男性因子不孕症和农村-城市连续体
Devon M Langston1, Kiarad Fendereski2, Joshua Halpern3
1Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT.
Urology
|November 10, 2024
概括
与大都市地区相比,农村地区的男性面临更大的不孕问题,成功率较低,怀孕时间较长. 这突显了农村和城市之间的生育护理差异.
科学领域:
- 生殖医学 生殖医学
- 环境健康 环境健康
- 人口统计学 人口统计学
背景情况:
- 男性因子不孕症是影响生殖健康的一个重大问题.
- 地理位置,特别是农村-城市连续性,可能会影响不孕症的诊断和结果.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 调查男性因子不孕症与沿城乡连续线的地理位置之间的关联.
- 为了确定居住在大都市地区与非大都市地区是否会影响生育结果.
- 根据地点,识别生育治疗利用率和成功率的潜在差异.
主要方法:
- 一项回顾性队列研究利用了犹他州人口数据库,将人口统计,医疗和住宅数据联系起来.
- 分析了1998年至2017年的生育率数据.
- 根据美国农业部的农村-城市连续代码,参与者被分类为大都市和非大都市分类.
主要成果:
- 非大都市城市/农村地区的男性不太可能属于种族/少数民族,也不太可能使用辅助生殖技术.
- 完全的农村生活与成功生育结果的可能性降低有显著的关联 (HR 0.60).
- 完全的农村也与更长的时间实现成功的生育结果有关 (超过60个月,而大都市地区为34个月).
结论:
- 大都市居住与更高的种族/民族多样性,生育治疗利用率和成功的生育结果有关.
- 在农村-城市连续路线上,生育护理和结果存在显著的差异.
- 这些发现强调了为农村人口量身定制的不孕症护理策略的需要.
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