Does fertility-specific distress vary by race/ethnicity among a probability sample of women in the United States?

Greil, Arthur L.; McQuillan, Julia; Sanchez, Delida

doi:10.1177/1359105314524970

Cited by 19 publications

(15 citation statements)

References 41 publications

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“…The study of infertility was initially primarily limited to the study of clinic patients, but once research moved beyond treatment seekers to include a focus on women with infertility who were not seeking treatment, it became clear that there is considerable diversity among those who meet the criteria for infertility. The diversity of experiences with infertility, particularly among those not seeking medical treatment, raises important questions about the social dimensions of the experience of infertility, the process of self‐identifying as infertile, and the challenges involved in estimating the unmet need for infertility counseling and treatment (Greil, Slauson‐Blevins, Tiemeyer, McQuillan, & Shreffler, ).…”

Section: Education and Awareness Of Reproduction And Infertility Treamentioning

confidence: 99%

Responding to Infertility: Lessons from a Growing Body of Research and Suggested Guidelines for Practice

2017

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Infertility is a common, yet often misunderstood, experience. Infertility is an important topic for family scientists because of its effects on families; its relevance to research in related areas, such as fertility trends and reproductive health; and its implications for practitioners who work with individuals and couples experiencing infertility. In this review, we focus on common misperceptions in knowledge and treatment of infertility and highlight insights from recent research that includes men, couples, and people with infertility who are not in treatment. The meaning of parenthood, childlessness, awareness of a fertility problem, and access to resources are particularly relevant for treatment seeking and psychosocial outcomes. On the basis of insights from family science research, we provide specific guidelines for infertility practice within broader social contexts such as trends in health care, education, employment, and relationships. Guidelines are presented across three areas of application: infertility education for individuals, families, and practitioners; steps to support the emotional well-being of those affected by infertility; and understanding of treatment approaches and their implications for individuals and couples.

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Section: Education and Awareness Of Reproduction And Infertility Treamentioning

confidence: 99%

Responding to Infertility: Lessons from a Growing Body of Research and Suggested Guidelines for Practice

2017

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“…In a qualitative study, Greil et al (2014) reported that factors related to secondary infertility, ethical concerns about infertility treatment, definition of “trying to get pregnant,” support of family and friends for infertility treatment, and a lower value of motherhood may also contribute to uptake of infertility services in black and Hispanic women. These results indicate that barriers to seeking infertility care are complex and deserve further exploration.…”

Section: Resultsmentioning

confidence: 99%

“…The 2012 Agency for Healthcare Research and Quality National Healthcare Disparities Report found that AI/ANs had poorer quality of care and worse access to care than whites across a broad set of measures, although infertility services were not specifically addressed (Agency for Healthcare Research and Quality & U.S. Department of Health and Human Services, 2013). Studies indicate that those who utilize infertility services are more likely to be older, highly educated, married, non-Hispanic whites compared to those who do not utilize these services (Chandra, Copen, & Stephen, 2013; Greil, McQuillan, & Sanchez, 2014; Nachtigall, 2006; Staniec & Webb, 2007). These disparities in infertility service utilization may be attributed to the cost of care and lack of health insurance for affordable diagnostic testing and treatment (Smith et al, 2011).…”

Section: Objectivesmentioning

confidence: 99%

Racial/Ethnic Differences in the Utilization of Infertility Services: A Focus on American Indian/Alaska Natives

Janitz

Peck

Craig

2018

Matern Child Health J

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Objectives Previous studies have identified racial/ethnic disparities in infertility care, but patterns among American Indian/Alaska Natives (AI/AN) have not been reported. Our objective was to evaluate infertility services use in the US by race/ethnicity using data from the National Survey of Family Growth (NSFG). Methods We analyzed female respondent data from the pooled NSFG cycles 2002, 2006-2010 and 2011-2013. Respondents reported use of infertility services and types of services. We calculated weighted crude and adjusted prevalence proportion ratios (PPR) and 95% confidence intervals (95% CI) using modified Poisson regression with robust error variances accounting for the complex survey design to compare infertility services use across race/ethnicities. Results Overall, 8.7% of women reported using medical services to get pregnant. The prevalence of using any medical service to help get pregnant was lower for American Indian/Alaska Native (AI/AN) (PPR: 0.60, 95% CI 0.43-0.83) and black (PPR: 0.53, 95% CI 0.44-0.63) compared to white women and in Hispanic compared to non-Hispanic women (PPR: 0.57, 95% CI 0.48-0.67). The prevalence of accessing treatment, testing, and advice also differed by race and ethnicity. Conclusions for Practice We observed disparities in accessing services to get pregnant among AI/AN and black women and reduced use of advice among Asian/Pacific Islanders compared to whites. We also observed reduced service utilization for Hispanic compared to non-Hispanic women. Differential utilization of specific services suggests barriers to infertility care may contribute to reproductive health disparities among underserved populations.

