Pd37-07 a Contemporary Population-Based Analysis Exploring Sociodemographics and Perinatal Outcomes in the Oldest Us Fathers

You have accessJournal of UrologyInfertility: Epidemiology & Evaluation II (PD37)1 May 2024PD37-07 A CONTEMPORARY POPULATION-BASED ANALYSIS EXPLORING SOCIODEMOGRAPHICS AND PERINATAL OUTCOMES IN THE OLDEST US FATHERS Albert S. Ha, Michael Scott, Chiyuan A. Zhang, Frank Glover, Satvir Basran, Francesco D. Giudice, and Michael L. Eisenberg Albert S. HaAlbert S. Ha , Michael ScottMichael Scott , Chiyuan A. ZhangChiyuan A. Zhang , Frank GloverFrank Glover , Satvir BasranSatvir Basran , Francesco D. GiudiceFrancesco D. Giudice , and Michael L. EisenbergMichael L. Eisenberg View All Author Informationhttps://doi.org/10.1097/01.JU.0001009464.98066.03.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The age in which couples have children has increased in the US, with a small but increasing proportion of births attributed to older fathers. While the effects of advanced paternal age on offspring are known, sociodemographic data about the eldest US fathers remains limited. In this study, we characterize contemporary trends in sociodemographics, use of assisted reproductive technology (ART), and perinatal outcomes in births from elderly US fathers. METHODS: Using the National Vital Statistics System, we analyzed US birth data from 2011-2021. Descriptive statistics were used to analyze older US fathers (defined as ≥50 years) with education and race. Temporal trends in the number of older fathers by year were also examined. Logistic regression was incorporated to assess paternal age with pre-term birth, low birthweight, and ART. All analyses were stratified by paternal race (White, Asian, and Black). RESULTS: A total of 35,934,778 births were seen, with 441,242 (1.22%) to ≥50-year-old fathers, 43,165 (0.12%) to those ≥60, and 3,423 (0.01%) ≥70. From 2011 to 2021, 31,019 (1.05%) to 42,024 (1.29%) births were seen among older fathers ≥50 years old (ptrend=0.003). Furthermore, lower education levels, as well as increased use of ART, rates of pre-term birth, and number of low-birth-weight infants were found among older fathers. Lower educational levels among mothers were also seen as paternal age increased (Figure 1B). More racial diversity was also seen as white fathers aged (Figure 1A). Elderly fathers had greater odds of ART use, pre-term birth, and low birthweight with every 10-year increase in age. These outcomes generally remained significant across White, Asian, and Black fathers (Table 1). CONCLUSIONS: While the proportion of births from older fathers remains low, it has continued to rise over time. Notable differences in sociodemographic features exist. Advanced paternal age is associated with increased ART use and worse perinatal outcomes. Further investigation will be critical for improved patient counseling and family planning. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e802 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Albert S. Ha More articles by this author Michael Scott More articles by this author Chiyuan A. Zhang More articles by this author Frank Glover More articles by this author Satvir Basran More articles by this author Francesco D. Giudice More articles by this author Michael L. Eisenberg More articles by this author Expand All Advertisement PDF downloadLoading ...