Asthma and/or hay fever as predictors of fertility/impaired fecundity in U.S. women: National Survey of Family Growth
| dc.contributor.author | Turkeltaub, Paul C. | |
| dc.contributor.author | Lockey, Richard F. | |
| dc.contributor.author | Holmes, Katie | |
| dc.contributor.author | Friedmann, Erika | |
| dc.date.accessioned | 2020-05-21T15:35:23Z | |
| dc.date.available | 2020-05-21T15:35:23Z | |
| dc.date.issued | 2019-12-10 | |
| dc.description.abstract | This study addresses whether asthma and/or hay fever predict fertility and impaired fecundity. The lifetime number of pregnancies (fertility) and spontaneous pregnancy losses (impaired fecundity) in 10,847 women representative of the U.S. population 15 to 44 years of age with histories of diagnosed asthma and/or hay fever are analyzed in the 1995 National Survey of Family Growth using multivariable Poisson regression with multiple covariates and adjustments for complex sampling. Smokers have significantly increased fertility compared to nonsmokers. Smokers with asthma only have significantly increased fertility compared to other smokers. Higher fertility is associated with impaired fecundity (ectopic pregnancy, miscarriage, stillbirth). Women with asthma (with and without hay fever) have significantly higher pregnancy losses than women without asthma. With increasing number of pregnancies, smokers have increased pregnancy losses compared to nonsmokers. Smokers, especially those with asthma only, have increased fertility and require special attention as to their family planning needs, reproductive health, and smoking cessation. Women with asthma, regardless of number of pregnancies, and smokers with higher numbers of pregnancies have high risk pregnancies that require optimal asthma/medical management prenatally and throughout pregnancy. Whether a proinflammatory asthma endotype underlies both the increased fertility and impaired fecundity associated with age and smoking is discussed. | en_US |
| dc.description.sponsorship | P.C.T. conceived the idea, interpreted the data, drafted, and revised the manuscript. E.F. analyzed, interpreted the data, prepared figures and tabes, and drafted the manuscript. R.F.L. interpreted the data, revised and edited the manuscript. K.H. participated in the data analysis. All authors read and approved the final manuscript. | en_US |
| dc.description.uri | https://www.nature.com/articles/s41598-019-55259-8 | en_US |
| dc.format.extent | 16 pages | en_US |
| dc.genre | journal articles | en_US |
| dc.identifier | doi:10.13016/m2xuhc-wogd | |
| dc.identifier.citation | Turkeltaub, P.C., Lockey, R.F., Holmes, K. et al. Asthma and/or hay fever as predictors of fertility/impaired fecundity in U.S. women: National Survey of Family Growth. Sci Rep 9, 18711 (2019). https://doi.org/10.1038/s41598-019-55259-8 | en_US |
| dc.identifier.uri | https://doi.org/10.1038/s41598-019-55259-8 | |
| dc.identifier.uri | http://hdl.handle.net/11603/18696 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Nature Research | en_US |
| dc.relation.isAvailableAt | The University of Maryland, Baltimore County (UMBC) | |
| dc.relation.ispartof | Other Hilltop Institute (UMBC) Works | |
| dc.relation.ispartof | UMBC Staff Collection | |
| dc.rights | This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author. | |
| dc.rights | Attribution 4.0 International (CC BY 4.0) | * |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.title | Asthma and/or hay fever as predictors of fertility/impaired fecundity in U.S. women: National Survey of Family Growth | en_US |
| dc.type | Text | en_US |