen M Mikkelsen, Renée D Boynton-Jarrett, Lauren A Wise

Abstract readEvaluation Study
In one paragraph

Article in Annals of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Racialized economic segregation in relation to fecundability in a preconception cohort study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nina L SchragerDepartment of Epidemiology, Boston University School of Public Health, Boston, MA. Electronic address: nina15@bu.edu.
Amelia K WesselinkDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Tanran R WangDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Elizabeth E HatchDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Kenneth J RothmanDepartment of Epidemiology, Boston University School of Public Health, Boston, MA; RTI Health Solutions, Research Triangle Park, NC.
Ellen M MikkelsenDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Renée D Boynton-JarrettDepartment of Pediatrics, Boston University School of Medicine, Boston, MA.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.

Funding

An internet-based preconception cohort study in North America and DenmarkR01HD086742 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAUREN A WISE · 2016 to 2026
$6.7M
BURPPE:BU Reproductive, Perinatal, and Pediatric Epidemiology Training ProgramT32HD052458 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WERLER, MARTHA M. · 2007 to 2016
$2.0M
Feasibility of an internet-based study of time-to-pregnancy in the United StatesR21HD072326 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WISE, LAUREN A · 2013 to 2014
$337k
NICHD NIH HHS R01 HD086742NICHD NIH HHS R21 HD072326NICHD NIH HHS T32 HD052458
6 · The paper itself

Abstract

purposeThe purpose of this study is to evaluate socioeconomic determinants of fecundability.

methodsAmong 8654 female pregnancy planners from Pregnancy Study Online, a North American prospective cohort study (2013-2019), we examined associations between socioeconomic status and fecundability (the per-cycle probability of conception). Information on income and education was collected via baseline questionnaires. Bimonthly follow-up questionnaires were used to ascertain pregnancy status. We estimated fecundability ratios (FRs) and 95% confidence intervals (CIs) using proportional probabilities regression, controlling for potential confounders.

resultsRelative to an annual household income of greater than or equal to $150,000, adjusted FRs were 0.91 (95% CI: 0.83-1.01) for less than $50,000, 0.99 (95% CI: 0.92-1.07) for $50,000-$99,000, and 1.09 (95% CI: 1.01-1.18) for $100,000-$149,000. FRs for less than 12, 13-15, and 16 years of education, relative to greater than or equal to 17 years, were 0.90 (95% CI: 0.76-1.08), 0.84 (95% CI: 0.78-0.91), and 0.89 (95% CI: 0.84-0.95), respectively. Slightly stronger associations for income and education were seen among older women.

conclusionsLower levels of education and income were associated with modestly reduced fecundability. These results demonstrate the presence of socioeconomic disparities in fecundability.

Indexed as

Educational StatusFertilityAdultFemaleHumansIncomeMaternal AgePregnancyProspective StudiesReproductive HealthSurveys and QuestionnairesTime-to-PregnancyUnited StatesEducationFecundabilityIncomeSocial determinants of healthSocioeconomic statusTime to pregnancy

Identifiers

PMID32681982
PMCPMC7541799

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.