Alignment, Anticipation, Adaptation, or Lagging Behind? Age-Based Regulations in Assisted Reproduction and Late Fertility

Datos Bibliográficos

ID5124151
AutoresMarie‐caroline Compans (0000-0002-9124-809X, International Institute for Applied Systems Analysis, autor de correspondencia)
Año2024
Volumen50
Número4
Páginas1319-1351
Fecha de publicación2024-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPopulation and Development Review (JOURNAL)
Identificadores de la revistaISSN: 0098-7921 • E-ISSN: 1728-4457
EditorialWiley (PUBLISHER • GB)
DOI10.1111/padr.12658
PMID39554483
OpenAlexW4403046084
IdiomaEN
Citas recibidas2
Referencias citadas78

This paper focuses on age restrictions on access to infertility treatments and eligibility for their public reimbursement, exploring their relevancy in contexts of rising late birth rates (40+). I explore how age-based reimbursement policies for in vitro fertilization treatments have responded to these fertility trends in 27 high-income countries and in which regulatory frameworks for medically assisted reproduction (MAR) very late births (45+) have particularly increased. First, I show that while age limits for treatment reimbursement are well aligned with the prevalence of late fertility in some national contexts, in most countries, strict age restrictions are lagging behind the rise in late births. In others, pronatalist policies have prompted permissive age criteria or law revisions, anticipating or adapting to rising trends in late births. Second, the rise in very late births has been limited in some contexts with strict age-based rules. However, the analysis suggests that the impact of MAR on very late births may also be influenced by contextual factors other than regulations

Biology · Demographic economics · Developed country · Economic growth · Economics · Family planning · Fertility · Infertility · Lagging · Population · Pregnancy · Reimbursement · Reproduction · Sociology · Total fertility rate · Assisted Reproductive Technology and Twin Pregnancy · Demography · Family Dynamics and Relationships · Medicine · Reproductive Health and Technologies