The DOI matches its Crossref record; 4 of the 441 references it cites were found in a registry or an index.
Biological and Social Aspects of Human Infertility: A Global Perspective
Abstract
Abstract Infertility remains a neglected area in sexual and reproductive health, yet its consequences are staggering. Infertility is estimated to impact about 10–25% (estimates range from 48 to 180 million) of couples of reproductive age worldwide. It is associated with adverse physical and mental health outcomes, financial distress, severe social stigma, increased risk of domestic abuse, and marital instability. Although men and women are equally likely to be infertile, women often bear the societal burden of infertility, particularly in societies where a woman’s identity and social value are closely tied to her ability to bear children. Despite these consequences, disparities in access to infertility treatment between low- and high-income populations persist given the high cost and limited geographic availability of diagnostic services and assisted reproductive technologies. In addition, a considerable proportion of infertility is a result of preventable factors, such as smoking, sexually transmitted infections, pregnancy-related infection or unsafe abortion, and environmental contaminants. Accordingly, programs that address the equitable prevention and treatment of infertility are not only in keeping with a reproductive rights perspective but can also improve public health. However, progress on infertility as a global concern in the field of sexual and reproductive health and rights is stymied by challenges in understanding the global epidemiology of infertility, including its causes and determinants, barriers to accessing quality fertility care, and a lack of political will and attention to this issue. The tracking and measurement of infertility are highly complex, resulting in considerable ambiguity about its prevalence and stratification in reproduction globally. A renewed global focus on infertility epidemiology, risk factors, and access to and receipt of quality of care will support individuals in trying to reach their desired number and spacing of children and improve overall health and well-being.
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“They are denied many privileges in the family and are seen as worthless and useless [27,28].”
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“However, there is a social belief that infertility is a feminine issue [17], as a result of which women are conceptualized as the centre of infertility [16].”
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“Additionally, exposure to environmental pollutants and toxins can negatively affect reproductive cells, leading to infertility (Thoma et al., 2021).”
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“Background Infertility is a major reproductive health problem that impacts approximately 10–25% of reproductive age couples globally [1].”
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“…barriers, such as the prohibitive financial costs, have also been well documented elsewhere (Asemota &Klatsky, 2015; Collins, 2002; Dyer & Patel, 2012; Gerrits & Shaw, 2010; Khalifa & Ahmed, 2012; Thoma et al., 2021), including in a study of couples under-going ART in Ghana (Kyei et al., 2020).”
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“9 Given that people’s social position is often dependent on their fertility status, in many contexts, 6 understanding the links between delayed conception and QoL becomes relevant, particularly in LMICs where interventions for prevention, diagnosis and treatment of delayed conception are limited.”
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“At the same time, infertility research also highlights heterogeneities in consequences – with some people suffering extreme harms while others experience few impacts (Thoma et al. 2021).”
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Metadata
- Authors
- Thoma, M., Fledderjohann, J., Cox, C., & Kantum Adageba, R.
- Affiliations
- University of Maryland, Baltimore (US)
- Lancaster University (GB)
- St. Catherine University (US)
- Obstetrics & Gynaecology, Komfo Anoyke Teaching Hospital
- Venue
- Oxford Research Encyclopedia of Global Public Health
- Publisher
- Oxford University PressNew York, NY
- Published
- 2021-03-25
- OpenAlex
- W2971514747
- Cited by
- 85
- References
- 441
- Citations by year
- 2026: 14 · 2025: 24 · 2024: 16 · 2023: 14 · 2022: 11 · 2021: 6
- Type
- reference entry
- Language
- en
- Open access
- closed
- Locations
- Oxford Research Encyclopedia of Global Public Health (publishedVersion)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Social Sciences › Gender Studies › Demographic Trends and Gender Preferences
- Keywords
- infertility, reproductive rights, assisted reproduction, sexual and reproductive health, domestic violence, marital instability, financial distress, infertility risk factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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