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You have accessJournal of UrologyInfertility: Epidemiology all comparisons p<0.001). In a multivariate regression controlling for race/ethnicity, age, semen analysis category (oligozoospermic vs normozoospermic), previous successful fertility outcome, and use of ART, completely rural area of residence was significantly associated with decreased likelihood of successful fertility outcome compared to metropolitan individuals (Hazard Ratio HR 0.63, 95% CI 0.44–0.91, n=65). Non-metro urban individuals also trended towards lower likelihood of successful fertility outcome (HR 0.93, 95% CI 0.85–1.01). Interestingly, completely rural area of residence is associated with longer median time to successful fertility outcome and lower total percent success. CONCLUSIONS: Rural area of residence significantly decreases likelihood of successful fertility outcomes in a statewide patient database of men undergoing semen analysis for fertility assessment. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e213 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Devon M. Langston More articles by this author Kiarad Fendereski More articles by this author Joshua Halpern More articles by this author Ijeoma Ika More articles by this author Kenneth Aston More articles by this author Elizabeth Ferlic More articles by this author Ben Emery More articles by this author Joemy M. Ramsay More articles by this author Joshua Horns More articles by this author James Hotaling More articles by this author Expand All Advertisement PDF downloadLoading ...
Langston et al. (Mon,) studied this question.