ArticleEpidemiology (Cambridge, Mass.)2025
Life Course Financial Hardship and Fecundability in a North American Preconception Cohort Study.
Article in Epidemiology (Cambridge, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Discrimination and risk of spontaneous abortion in a preconception cohort study.Social science & medicine (1982) · 2026Article
- Are the Previously Reported Risk Factors for Endometriosis Actually Associated With Pain and Infertility Rather Than Endometriosis Itself?Reproductive medicine and biologyReview
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effects of life course financial hardship on fertility have not been well studied.
methodsWe examined the association between life course financial hardship and fecundability in Pregnancy Study Online (PRESTO), a preconception cohort study of US and Canadian pregnancy planners aged 21-45 years who identified as female (2013-2023; N = 6,377). We followed participants up to 12 months or until pregnancy. Participants reported financial hardship in childhood (≤11 years), adolescence (12-17 years), and adulthood (≥18 years) via three questions: not having enough money for living expenses; needing to borrow money for medical expenses; or receiving public assistance. We used inverse probability-weighted proportional probabilities models to estimate fecundability ratios (FRs) and 95% confidence intervals (CIs), accounting for time-dependent confounding and selection bias.
resultsCompared with no financial hardship, financial hardship during any life stage was associated with slightly reduced fecundability (FR = 0.93, 95% CI: 0.86, 1.0). Associations were similar for financial hardship during childhood and adolescence; however, those experiencing financial hardship during adulthood had lower fecundability (FR = 0.83, 95% CI: 0.77, 0.90). The association between adolescent financial hardship and fecundability was similar among those with and without childhood financial hardship. However, the association of adult financial hardship with fecundability was stronger among those who experienced hardship earlier in life (i.e., adult financial hardship among those with child/adolescent financial hardship: FR = 0.77; 95% CI: 0.64, 0.93).
conclusionAdulthood is a sensitive period for the effects of financial hardship on fecundability. Moreover, cumulative financial hardship across the life course was associated with greater reductions in fecundability.
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