Address correspondence to J. Farley Ordovensky Staniec, Ph.D., Associate Professor, Department of Economics, University of the Pacific, Stockton, CA 95211. Natalie J. Webb, Ph.D., Associate Professor of Economics, is with the Defense Resources Management Institute, Naval Postgraduate School, Monterey, CA.
Utilization of Infertility Services: How Much Does Money Matter?
Article first published online: 25 SEP 2006
Health Services Research
Volume 42, Issue 3p1, pages 971–989, June 2007
How to Cite
Farley Ordovensky Staniec, J. and Webb, N. J. (2007), Utilization of Infertility Services: How Much Does Money Matter?. Health Services Research, 42: 971–989. doi: 10.1111/j.1475-6773.2006.00640.x
- Issue published online: 25 SEP 2006
- Article first published online: 25 SEP 2006
- Health economics;
- health care financing;
- utilization of services
Objective. To estimate the effects of financial access and other individual characteristics on the likelihood that a woman pursues infertility treatment and the choice of treatment type.
Data Source/Study Setting. The 1995 National Survey of Family Growth.
Study Design. We use a binomial logit model to estimate the effects of financial access and individual characteristics on the likelihood that a woman pursues infertility treatment. We then use a multinomial logit model to estimate the differential effects of these variables across treatment types.
Data Collection/Extraction Method. This study analyzes the subset of 1,210 women who meet the definition of infertile or subfecund from the 1995 National Survey of Family Growth.
Principal Findings. We find that income, insurance coverage, age, and parity (number of previous births) all significantly affect the probability of seeking infertility treatment; however, the effect of these variables on choice of treatment type varies significantly. Neither income nor insurance influences the probability of seeking advice, a relatively low cost, low yield treatment. At the other end of the spectrum, the choice to pursue assisted reproductive technologies (ARTs)—a much more expensive but potentially more productive option—is highly influenced by income, but merely having private insurance has no significant effect. In the middle of the spectrum are treatment options such as testing, surgery, and medications, for which “financial access” increases their probability of selection.
Conclusions. Our results illustrate that for the sample of infertile of subfecund women of childbearing age studied, and considering their options, financial access to infertility treatment does matter.