Evidence map›Paper›PMID 34036457›Full record

ArticleJournal of assisted reproduction and genetics2021

Condition, disease, disability: how the label used to describe infertility may affect public support for fertility treatment coverage.

Abigail C Mancuso, Karen M Summers, Rebecca Chung, Ginny L Ryan, Aaron M Scherer

Open access · bronzeAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. New Frontiers in Reproductive Health: Australians' Support for Uterus Transplantation.The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Article
  2. 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

5 authors at 3 institutions in 1 country.

Abigail C MancusoDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52241, USA. Abigail-mancuso@uiowa.edu.ORCID http://orcid.org/0000-0001-9485-7571
Karen M SummersDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52241, USA.
Rebecca ChungDepartment of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Ginny L RyanDepartment of Obstetrics and Gynecology, University of Washington School of Medicine, 1959 NE Pacific Street, Seattle, WA, 98195, USA.
Aaron M SchererDepartment of Internal Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52241, USA.
University of Iowa Hospitals and Clinics · USUniversity Hospitals of Cleveland · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess public attitudes towards fertility treatment coverage and whether attitudes are influenced by infertility labels.

methodsCross-sectional, web survey-based experiment using a national sample of 1226 United States adults. Participants read identical descriptions about infertility, with the exception of random assignment to infertility being labeled as a "condition," "disease," or "disability." Participants then responded to questions measuring their beliefs and attitudes towards policies related to the diagnosis and treatment of infertility. We measured public support for infertility policies, public preference for infertility labels, and whether support differed by the randomly assigned label used. We also queried associations between demographic data and support for infertility policies.

resultsSupport was higher for insurance coverage of infertility treatments (p=.014) and fertility preservation (p=.017), and infertility public assistance programs (p=.036) when infertility was described as a "disease" or "disability" compared to "condition." Participants who were younger, were planning or trying to conceive, had a family member or friend with infertility, and/or had a more liberal political outlook were more likely to support infertility policies. A majority of participants (78%) felt the term "condition" was the best label to describe infertility, followed by "disability" (12%). The least popular label was "disease" (10%). Those preferring "condition" were older (p<.001), more likely to be non-Hispanic White (p=.046), and less likely to have an infertility diagnosis (p<.001).

conclusionWhile less commonly identified as the best descriptors of infertility, labeling infertility as a "disease" or "disability" may increase support for policies that improve access to infertility care.

Indexed as

Health Knowledge, Attitudes, PracticePublic OpinionAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleFertility PreservationHumansInfertilityInsurance CoverageMaleMiddle AgedSurveys and QuestionnairesUnited StatesAccess to careDefinitionsInfertilitySurvey

Identifiers

PMID34036457
PMCPMC8149289
OpenAlexW3165333245

What OpenQuestion holds

Textmetadata
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.