Compares multiple measures of unrealised fertility in women aged 40–49, revealing significant variations and implications for health policies.
Unrealised fertility – when people fall short of their childbearing goals – is inconsistently defined and measured, leading to wide variation in estimates of its prevalence and implications for health and well-being. Using a nationally representative sample of U.S. women aged 40–49, this study compares four potential approaches to measurement, finding prevalence estimates that range from 3.5% to 22.4% across indicators. Multivariable logistic regression models reveal that the social and reproductive health correlates of unrealised fertility also vary according to the selected indicator. Improved measures of unrealised fertility are needed to inform our understanding of fertility barriers, including who is most affected, and policies that support people in achieving their childbearing goals.
No takes yet. Share an insight, caveat, or question.
Kathleen Broussard (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: