///2019 Abstract Details
2019 Abstract Details2019-07-13T07:45:15-05:00

Poverty Guideline and Its Association with Assisted Reproductive Technology in the United States

Abstract Number: F3I-550
Abstract Type: Original Research

Jie Zhou MD, MS, MBA, FASA1 ; Fan Li MS2; Danran Zhou BS3; Li Zhuan MD4


Approximately 15% of women of reproductive age who are infertile at any time worldwide. With the development of the assisted reproductive technology (ART), in 2015 alone, there was more than 66,000 ART infants born in Unite States. The affordability of the ART has been a concern. The aim of our study was to evaluate the correlation of poverty guideline and the outcomes of ART in the United States.


Data of ART outcomes from 2009 to 2015 were obtained from the Centers for Disease Control and Prevention system. ART procedures performed, ART embryo-transfer procedures, ART pregnancies, ART live-birth deliveries, ART singleton infants, ART multiple-birth infants and ART infants born were collected. The databases of poverty guideline of state were collected from Office of the Assistant Secretary for Planning and Evaluation. The correlation of poverty guideline and the outcomes of ART were compared across the seven years using Pearson’s analysis. To assess the outcomes of ART practices, each outcome was calculated using the following formula: number of each outcome/ number of ART procedures performed, trends from 2009 to 2015 across different ART outcomes were also evaluated.


The five ART outcomes differed significantly, the printout indicate that the strength of association between poverty guideline and the outcomes of ART are very high (r2>0.9), with the improve of poverty guideline of state, the number of ART procedures and infants born increased (Figure 1). Between 2009 and 2015, the total number of ART procedures performed has increased nearly 20 percentage, appeared a continued improvement. Data analysis further showed that the ART multiple live-birth deliveries decrease rate was 17%, ART singleton live-birth deliveries increase rate was 48%, and the ART infants born increase rate was 15%, which trends were statistically significant.


With the raise of poverty guideline and greatly improved ART, there has been an increase of ART procedures performed. The number of ART infants born showed year-on-year growth trend. Currently, there are only 15 states offer health insurance coverage of ART. We advocate for state legislative support for better coverage of ART.


1. Harris K, et al. Reprod Biomed Online 2016

2. https://www.cdc.gov/reproductivehealth/Data_Stats/index.htm

SOAP 2019