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“…Another study found that Black women in four population-based samples in the U.S. were twice as likely to experience infertility compared to their White RISK FOR INFERTILITY AS FUNCTION OF SEXUAL IDENTITY, SEXUAL BEHAVIOR, AND RACE AMONG U.S. WOMEN 8 counterparts (Wellons et al, 2008). While there is no consensus as to the exact rates of infertility among women in the U.S. as a function of race, researchers are in agreement that non-White women are more likely than others to experience infertility (Greil et al, 2016).…”

Section: Disparities In Infertilitymentioning

confidence: 99%

“…Having children may be considered a fundamental aspect of being fully immersed members of their ethnic communities (Szkupinski-Quiroga, 2002). There is some evidence that Black (Dunlap, Golube, & Johnson, 2006;Kendall, Afable-Munsuz, Speizer, Avery, Schmidt, & Santelli, 205) and Hispanic (Rocca, Doherty, Padian, Hubbard, & Minnis, 2010;Greil et al, 2016) women are more committed than White women to having children.…”

Section: Disparities In Infertilitymentioning

confidence: 99%

Risk for Infertility as a Function of Sexual identity, Sexual Behavior, and Race Among Women in the United States

Blanchfield¹

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Infertility affects approximately ten percent of women in the United States every year. There has been consistent evidence indicating that sexually transmitted infections (which are commonly cited risks for infertility) disproportionately affect non-White women, and racial minority women are nearly twice as likely as White women to experience infertility issues. However, comparable research that addresses the prevalence of sexually transmitted infections and/or infertility among sexual minority women is limited and inconsistent. Varied reports are due in part to researchers' restricted focus on behavior rather than identity-based approaches to sexual minority women's health experiences. The dearth of information is exacerbated by the operating definition of infertility (i.e., the failure to conceive following 12 months of heterosexual intercourse), which does not typically apply to sexual minority women. A framework of stratified reproduction, which takes into account the contribution of systemic inequities to minority women's reproductive health, may help reveal and explain disparities in risk for infertility among racial and sexual minority-identified women.Moreover, stratified reproduction also suggests that an underlying social experience common to both racial minority and sexual minority women (such as adolescent housing instability), may partially explain disparities in risk for infertility.The present study examined the sexually transmitted infection prevalence and overall risk for infertility among women in the United States as a function of race, sexual identity, and-so as to better differentiate the role of identity versus behavior-sexual behavior. The present study thus had three aims. The first aim was to establish the rates of various sexually transmitted infections that can threaten women's fertility as a function of sexual identity, sexual behavior, and race. The second aim was to determine how other commonly studied risk factors for infertility, (i.e., certain reproductive illnesses, alcohol consumption, tobacco use, and high or low bodyweight) might also be associated with sexual identity, sexual behavior, and race. These factors were examined in conjunction with RISK FOR INFERTILITY AS FUNCTION OF SEXUAL IDENTITY, SEXUAL BEHAVIOR, AND RACE AMONG U.S. WOMEN iv findings about sexually transmitted infections to construct a novel Risk for Infertility measure that allowed for a comparative risk assessment among women as a function of their racial identity, sexual identity, and sexual behavior. The third and final aim of this study was to test whether adolescent housing instability-for which sexual minority and racial minority individuals have both been at increased risk-might mediate the disparity in risk for infertility that emerged as a function of sexual identity, sexual behavior, and race among participants.The sample consisted of 4,990 women (representative of over 53 million women in the United States), ages 15-44, who participated in the 2011-3013 National Survey of Family Growth. As ...

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Does fertility-specific distress vary by race/ethnicity among a probability sample of women in the United States?

Cited by 19 publications

References 41 publications

Responding to Infertility: Lessons from a Growing Body of Research and Suggested Guidelines for Practice

Responding to Infertility: Lessons from a Growing Body of Research and Suggested Guidelines for Practice

Racial/Ethnic Differences in the Utilization of Infertility Services: A Focus on American Indian/Alaska Natives

Risk for Infertility as a Function of Sexual identity, Sexual Behavior, and Race Among Women in the United States

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