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Vienna Yearbook of Population Research 2026Special issue: Delayed reproduction
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Verlag der Österreichischen Akademie der Wissenschaften Austrian Academy of Sciences Press
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DATUM, UNTERSCHRIFT / DATE, SIGNATURE
BANK AUSTRIA CREDITANSTALT, WIEN (IBAN AT04 1100 0006 2280 0100, BIC BKAUATWW), DEUTSCHE BANK MÜNCHEN (IBAN DE16 7007 0024 0238 8270 00, BIC DEUTDEDBMUC)
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Vienna Yearbook of Population Research 2026, pp. , 2026/04/22
Special issue: Delayed reproduction
In the Declaration of Human Rights, the right of all adult women and men to found a family is stated. Globally, most adults want to have two to three children. Infertility is one of the most frequent chronic diseases among reproductive-aged women and men, and infertility contributes to involuntary childlessness and to many people having fewer children than they want. This is seen by the United Nations Population Fund as a crisis of reproductive agency. While medically assisted reproduction (MAR) is effective for many people, its success rates are much lower with advanced age. There are substantial barriers to accessing fertility service, such as the lack of recognition of infertility as a disease, low coverage of fertility treatment costs and the lack of availability of fertility care for nontraditional families. Studies, including from countries where people have access to MAR in the public health care sector with no patient payments, show that there are social and ethnic inequalities in the uptake of MAR, as well as social inequalities in live birth rates after MAR. There is a need for universal and equal access to MAR treatments for all people who could benefit from them, including people with infertility, single women and same-sex couples. Furthermore, there is a need to increase young adults’ fertility knowledge to help ensure that they are making well-informed decisions regarding their family building goals.
Keywords: Age-related fecundity; Ethnic inequality; Fertility knowledge; Medically assisted reproduction; Reproductive agency; Social inequality