Supply of and demand for assisted reproductive technologies in the United States: clinic- and population-based data, 1995-2010.
OBJECTIVE
To study national-level trends in assisted reproduction technology (ART) treatments and outcomes as well as the characteristics of women who have sought this form of infertility treatment.


DESIGN
Population-based study.


SETTING
Not applicable.


PATIENT(S)
For CDC: All reporting clinics from 1996-2010. For NSFG: for the logistic analysis, sample comprising 2,325 women aged 22-44 years who have ever used medical help to get pregnant, excluding women who used only miscarriage prevention services.


INTERVENTION(S)
None.


MAIN OUTCOME MEASURE(S)
CDC data (number of cycles, live birth deliveries, live births, patient diagnoses); and NSFG data (individual use of ART procedures).


RESULT(S)
Between 1995 and 2010, use of ART increased. Parity and age are strong predictors of using ART procedures. The other correlates are higher education, having had tubal surgery, and having a current fertility problem.


CONCLUSION(S)
The two complementary data sets highlight the trends of ART use. An increase in the use of ART services over this time period is seen in both data sources. Nulliparous women aged 35-39 years are the most likely to have ever used ART services.
['Stephen|Elizabeth Hervey|EH|', 'Chandra|Anjani|A|', 'King|Rosalind Berkowitz|RB|']
D000328:Adult D000367:Age Factors D016208:Databases, Factual D004522:Educational Status D005260:Female D006301:Health Services Needs and Demand D006304:Health Status D006801:Humans D007246:Infertility D050498:Live Birth D016015:Logistic Models D020380:Needs Assessment D016017:Odds Ratio D010298:Parity D010342:Patient Acceptance of Health Care D011247:Pregnancy D018873:Pregnancy Rate D027724:Reproductive Techniques, Assisted D013997:Time Factors D016896:Treatment Outcome D014481:United States D055815:Young Adult
live birth deliveries births ART cycles ART utilization ever use of medical help to get pregnant