在医疗辅助生殖分娩的流行中的教育梯度在一个比较的视角
Alice Goisis1, Peter Fallesen2, Marta Seiz3
1Centre for Longitudinal Studies, University Central London, London, United Kingdom.
Fertility and sterility
|May 20, 2024
概括
更受过高等教育的母亲更有可能使用辅助生殖,但这种教育梯度因国家而异. 像美国这样的国家的低补贴可能会限制低社会经济群体的获取.
科学领域:
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
- 比较健康政策的比较健康政策
背景情况:
- 教育成就与各种健康结果有关.
- 医疗辅助生殖 (MAR) 的使用可能因社会经济群体而异.
- 跨国比较对于理解医疗保健获取和差异至关重要.
研究的目的:
- 调查在MAR之后出生的教育梯度.
- 为了比较这些梯度在五个国家与不同的医疗保健系统.
- 探索机构因素如何影响MAR获取的教育差异.
主要方法:
- 大规模出生数据的物流回归分析 (约. 3.9 百万个出生).
- 预测概率的计算,以评估教育和MAR之间的关联.
- 根据母亲的年龄和婚姻/伴侣关系状况进行调整.
主要成果:
- 与受教育程度较低的母亲相比,受过大学教育的母亲患MAR分娩的可能性更高.
- 英国和西班牙的教育梯度下降,但在其他地方仍然存在.
- 美国在MAR出生中表现出更明显的教育梯度.
结论:
- 国家医疗保健政策和治疗补贴似乎在马尔的教育梯度中适度.
- 美国的低补贴可能会加剧MAR获取的差异.
- 社会经济因素可能会阻碍生育意图,特别是在有限的MAR支持的国家,特别是当妇女推迟生育时.
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