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Who can take advantage of medically assisted reproduction in Germany

Bibliographic Data

ID13112129
AuthorsKatja Köppen (0009-0006-5004-3860, University of Rostock, corresponding author), Heike Trappe (0000-0002-6109-9732, University of Rostock), Christian Schmitt (0000-0002-9028-5139)
Year2021
Volume13
Pages51-61
Publication date2021-06-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueReproductive Biomedicine & Society Online (JOURNAL)
Journal identifiersISSN: 2405-6618 • E-ISSN: 2405-6618
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.rbms.2021.05.002
PMID34307924
OpenAlexW3166478997
LanguageEN
Citations received9
References cited18

Compared with other European societies, access to medically assisted reproduction (MAR) in Germany is rather restrictive. Surprisingly little is known about the actual utilization of MAR in Germany and its social selectivity, primarily due to a lack of appropriate data. This article studies the use of MAR by drawing on 11 waves of the German Family Panel (pairfam), an annual survey that collects data on partnership and family dynamics in Germany. In estimating pooled logistic regression models that take into account whether or not MAR has been used, the following treatments were included: (i) in-vitro fertilization or micro-fertilization; (ii) intrauterine insemination; and (iii) any type of surgery performed to treat infertility. The highest odds of seeking medical help for infertility were found among married, childless couples who had a higher income, a strong desire to have children, a poor self-assessed health status, and who reported having problems conceiving a child prior to the year of the interview. Among these married couples, those with an above-average income were particularly likely to use MAR. These findings indicate that social selectivity in the uptake of MAR is based on economic resources and on the importance of marriage as the cultural ideal for a 'normal family

Affect (linguistics · Artificial insemination · Biology · Childlessness · Demographic economics · Donor insemination · Economics · Fertility · General partnership · Geography · German · Gynecology · In vitro fertilisation · Infertility · Logistic regression · Odds · Pregnancy · Reproduction · Socioeconomic status · Sociology · Assisted Reproductive Technology and Twin Pregnancy · Demography · Historical Studies on Reproduction, Gender, Health, and Societal Changes · Medicine · Psychology · Reproductive Health and Technologies · Ecology

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    Open Access•Jasmin Passet-Wittig, Ester Lazzari et al.•Journal of Migration and Health•2025

  • Contemporary Changes in Medically Assisted Reproduction

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  • Social Disparities Across Different Stages of Medical Help‐Seeking to Have a Child in Germany

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    Open Access•Anne‐kristin Kuhnt, Anne-Kristin Kuhnt et al.•Reproductive Biomedicine &…•2022

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  • Loneliness during the Pregnancy-Seeking Process

    Open Access•Selin Köksal, A Goisis•Journal of Health and Social…•2023

  • Medically Assisted Reproduction and Partnership Stability

    Open Access•Alina Pelikh, H Remes et al.•Population and Development Review•2024

  • Partnership trajectories preceding medically assisted reproduction

    Open Access•Alina Pelikh, H Remes et al.•Population Studies•2024

  • International estimates of infertility prevalence and treatment-seeking

    Jérôme Boivin, Jacky Boivin et al.•Human Reproduction•2007

  • Panel Analysis of Intimate Relationships and Family Dynamics (pairfam)

    Open Access•Johannes Huinink, Josef Brüderl et al.•Journal of Family Research•2011

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    Open Access•Fernanda Sousa-Duarte, Patrick Brown et al.•Sociology Compass•2020

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    Open Access•Liberty Barnes, Jasmine Fledderjohann•Sociology Compass•2019

  • The Social Construction of Infertility

    Open Access•Arthur L Greil, Julia Mcquillan et al.•Sociology Compass•2011

  • Fertility Tourism

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  • Degrees of Medicalization

    Arthur L Greil, Katherine M Johnson et al.•Sociological Quarterly•2020

Unique citing works9
Citations per year2,25
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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