Goisis, Alice;
Fallesen, Peter;
Seiz, Marta;
Salazar, Leire;
Eremenko, Tatiana;
Cozzani, Marco;
(2024)
Educational gradients in the prevalence of medically assisted reproduction births in a comparative perspective.
Fertility and Sterility
10.1016/j.fertnstert.2024.05.149.
(In press).
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Abstract
Objective: To study educational gradients in births after medical assisted reproduction across five countries with different institutional arrangements. Design: We use logistic regression and compute predicted probabilities to estimate the association between education and giving birth after assisted reproduction, before and after adjustment for maternal age at delivery and marital/partnership status, using an overall sample of about 3.9 million live births in five countries. Subjects: This study includes survey or register data containing information on births in five countries: N=61, 564 for Denmark, N= 37,533 for France, N=12,889 for Spain, N= 17,097 for the United Kingdom, and N=3,700,442 for the United States. Intervention (for RCT) or Exposure (for observational studies) None. Main Outcome Measures: Probability of a child being born after medically assisted reproduction for mothers with a university degree relative to those having less than a university degree. Results: University educated mothers are more likely to give birth after assisted reproduction compared to mothers with lower levels of education. After adjustment for socio-demographic characteristics, educational differences disappear in the United Kingdom and to some extent Spain, whilst they attenuate but persist in the other countries. The United States seems to show a larger educational gradient. Conclusion: The results suggest that the institutional setting around assisted reproduction may moderate the gradient. A possible explanation may be access to treatments, as the United States – the context with the lowest subsidization – seems to show larger educational gradients than other contexts. In a context of global postponement of childbearing to older ages, mothers with lower levels of socioeconomic resources might find it more difficult to fully realise their fertility intentions in countries with a less generous subsidization of treatments.
| Type: | Article |
|---|---|
| Title: | Educational gradients in the prevalence of medically assisted reproduction births in a comparative perspective |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.fertnstert.2024.05.149 |
| Publisher version: | http://dx.doi.org/10.1016/j.fertnstert.2024.05.149 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Keywords: | Medically assisted reproduction; population-based studies; social inequality; educational gradient; comparative study |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10192669 |
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