不妊症の蔓延,治療へのアクセス,成功する生産

Theresa Boyer¹, Linh Tran², Michael Fang¹

¹Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA.

American journal of obstetrics and gynecology

|August 22, 2025

まとめ

妊産婦のケアへのアクセスは依然として低く,大きな格差がある. 治療を受けるのは39%で生まれてくるのは10%でこれは生育サービスにおける深刻な不平等を強調しています

科学分野:

生殖健康
医療サービス研究
健康社会学

背景:

アメリカでの不妊治療へのアクセスはサービス提供,保険,法律,社会的要因によって妨げられています.
妊活サービスの需要は高まっていますが人口統計では利用と結果がよくわかっていません

研究の目的:

不妊の認知度,治療へのアクセス,生児率を数値化するために,ケア枠組のカスケードを使用します.
不妊治療の利用と成果における社会統計学的格差を特定する.

主な方法:

WHO,NHANES (2013-2020),米国出生証明書 (2016-2021) のデータを分析したケアフレームワークのカスケードを使用した.
不妊症の発生率,治療へのアクセス,生児の発症を調査した.
人種,民族,教育,保険状況,年齢による格差を評価した.

主要な成果:

20歳から44歳までの米国の女性の12%が不妊症を報告し,その認識は70%でしたが,治療へのアクセスは39%しかありませんでした.
生育治療による生児は全体で10%で,有意な人種的/民族的差異があった (アジア系/白人女性で最も多く,ヒスパニック系/黒人女性で最も少ない).
高等教育と民間保険は治療へのアクセスと生産率の上昇と相関しています

結論:

アメリカでは不妊治療を受ける女性の半数未満で生産の成功率はわずか10%で大きな格差を明らかにしています
黒人,ヒスパニック,社会経済的に恵まれない女性は妊活の成功に最も大きな障壁に直面しています
医療制度と政策立案者が不平等に対処し,特に新興の規制的な法律によって公平な受診を保証する必要がある.

キーワード:

NHANES についてアメリカ合衆国助産生殖技術健康格差試管受精保険の障壁母親の年齢生殖内分泌学健康の社会的決定因子トリートメント利用

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