International Journal of Women's Health and Reproduction Sciences

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Apr 2024, Vol 12, Issue 2

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Original Article
Socio-demographic Determinants of Infertility: A Study in Four Selected Provinces of Iran
Hajieh Bibi Razeghi Nasrabad¹, Meimanat Hosseini-Chavoshi^2,3, Mohammad Jalal Abbasi-Shavazi^4,5,6
¹Associate Professor of Demography, Faculty of Social Sciences, University of Tehran, Tehran, Iran ²Senior Research Fellow, University of Melbourne, Melbourne, Australia ³Honorary Senior Lecturer, Australian National University, Canberra, Australia ⁴Professor of Demography, University of Tehran, Iran ⁵Academy Fellow, Vienna Institute of Demography, Vienna, Austria ⁶Honorary Professor, Australian National University, Canberra, Australia
IJWHR 2024; 12: 094-102 DOI: 10.15296/ijwhr.2024.6005 Viewed : 1690 times Downloaded : 1608 times. Keywords : Infertility, reproductive behavior, Fertility determinants, women, Iran
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Abstract

Objectives: Infertility is one of the reproductive health issues that not only affects infertile couple’s life, but it is a matter of demographic concerns on a vast scale. This study aims to examine the impact of socio-demographic factors on the incidence of infertility. Materials and Methods: We used data from our cross-sectional fertility survey conducted in 2017 in four selected provinces of Iran including Gilan, West Azarbaijan, Sistan and Baluchistan, and Yazd. Using a structured questionnaire, 4088 women of reproductive age were interviewed in the survey for their reproductive life history as well as their socio-demographic and economic condition. Bivariate (chi-square test), and multivariate (Multiple Logistic Regression) analyses are applied to the data to meet the aim of the study. P values less than 0.05 are considered statistically significant where differentials are tested. Results: The prevalence of current infertility according to clinical definition varied from 7.4% in Yazd, 8.6% in West Azerbaijan, 12.4% in Gilan, and 22.3% in Sistan and Baluchistan. Logistic regression analysis revealed a significant association between infertility and the age and age at marriage of women. Controlling for other socio-demographic variables probability of being infertile increases as women get married at an older age. In addition, women who lived in a household with the lowest socio-economic conditions were 80 percent more likely to experience infertility compared to those living in households with the highest socio-economic conditions. Living in Sistan and Baluchistan was also a strong predictor of infertility in the study resulting in a high odds ratio (3.050) compared with women living in Yazd province Conclusions: Women’s age and age at marriage are the most important demographic characteristics in explaining infertility and having a lower socio-economic condition trigger it. Since the age of marriage is increasing in Iran, it may affect primary infertility where childbearing is postponed to the late 30s and early 40s.