Differences in Women's Use of Medical Help for Becoming Pregnant by the Level of Urbanization of County of Residence in Georgia.
PURPOSE
Our goal was to determine if there are differences by place of residence in visiting a doctor for help getting pregnant in a population-based study.


METHODS
Using data from the Furthering Understanding of Cancer, Health, and Survivorship in Adult (FUCHSIA) Women's Study, a cohort study of fertility outcomes in reproductive-aged women in Georgia, we fit models to estimate the association between geographic type of residence and seeking help for becoming pregnant.


FINDINGS
The prevalence of visiting a doctor for help getting pregnant ranged from 13% to 17% across geographic groups. Women living in suburban counties were most likely to seek medical care for help getting pregnant compared with women living in urbanized counties (adjusted prevalence ratio (aPR) = 1.14, 95% CI: 0.74-1.75); among women who reported infertility this difference was more pronounced (aPR = 1.59, 95% CI: 1.00-2.53). Women living in rural counties were equally likely to seek fertility care compared with women in urbanized counties in the full sample and among women who experienced infertility.


CONCLUSIONS
Women living in urban and rural counties were least likely to seek infertility care, suggesting that factors including but not limited to physical proximity to providers are influencing utilization of this type of care. Increased communication about reproductive goals and infertility care available to meet these goals by providers who women see for regular care may help address these barriers.
['Chin|Helen B|HB|', 'Kramer|Michael R|MR|', 'Mertens|Ann C|AC|', 'Spencer|Jessica B|JB|', 'Howards|Penelope P|PP|']
D000328:Adult D015331:Cohort Studies D005260:Female D062305:Geographic Mapping D005845:Georgia D006297:Health Services Accessibility D054625:Healthcare Disparities D006801:Humans D008875:Middle Aged D011247:Pregnancy D015995:Prevalence D012424:Rural Population D017741:Survivors D016387:Women's Health
infertility fertility care access to care geographic disparities utilization of health services