Social Determinants of Health

Publications under ‘Social Determinants of Health’ examine the associations of economic and social factors with fertility and reproductive outcomes. 

Schrager NL, Wesselink AK, Wang TR, Hatch EE, Rothman KJ, Mikkelsen EM, Boynton-Jarrett RD, Wise LA. Association of income and education with fecundability in a North American preconception cohort. Ann Epidemiol 2020; 50: 41-47.e1.

Among North American pregnancy planners, annual household income was positively associated with fecundability up to about $100,000, at which point the effect plateaued. In addition, women with less than 17 years of education had slightly lower fecundability than women with 17 or more years of education. The associations of income and education with fecundability were stronger among women aged ≥30 years.