Infertility Treatment in France, 2008–2017: A Challenge of Growing Treatment Needs at Older Ages

Objectives. To measure trends in infertility treatment use between 2008 and 2017 in France using data from the national health insurance system. Methods. Between 2008 and 2017, we observed a representative national sample of nearly 1% of all women aged 20 to 49 years who were affiliated with the mai...

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Published inAmerican journal of public health (1971) Vol. 110; no. 9; pp. 1418 - 1420
Main Authors Ben Messaoud, Khaoula, Bouyer, Jean, de La Rochebrochard, Elise
Format Journal Article
LanguageEnglish
Published Washington American Public Health Association 01.09.2020
Subjects
Age
AJPH Open-Themed Research
Demography
Epidemiology
Estimates
Health care
Health care industry
Health insurance
Health Service Delivery
Health services
Health surveillance
Humanities and Social Sciences
Industrialized nations
Infertility
Insurance
Insurance coverage
Life Sciences
Medical treatment
National health insurance
Population
Pregnancy
Public health
Regression analysis
Santé publique et épidémiologie
Sexual Health
Surrogate mothers
Surveillance
Trends
Women
Womens health
Women’s Health
France
United States > US
Infertility
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Summary:Objectives. To measure trends in infertility treatment use between 2008 and 2017 in France using data from the national health insurance system. Methods. Between 2008 and 2017, we observed a representative national sample of nearly 1% of all women aged 20 to 49 years who were affiliated with the main health insurance scheme in France (more than 100 000 women observed each year). We exhaustively recorded all health care reimbursed to these women. Results. Among women aged 20 to 49 years, 1.25% were treated for infertility each year. Logistic regression analysis showed a significant interaction between age and year of treatment use (P < .001). Over the decade, infertility treatment use increased by 23.9% among women aged 34 years or older, whereas among women younger than 34 years there was a nonsignificant variation. Conclusions. Women aged 34 years or older were increasingly treated for infertility between 2008 and 2017. Public Health Implications. Treatment efficiency decreases strongly with a woman’s age, presenting a challenge for medical infertility care.
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K. Ben Messaoud managed the data and performed the statistical analyses. K. Ben Messaoud and E. de La Rochebrochard have access to the data. J. Bouyer and E. de La Rochebrochard supervised the data management and statistical analyses. All authors conceptualized and designed the study, interpreted the data, drafted the brief, and read and approved the final version.
Peer Reviewed
CONTRIBUTORS
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2020.305781