title: Estimates of lifetime infertility from three states: the behavioral risk factor surveillance system.
abstract: BACKGROUND
  Knowledge of state-specific infertility is limited. The objectives of this study were to explore state-specific estimates of lifetime prevalence of having ever experienced infertility, sought treatment for infertility, types of treatments sought, and treatment outcomes.
  
  
  METHODS
  Male and female adult residents aged 18-50 years from three states involved in the States Monitoring Assisted Reproductive Technology Collaborative (Florida, Massachusetts, and Michigan) were asked state-added infertility questions as part of the 2012 Behavioral Risk Factor Surveillance System, a state-based, health-related telephone survey. Analysis involved estimation of lifetime prevalence of infertility.
  
  
  RESULTS
  The estimated lifetime prevalence of infertility among 1,285 adults in Florida, 1,302 in Massachusetts, and 3,360 in Michigan was 9.7%, 6.0%, and 4.2%, respectively. Among 736 adults in Florida, 1,246 in Massachusetts, and 2,742 in Michigan that have ever tried to get pregnant, the lifetime infertility prevalence was 25.3% in Florida, 9.9% in Massachusetts, and 5.8% in Michigan. Among those with a history of infertility, over half sought treatment (60.7% in Florida, 70.6% in Massachusetts, and 51.6% in Michigan), the most common being non-assisted reproductive technology fertility treatments (61.3% in Florida, 66.0% in Massachusetts, and 75.9% in Michigan).
  
  
  CONCLUSIONS
  State-specific estimates of lifetime infertility prevalence in Florida, Massachusetts, and Michigan varied. Variations across states are difficult to interpret, as they likely reflect both true differences in prevalence and differences in data collection questionnaires. State-specific estimates are needed for the prevention, detection, and management of infertility, but estimates should be based on a common set of questions appropriate for these goals.
authors.affiliation: 1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
authors.forename: Sara
authors.initials: S
authors.lastname: Crawford
authors.affiliation: 2 Michigan Department of Community Health , Lansing, Michigan.
authors.forename: Chris
authors.initials: C
authors.lastname: Fussman
authors.affiliation: 3 Florida Department of Health , Tallahassee, Florida.
authors.forename: Marie
authors.initials: M
authors.lastname: Bailey
authors.affiliation: 4 Massachusetts Department of Public Health , Boston, Massachusetts.
authors.forename: Dana
authors.initials: D
authors.lastname: Bernson
authors.affiliation: 1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.affiliation: 3 Florida Department of Health , Tallahassee, Florida.
authors.forename: Melissa
authors.initials: M
authors.lastname: Murray-Jordan
authors.affiliation: 1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
authors.forename: Dmitry M
authors.initials: DM
authors.lastname: Kissin
mesh_terms: D000293:Adolescent; D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D005260:Female; D005431:Florida / Q000453:epidemiology; D006801:Humans; D007246:Infertility / Q000453:epidemiology*; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D011159:Population Surveillance; D011247:Pregnancy; D011272:Pregnancy, Multiple / Q000706:statistics & numerical data; D047928:Premature Birth / Q000453:epidemiology; D015995:Prevalence; D027724:Reproductive Techniques, Assisted / Q000706:statistics & numerical data*; D057566:Self Report; D055815:Young Adult