ArticleFertility and sterility2024
Educational gradients in the prevalence of medically assisted reproduction births in a comparative perspective.
Article in Fertility and sterility, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Maternal Methyl-Group Donor Intake and Neonatal Birth Size in Singleton IVF Pregnancies.Nutrients · 2026Article
- Microsimulation reveals that medically assisted reproduction is unlikely to compensate for cohort fertility decline due to increasing maternal ages.Human reproduction (Oxford, England) · 2026Article
- The fertility cascade: infertility prevalence, access to treatment, and successful live birth.American journal of obstetrics and gynecology · 2026Article
- Socioeconomic disparities in achieving a live birth after initiating ART treatment: a national register-based study among women in Denmark.Human reproduction open · 2026Article
- Article
- Infertile women's experience of stressful dilemmas during assisted reproductive technology treatment.Frontiers in reproductive health · 2026Article
- Positive demography: changing the perspective on population aging from the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Investigating Socioeconomic Disparities in Access to and Utilization of Assisted Reproductive Technology Among Infertile Couples in Pakistan: A Cross-Sectional Study.Health science reports · 2025Article
- The Diffusion of Late Fertility Across European Regions (2006-2018).Population, space and place · 2025Article
- Reproductive health at crossroads: progress and challenges since the International Conference on Population and Development in Cairo.China population and development studies · 2025Article
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Authors and funding
6 authors.
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Abstract
objectiveTo study educational gradients in births after medically assisted reproduction across 5 countries with different institutional arrangements.
designWe use logistic regression and compute predicted probabilities to estimate the association between education and giving birth after assisted reproduction, before and after adjustment for maternal age at delivery and marital/partnership status, using an overall sample of about 3.9 million live births in 5 countries. SETTINGS: Not applicable. PATIENTS: This study includes survey or register data containing information on births in 5 countries: N = 61,564 for Denmark, N = 37,533 for France, N = 12,889 for Spain, N = 17,097 for the United Kingdom, and N = 3,700,442 for the United States. INTERVENTION (FOR RCT) OR EXPOSURE (FOR OBSERVATIONAL STUDIES): None.
main outcome measuresThe probability of a child being born after medically assisted reproduction for mothers with a university degree relative to those having less than a university degree.
resultsUniversity-educated mothers are more likely to give birth after assisted reproduction compared with mothers with lower levels of education. After adjustment for socio-demographic characteristics, educational differences disappear in the United Kingdom and to some extent Spain, whereas they attenuate but persist in the other countries. The United States seems to show a larger educational gradient.
conclusionThe results suggest that the institutional setting around assisted reproduction may moderate the gradient. A possible explanation may be access to treatments, as the United States - the context with the lowest subsidization - seems to show larger educational gradients than other contexts. In the context of global postponement of childbearing to older ages, mothers with lower levels of socioeconomic resources might find it more difficult to fully realize their fertility intentions in countries with less generous subsidization of treatments.
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