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Open Access Research article

Socio-occupational class, region of birth and maternal age: influence on time to detection of cryptorchidism (undescended testes): a Danish nationwide register study

Karin Sørig Hougaard1*, Ann Dyreborg Larsen12, Harald Hannerz1, Anne-Marie Nybo Andersen3, Kristian Tore Jørgensen14, Gunnar Vase Toft2, Jens Peter Bonde4 and Morten Søndergaard Jensen5

Author Affiliations

1 The National Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen, Denmark

2 Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark

3 Department of Public Health, University of Copenhagen, Copenhagen, Denmark

4 Department of Occupational and Environmental Medicine, Bispebjerg Hospital, Copenhagen University Hospital, Copenhagen, Denmark

5 Perinatal Epidemiology Research Unit, Department of Paediatrics, Aarhus University Hospital, Aarhus, Denmark

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BMC Urology 2014, 14:23  doi:10.1186/1471-2490-14-23

Published: 28 February 2014

Abstract

Background

Cryptorchidism (undescended testes) is associated with poor male fertility, but can be alleviated and fertility preserved to some degree by early detection and treatment. Here we assess the influence of socio-occupational class, geographical region, maternal age and birth cohort on time to detection and correction of cryptorchidism.

Methods

All boys born in Denmark, 1981 to 1987 or 1988 to 1994, with a diagnosis of cryptorchidism were identified in nationwide registers. The boys were followed for a diagnosis until their 16th birthday. The age at first diagnosis was noted and used as proxy for time to detection of cryptorchidism. Parental employment in the calendar year preceding birth was grouped into one of five socio-occupational classes. Geographical region was defined by place of birth in one of 15 Danish counties. Detection rate ratios of cryptorchidism were analyzed as a function of parental socio-occupational group, county, maternal age and birth cohort by use of Poisson regression.

Results

Some 6,059 boys in the early and 5,947 boys in the late cohort received a diagnosis of cryptorchidism. Time to detection was independent of parental socio-occupational group and maternal age but differed slightly between geographical regions. A similar pattern was obtained for surgical correction after a diagnosis. Age at diagnosis decreased by 2.7 years from the early to the late cohort.

Conclusions

These results indicate that childhood socio-occupational inequality in detection and correction of cryptorchidism would play a negligible role in male infertility in a life course perspective. Geographical region may have exerted some influence, especially for the oldest cohort.

Keywords:
Cryptorchidism; Fertility; Diagnosis; Orchiopexy; Geography; Register; Public health