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Investigating Socioeconomic Disparities in Access to and Utilization of Assisted
Reproductive Technology Among Infertile Couples in Pakistan: A Cross-Sectional
Study
#MMPMID41346961
Faheem MSB
; Ain HQU
; Hassan ST
; Feroze F
; Imam W
; Khalid A
; Faheem Q
; Samadi S
Health Sci Rep
2025[Dec]; 8
(12
): e71603
PMID41346961
show ga
BACKGROUND: The socioeconomic inequalities play a major role in determining the
access and use of assisted reproductive technology (ART) by infertile couples in
low- and middle-income nations. Our goal was to identify and compare the
sociodemographic variables related to the access and use of ART between the
couples who use it and those who do not in Pakistan. METHODS: The comparative
cross-sectional study was conducted at the infertility clinic of CMH Multan
between January 1, 2024 and June 30, 2024. Women (aged 18-45 years) were
consecutively recruited to the ART group (n?=?150) and the non-ART group
(n?=?150). A structured questionnaire was used in gathering sociodemographic
data, medical history, and treatment information. The t-tests and ? (2) tests
were used to conduct descriptive and bivariate analyses. The variables with p
0.05 were put into a multivariate binary logistic regression model to determine
independent predictors of ART use. RESULTS: Women in the ART group were older
(mean age 31.25?±?4.69 years) and had longer infertility periods, were better
educated and had better incomes, were more likely to be employed, urban dwellers,
and had nuclear families. Multivariate analysis has revealed that higher
education, urban residence, nuclear family, prolonged infertility, and ART
awareness were independent predictors of ART use (p?
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