Poverty and social disadvantage in women and men and fertility outcomes

JAMA Network Open

2025-09-19

(Press-News.org) About The Study: The findings of this cohort study suggest that poverty and social disadvantage, characterized by low educational level and household income among both women and men, were associated with lower fecundability (defined as the per-month probability of conceiving) and increased risks of subfertility (defined as a time to pregnancy or the duration of actively pursuing pregnancy of more than 12 months or use of assisted reproductive technology) but not with miscarriage risk. Further studies are needed to identify the underlying and explanatory mechanisms associated with fertility outcomes and the potential for novel public health strategies for couples desiring pregnancy.

Corresponding author: To contact the corresponding author, Vincent W. V. Jaddoe, M.D., Ph.D., email v.jaddoe@erasmusmc.nl.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi: 10.1001/jamanetworkopen.2025.32741)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

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Poverty and social disadvantage in women and men and fertility outcomes

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