Impaired fecundity in the United States: 1982-1995
Impaired fecundity in the United States: 1982-1995
复制标题
DOI：
10.2307/2991524
复制
发表时间：
1998-01-01
期刊：
影响因子：
--
通讯作者：
Stephen, EH
中科院分区：
文献类型：
--
作者：
Chandra, A;Stephen, EH
背景：1995年全国家庭增长调查(NSFG)提供了新的具有全国代表性的数据，以检验美国普遍认为的生育力受损在过去十年中一直在上升的假设的准确性。方法：利用1982年、1988年和1995年全国家庭增长调查的数据，检查生育能力受损的妇女和接受不孕不育服务的妇女的比例和数量的趋势。结果：美国15-44岁的女性中，报告有某种形式的生育能力受损的比例从1982年和1988年的8%上升到1995年的10%，绝对数从460万增加到620万。虽然1988年至1995年间寻求医疗帮助的生育障碍妇女的比例没有变化(44%)，但这类妇女的绝对数量增长了近30%，从210万人增加到270万人。曾经因生育问题寻求帮助的女性比没有寻求帮助的女性年龄更大，收入更高，更有可能结婚。结论：美国生育力受损女性数量的急剧增加是因为大量的婴儿潮队列，其中许多人推迟了生育，已经到了生育能力较差的晚年，几乎所有年龄平等的婚姻状况、教育收入、种族和民族亚群都出现了这种比率和数字的增加。
Context: The 1995 National Survey of Family Growth (NSFG) provides new nationally representative data to test the accuracy of the commonly held assumption that impaired fecundity has been rising in the United States over the past decade.Methods: Using data from the 1982, 1988 and 1995 rounds of the NSFG, trends in both the proportions and numbers of women with impaired fecundity and of those who received infertility services were examined. Multiple logistic regressions were carried out to estimate the effects of demographic characteristics on the likelihood of currently having impaired fecundity and of ever having received medical help for infertility.Results: The proportion of U.S. women aged 15-44 who reported some form of fecundity impairment rose from 8% in 1982 and 1988 to 10% in 1995, an increase in absolute numbers from 4.6 million to 6.2 million women. Although the proportion of fecundity-impaired women who had ever sought medical help did not change between 1988 and 1995 (44%), The absolute numbers of such women grew by nearly 30%, from 2.1 million to 2.7 million. Women who had ever sought help for fertility problems were older and had a higher income than those who had not, and were more likely to be married.Conclusion: The dramatic increase in the numbers of U.S. women with impaired fecundity occurred because the large baby-boom cohort, many of whom delayed childbearing, had reached their later and less fecund reproductive years, this increase in both rates and numbers occurred across almost all age parity marital status, education Income, and race and ethnicity subgroups.