Cited by 85Reproductive Health and TechnologiesReproductive Health and ContraceptionDemographic Trends and Gender Preferences

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

Thoma, Marie, Fledderjohann, Jasmine, Cox, Carie, Kantum Adageba, Rudolph·2021·Oxford Research Encyclopedia of Global Public Health

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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Crossref · 10.1093/acrefore/9780190632366.013.184

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4 of 441 references verified0 citation errors · 437 not checkable

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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
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

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