Influencia de los factores socioeconómicos en el acceso a las técnicas de reproducción asistida

Background

Infertility is a condition that affects around 15% of couples worldwide. Despite the growing demand for Assisted Reproductive Techniques (ART), there are still differences in access to them among countries due to several socioeconomic factors. Because of legal and cultural differences comparison still complex.

Objectives

Analyze the relationship between certain socioeconomic variables and access to ART in the autonomous region of Spain.

Material and methods

We used the National Registry of Activity-Registry of the Spanish Fertility Society (RNA-RSEF) data from the year 2017 from which the TRA variables were obtained by autonomous region. We also accessed statistics National Institute (INE) date-base to extract a number of women aged between 20–49 years old and 17 socioeconomic variables sorted by autonomous region. A univariate correlation analysis was carried out by autonomous region between socioeconomic variables and those of TRA, both globally and by private and public centers.

Results

A direct correlation of GDP per capita and the number of total IVF cycles with own oocytes per million women was observed by autonomous region. There is also an inverse correlation of this variable with the percentage of adults who didn't achieve higher education, as well as the population with a lack of space at home and the number of IAC carried out in public centers. On the other hand, the percentage of multiple birth in private centers is directly correlated with job satisfaction and free time. The total percentage of women over 40 who undergo this therapy is inversely correlated with the difficulties of the population to make ends meet.

Conclusion

Access to ART in Spain could increase if the population socioeconomic status improved as well as the information available of them.