HHS Public Access Author manuscript Author Manuscript
Fertil Steril. Author manuscript; available in PMC 2017 May 01. Published in final edited form as: Fertil Steril. 2016 May ; 105(5): 1274–1280. doi:10.1016/j.fertnstert.2015.12.132.
Who receives a medical evaluation for infertility in the United States? Leslie V Farland, ScM*,1, Ai-ris Y Collier, MD2, Katharine F Correia, MPH3, Francine Grodstein, ScD1,4, Jorge E Chavarro, MD, ScD1,4,5, Janet Rich-Edwards, ScD1,4,6, and Stacey A Missmer, ScD1,4,7 1
Author Manuscript
Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
2
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA
3
Department of Biostatistics, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
4
Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA , 02115
5
Department of Nutrition, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
6
Author Manuscript
Connors Center for Women’s Health and Gender Biology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115
7
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital and Harvard Medical School, 221 Longwood Avenue, Boston, MA, 02115
Abstract Objective—To investigate characteristics of receiving a medical evaluation for infertility among infertile women Design—Prospective Cohort Setting—Academic Institution
Author Manuscript
Patients—Seven thousand four-hundred and twenty two women who reported incident infertility between 1989 and 2009 in the Nurses’ Health Study II. Intervention—None
*
Corresponding Author: Leslie Farland, Department of Epidemiology, 677 Huntington Ave., Boston, MA 02115, [email protected], 563-940-1579. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Capsule: In addition to financial access influencing who receives a medical evaluation for infertility, demographic and healthy lifestyle characteristics are associated with a medical evaluation for infertility among infertile women.
Farland et al.
Page 2
Main Outcome Measures—Report of receiving a medical evaluation for infertility
Author Manuscript
Results—Approximately 65% of women who reported infertility had a medical evaluation for infertility. Infertile women who were parous (RR:0.81, CI:0.78, 0.84), older (P-value, test for linear trend:
Fertil Steril. Author manuscript; available in PMC 2017 May 01. Published in final edited form as: Fertil Steril. 2016 May ; 105(5): 1274–1280. doi:10.1016/j.fertnstert.2015.12.132.
Who receives a medical evaluation for infertility in the United States? Leslie V Farland, ScM*,1, Ai-ris Y Collier, MD2, Katharine F Correia, MPH3, Francine Grodstein, ScD1,4, Jorge E Chavarro, MD, ScD1,4,5, Janet Rich-Edwards, ScD1,4,6, and Stacey A Missmer, ScD1,4,7 1
Author Manuscript
Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
2
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA
3
Department of Biostatistics, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
4
Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA , 02115
5
Department of Nutrition, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115
6
Author Manuscript
Connors Center for Women’s Health and Gender Biology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115
7
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital and Harvard Medical School, 221 Longwood Avenue, Boston, MA, 02115
Abstract Objective—To investigate characteristics of receiving a medical evaluation for infertility among infertile women Design—Prospective Cohort Setting—Academic Institution
Author Manuscript
Patients—Seven thousand four-hundred and twenty two women who reported incident infertility between 1989 and 2009 in the Nurses’ Health Study II. Intervention—None
*
Corresponding Author: Leslie Farland, Department of Epidemiology, 677 Huntington Ave., Boston, MA 02115, [email protected], 563-940-1579. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Capsule: In addition to financial access influencing who receives a medical evaluation for infertility, demographic and healthy lifestyle characteristics are associated with a medical evaluation for infertility among infertile women.
Farland et al.
Page 2
Main Outcome Measures—Report of receiving a medical evaluation for infertility
Author Manuscript
Results—Approximately 65% of women who reported infertility had a medical evaluation for infertility. Infertile women who were parous (RR:0.81, CI:0.78, 0.84), older (P-value, test for linear trend:
