{"title":"Potential unmet fertility needs among men cancer survivors: exploratory evidence from the National Survey of Family Growth.","authors":"Katherine Tierney, Kelsey Sullivan","doi":"10.1007/s10815-025-03700-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate (1) sociodemographic variation in fertility care-seeking among men with a history of cancer at or before age 44, (2) whether sociodemographic inequalities among men with a history of cancer differ from men without a history of cancer, and (3) whether care-seeking differed among women and men with a history of cancer.</p><p><strong>Methods: </strong>This study uses five cycles of National Survey of Family Growth (NSFG), a nationally representative survey of women and men in the USA. Multivariable logistic regression with and without interaction terms were employed.</p><p><strong>Results: </strong>Among men young cancer survivors (YCS), non-Hispanic white men were less likely to ever-seek fertility care than YCS men of color (odds ratio = 0.28, p < 0.10). Additionally, among YCS men, those with less than bachelor's degree had lower odds of ever-seeking fertility care relative to those with a bachelor's or higher (OR = 0.25, p < 0.10). Analyses with interaction terms showed that the associations between ever-seeking care and race/ethnicity were significantly different among men YCS than men without a history of cancer (OR = 0.20, p < 0.05), while associations with educational attainment did not differ significantly between these groups. Finally, the results showed women YCS had higher odds of ever-seeking fertility care than men YCS (OR = 3.20, p < 0.01).</p><p><strong>Conclusions: </strong>Fertility care-seeking among men YCS differs by race/ethnicity from the associations observed among men without a history of cancer. Meanwhile, associations between care-seeking and education and sex were similar to associations observed in populations without a history of cancer. Thus, there may be unmet need for fertility-care among men YCS.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Assisted Reproduction and Genetics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10815-025-03700-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GENETICS & HEREDITY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To investigate (1) sociodemographic variation in fertility care-seeking among men with a history of cancer at or before age 44, (2) whether sociodemographic inequalities among men with a history of cancer differ from men without a history of cancer, and (3) whether care-seeking differed among women and men with a history of cancer.
Methods: This study uses five cycles of National Survey of Family Growth (NSFG), a nationally representative survey of women and men in the USA. Multivariable logistic regression with and without interaction terms were employed.
Results: Among men young cancer survivors (YCS), non-Hispanic white men were less likely to ever-seek fertility care than YCS men of color (odds ratio = 0.28, p < 0.10). Additionally, among YCS men, those with less than bachelor's degree had lower odds of ever-seeking fertility care relative to those with a bachelor's or higher (OR = 0.25, p < 0.10). Analyses with interaction terms showed that the associations between ever-seeking care and race/ethnicity were significantly different among men YCS than men without a history of cancer (OR = 0.20, p < 0.05), while associations with educational attainment did not differ significantly between these groups. Finally, the results showed women YCS had higher odds of ever-seeking fertility care than men YCS (OR = 3.20, p < 0.01).
Conclusions: Fertility care-seeking among men YCS differs by race/ethnicity from the associations observed among men without a history of cancer. Meanwhile, associations between care-seeking and education and sex were similar to associations observed in populations without a history of cancer. Thus, there may be unmet need for fertility-care among men YCS.
期刊介绍：
The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species.
The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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