Farr Sherry L, Anderson John E, Jamieson Denise J, Warner Lee, Macaluso Maurizio
Division of Reproductive Health, US Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Fertil Steril. 2009 Apr;91(4):988-97. doi: 10.1016/j.fertnstert.2008.01.057. Epub 2008 Mar 17.
To determine demographic characteristics associated with pregnancy and, separately, discontinuation of infertility services when unsuccessful at achieving pregnancy, among a national sample of women who received infertility services.
Using a log-linear regression model, we examined associations with becoming pregnant among women who had received infertility services; and using a Cox proportional hazards model, we examined associations with earlier infertility service discontinuation.
2002 National Survey of Family Growth, Cycle 6.
PARTICIPANT(S): A total of 530 women aged 18-44 years in the 2002 National Survey of Family Growth who had received infertility services.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Relative risks for predictors of pregnancy after receiving infertility services; median time to discontinuation of infertility services; hazard ratios for predictors of earlier discontinuation of services.
RESULT(S): Fifty-nine percent of respondents became pregnant while receiving infertility services, and 32% reported discontinuing infertility services before establishing a pregnancy. Women received infertility services for a median of 8 months; among those who discontinued services, more than half did so within 1 month. Among women who received infertility services, those who were white, nonsmokers, nulliparous, had insurance coverage, and received more than advice had a higher likelihood of pregnancy. Non-whites, parous women, and smokers discontinued infertility services earlier than others.
CONCLUSION(S): Patients should be adequately counseled regarding modifiable behaviors and the range of services available before making decisions regarding their infertility.
在接受不孕不育治疗的全国女性样本中，确定与怀孕相关的人口统计学特征，以及在怀孕未成功时停止不孕不育治疗的相关特征。
我们使用对数线性回归模型研究接受不孕不育治疗的女性怀孕的相关因素；并使用Cox比例风险模型研究与更早停止不孕不育治疗的相关因素。
2002年全国家庭生育调查，第6轮。
2002年全国家庭生育调查中共有530名年龄在18 - 44岁且接受过不孕不育治疗的女性。
无。
接受不孕不育治疗后怀孕预测因素的相对风险；停止不孕不育治疗的中位时间；更早停止治疗预测因素的风险比。
59%的受访者在接受不孕不育治疗期间怀孕，32%的受访者在怀孕前就停止了不孕不育治疗。女性接受不孕不育治疗的中位时间为8个月；在停止治疗的女性中，超过一半在1个月内就停止了治疗。在接受不孕不育治疗的女性中，白人、不吸烟、未生育、有保险且接受过不止是建议的女性怀孕的可能性更高。非白人、经产妇和吸烟者比其他人更早停止不孕不育治疗。
在患者就其不孕不育问题做出决定之前，应就可改变的行为和可用的服务范围给予充分的咨询。
