Collins J A, Burrows E A, Willan A R
Department of Obstetrics and Gynecology, Faculty of Health Sciences, McMaster University, Hamilton, Ontario.
Can J Public Health. 1994 Jan-Feb;85(1):28-32.
The influence of social class on the composition of infertile groups and on their use of health care services could reflect how the latter meet the non-urgent needs for health care in populations.
Clinical, demographic, and occupational variables were collected prospectively from 2,198 couples newly registered in 11 infertility clinics. Time to diagnostic laparoscopy and time to treatment were evaluated with the use of proportional hazards analysis.
Social class seems an important factor in the distribution of infertility diagnoses, although occupation and income were not associated with important clinical management decisions.
社会阶层对不孕群体构成及其医疗服务利用情况的影响，可能反映出医疗服务机构如何满足人群的非紧急医疗需求。
前瞻性收集了11家不孕不育诊所新登记的2198对夫妇的临床、人口统计学和职业变量。采用比例风险分析评估诊断性腹腔镜检查时间和治疗时间。
1）家庭收入处于上四分位数的夫妇，不孕持续时间比收入最低的夫妇短6个月；2）输卵管性不孕与较低的家庭收入独立相关；3）职业和收入与不孕的全面诊断评估或治疗可能性无关。
社会阶层似乎是不孕诊断分布中的一个重要因素，尽管职业和收入与重要的临床管理决策无关。
