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Infertility prevalence, needs assessment and purchasing

D J Gunnell1, P Ewings

  • 1Somerset Health Authority, Taunton.

Journal of Public Health Medicine
|March 1, 1994
PubMed
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Infertility prevalence remained stable across age groups, with no increase observed. However, younger women utilized fertility services more frequently, and lower socioeconomic groups consulted general practitioners (GPs) less often.

Area of Science:

  • Reproductive Health
  • Epidemiology
  • Public Health

Background:

  • Infertility affects a significant portion of women, impacting reproductive health and well-being.
  • Understanding the prevalence and trends of infertility is crucial for public health planning and resource allocation.
  • Previous studies have indicated potential increases in infertility, necessitating current prevalence data.

Purpose of the Study:

  • To assess the current prevalence of primary and secondary infertility in women of reproductive age in Somerset.
  • To investigate time trends in infertility prevalence and healthcare service utilization.
  • To explore socioeconomic factors influencing consultation with general practitioners (GPs) for infertility.

Main Methods:

  • A postal questionnaire survey was administered to three age groups of women (36-40, 41-45, 46-50 years).

Related Experiment Videos

  • A response rate of 75.7% was achieved, with data analyzed for infertility prevalence and service use.
  • Medical records of responders and non-responders were examined to assess potential biases in postal surveys.

    • Main Results:

    • Overall prevalence of primary infertility was 16.1% and secondary infertility was 15.8%, with no increasing trends observed.
    • 26.4% of women experienced infertility at some point; 3.0% were involuntarily childless.
    • Younger women utilized services more, while lower socioeconomic groups were less likely to consult GPs.

    Conclusions:

    • Infertility prevalence appears stable in the studied population, contrary to some previous concerns.
    • Service utilization for infertility varies by age, with younger women seeking help more often.
    • Socioeconomic disparities exist in accessing primary care for infertility concerns, highlighting a need for targeted interventions.