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No socio-economic differences in ART treatment success: Evidence from Careggi Hospital, Italy

Author

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  • Cozzani, Marco

    (European University Institute)

  • Coccia, Maria Elisabetta
  • Giusti, Emilia
  • Landini, Sara
  • Piazzini, Francesca
  • , Valentina
  • Vignoli, Daniele

Abstract

Objective. Several studies have shown stark socio-economic disparities in births born via assisted reproduction technology (ART), but only a few have investigated underlying causes. We study the likelihood of ART treatment success as a possible explanation. Design. Observational study of center-based data. We consider women undergoing ART treatment at the ART-center in Careggi Hospital, Tuscany. Outcome Measures. Probability of a conception following an ART treatment; probability of abortion after conception; and probability of a live birth after an ART treatment. Results. The findings indicate no socio-economic disparity between patients with a high and low socio-economic status in the probability of achieving a successful ART treatment in terms of the probability of conception (β=0.02; 95% CI, -0.02, 0.06; P=0.362), abortion (β=-0.02; 95% CI, -0.08, 0.04; P=0.542) and live birth (β=0.02; 95% CI, -0.02, 0.06; P=0.291). The results also hold when focusing on patients at first treatment, only among natives, and by age groups. Conclusions. Our findings suggest that within a public clinic providing subsidized access to treatments, socio-economic differences in the proportion of ART births may not stem from disparities in treatment success rates. Rather, other determinants relating to access to ART treatment such as geographical barriers, cultural preferences or knowledge about treatment success may play a larger role.

Suggested Citation

  • Cozzani, Marco & Coccia, Maria Elisabetta & Giusti, Emilia & Landini, Sara & Piazzini, Francesca & , Valentina & Vignoli, Daniele, 2024. "No socio-economic differences in ART treatment success: Evidence from Careggi Hospital, Italy," SocArXiv vseq2, Center for Open Science.
    • Handle: RePEc:osf:socarx:vseq2
    DOI: 10.31219/osf.io/vseq2
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    References listed on IDEAS

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    1. Valentina Tocchioni & Anna Rybińska & Monika Mynarska & Anna Matysiak & Daniele Vignoli, 2022. "Life-Course Trajectories of Childless Women: Country-Specific or Universal?," European Journal of Population, Springer;European Association for Population Studies, vol. 38(5), pages 1315-1332, December.
    2. Alice Goisis & Peter Fallesen & Marta Seiz & Leire Salazar & Tatiana Eremenko & Marco Cozzani, 2023. "Educational gradients in the prevalence of Medically Assisted Reproduction (MAR) births in a comparative perspective," JRC Working Papers on Social Classes in the Digital Age 2023-06, Joint Research Centre.
    3. Ester Lazzari & Edith Gray & Georgina Chambers, 2021. "The contribution of assisted reproductive technology to fertility rates and parity transition: An analysis of Australian data," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 45(35), pages 1081-1096.
    4. Anna Gottard & Alessandra Mattei & Daniele Vignoli, 2015. "The relationship between education and fertility in the presence of a time varying frailty component," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 178(4), pages 863-881, October.
    5. repec:dau:papers:123456789/10510 is not listed on IDEAS
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