{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T16:23:02Z","timestamp":1778775782426,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study sought to estimate population level prevalence of infertility and explored whether time to pregnancy is related to selected factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study's analysis was based on data collected from 2081 women who were sampled from participants of the 2016 Ethiopia Demographic and Health Survey based on risk of pregnancy criteria: age between 15 and 49\u2009years, currently married or cohabitating, sexually active, not used contraception method during the 5\u2009years before interview, not menopausal, and not pregnant. We used a current duration (CD) approach in which for each woman we calculated the length of time\u2010at\u2010risk of pregnancy (CD value) in months. A parametric survival model was fitted to CD values from which the median time to pregnancy (TTP) and prevalence of infertility were estimated. To explore variables associated with a longer TTP accelerated failure time, regression models were built to estimate time ratios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median TTP was 4\u2009months (95% confidence interval [CI] 3.9\u20134.1). The 12\u2010month prevalence of overall, primary, and secondary infertility were 29.5% (95% CI 27.50\u201331.47), 31.1% (95% CI 27.85\u201334.48), and 27.7% (95% CI 25.30\u201330.23), respectively. A longer TTP was observed for women aged 35 to 49 (<jats:italic>P<\/jats:italic>\u2009=\u20090.001), nulliparous (<jats:italic>P\u2009=<\/jats:italic>\u20090.00), when the usual residence of the husband is outside the home (<jats:italic>P\u2009=<\/jats:italic>\u20090.001), for women who want to give birth soon (<jats:italic>P\u2009=<\/jats:italic>\u20090.00), for cigarette smokers (<jats:italic>P\u2009=<\/jats:italic>\u20090.027), for rich women (<jats:italic>P\u2009=<\/jats:italic>\u20090.002), and for tertiary (<jats:italic>P\u2009=<\/jats:italic>\u20090.00) and primary educated women (<jats:italic>P\u2009=<\/jats:italic>\u20090.00).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study suggests 30% of reproductive\u2010age women experience infertility, which indicates that large numbers of Ethiopian women need fertility services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.16124","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T10:43:52Z","timestamp":1735901032000},"page":"937-944","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of infertility and the effect of covariates on survival time to pregnancy: A nationally representative population based cross sectional study"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7409-894X","authenticated-orcid":false,"given":"Ashebir Getachew","family":"Teklemicheal","sequence":"first","affiliation":[{"name":"Gandhi Memorial Hospital  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahel Demissew","family":"Gebreyohannes","sequence":"additional","affiliation":[{"name":"Population Services International  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dex234"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001356"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac051"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01601-8"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr015"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2009.01213.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265407512456672"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.03.034"},{"key":"e_1_2_9_10_1","unstructured":"CSA\/Ethiopia CSA ICF.Ethiopia Demographic and Health Survey 2016.2017Available from:https:\/\/dhsprogram.com\/publications\/publication\u2010fr328\u2010dhs\u2010final\u2010reports.cfm"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000001296"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des070"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/biostatistics\/3.4.565"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2012.11.037"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dex025"},{"key":"e_1_2_9_16_1","unstructured":"BoyleEH KingM SobekM.IPUMS Demographic and Health Surveys: Version 9.2022Available from:https:\/\/idhsdata.org"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000221781.15114.88"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2015.09.2537"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/math10203907"},{"issue":"3","key":"e_1_2_9_20_1","first-page":"33","article-title":"Time\u2010to\u2010pregnancy and associated factors among couples with natural planned conception in Addis Ababa, Ethiopia","volume":"22","author":"Kassa EM","year":"2018","journal-title":"Afr J Reprod Health Rev Afr Sant\u00e9 Reprod"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-565"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40738-020-00090-3"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.1.35"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1985.03350440057031"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5390"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.16124","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T12:02:55Z","timestamp":1747828975000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.16124"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/ijgo.16124"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.16124","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,3]]},"assertion":[{"value":"2024-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}