Occupation and the follow-up of infertile couples

J A Collins, John A. Collins, Collins JA, Burrows EA, E A Burrows, Elizabeth Burrows, Willan AR, A R Willan, Andrew R. Willan
Fertility and sterility · 1993 · vol. 60(3) , pp. 477–485 · doi:10.1016/s0015-0282(16)56164-0 · PMID:8375530 · W2412062769
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This study investigated the impact of occupational factors on the follow-up and outcomes of infertile couples undergoing fertility treatments.

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Abstract

ObjectiveTo evaluate the influence of socioeconomic factors on the outcomes of infertility, including pregnancy, adoption, resolution, and loss to follow-up.DesignProspective observational study.SettingInfertility clinics in 11 teaching hospitals.PatientsNewly registered couples with infertility of > 1 year.InterventionsDemographic, clinical, and occupational data were recorded at registration, and events including treatment, pregnancy, adoption, and resolution were recorded during up to 7 years of follow-up.Main outcome measuresTime to outcomes was evaluated by means of proportional hazards analyses with respect to the occurrence of conception of livebirth, adoption, resolution, or loss to follow-up.Results[1] The clinical predictors of pregnancy included duration of infertility, pregnancy history, female partner's age, diagnosis of tubal defect or endometriosis, and treatment; [2] the likelihood of livebirth was 1.38 times greater in partnerships with a male professional; [3] adoption was 1.64 times more likely with male professional partners; [4] loss to follow-up was 1.61 times more likely if the female partner was unemployed; and [5] the likelihood of resolution was unrelated to occupation or income variables.ConclusionSocioeconomic factors, as expressed by occupation, are significantly associated with important outcomes among infertile couples.

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MeSH descriptors

Employment Infertility Infertility Adult Female Follow-Up Studies Forecasting Humans Income Male Patient Dropouts Pregnancy Pregnancy Outcome Proportional Hazards Models Prospective Studies

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