P-445 Prevalence of medically assisted reproduction use and its social and demographic determinants - findings from a German representative survey

Abstract Study question What percentage of people use types medically assisted reproduction (MAR) in Germany? Is MAR unequally distributed by social categories and stage treatment? Summary answer The lifetime prevalence Germany is 11.4%. Treatment varies treatment. known already Increasing postponement births to higher ages most European countries contributes risk infertility seeking reproductive technologies (ART) or broader MAR. Studies indicate several non-medical factors associated with use. Demographic socio-economic factors, history, attitudes are Country context crucial for understanding patterns because access reimbursement schemes differ widely among nations. Retrospective longitudinal studies suggest the benefit conceptualizing as a sequential process. demographic determinants across treatment stages. design, size, duration This study uses pre-release data from first wave newly established FReDA panel survey (Family Research Analysis), large-scale representative German residents 18 49 years. Information on was included sub-wave W1A, therefore come other sub-waves needed. We will present results official release at conference. Participants/materials, setting, methods For indicator participants were categorized into highest category that they indicated: (0) no treatment, (1) see doctor, (2) receiving medication only, (3) services (insemination, operations, In-Vitro-Fertilisation, Intracytoplasmatic Sperm Injection). A Brant test shows parallel regression assumption ordinal not met. less restrictive partial proportional odds model estimated, allowing coefficients gender, age, parity, ever infertile vary Main role chance sample consists 15,263 persons. lifetime-prevalence any 3% saw 3.1% had only 5.2% used further services. Women more likely than men all Those 30-34 years have when comparing seeing doctor categories, it comes being higher. increase youngest ( < =29 years) oldest (45+ age group. Having children increases category, but category. experienced strong predictor Coefficients following variables same categories. been married considerably. help-seeking lower suburban areas compared cities. who evaluate their economic situation good Positive child orientation both partners Migration background, religion, education, subjective health linked Limitations, reasons caution Characteristics individuals based self-reports cannot be validated externally. Use lifetime-indicator could imply temporal order explanatory outcome inconclusive No information infertility, diagnosis, timing available. Wider implications findings Seeking multifaceted process influenced many factors. levels prior invasive such ART common. More should focus MAR, just ART, understand inequities Trial registration number applicable