Infertility Status and Infertility Treatment: Racial and Ethnic Disparities

Guendelman, Sylvia; Stachel, Laura

doi:10.1007/978-1-4419-1499-6_6

Reducing Racial/Ethnic Disparities in Reproductive and Perinatal Outcomes 2010

DOI: 10.1007/978-1-4419-1499-6_6

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Infertility Status and Infertility Treatment: Racial and Ethnic Disparities

Sylvia Guendelman

Laura Stachel²

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Cited by 2 publications

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Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility

et al. 2020

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Studies of medical help-seeking presume that self-identifying as having a health problem precedes medical contact, but this ordering of the identity-behavior relationship has not been systematically examined. We used longitudinal data from the National Survey of Fertility Barriers (2004Barriers ( to 2010 on 412 women with infertility to document the temporal relationship between self-identifying as having a fertility problem and making medical contact. The symbolic interactionist perspective suggests that infertility will be perceived as identity disruption and that in response women will align self-identity and medical behavior over time. Cross-tabulation analysis indicated that more women do self-identify as having a fertility problem first (24 percent) as opposed to making medical contact first (5.5 percent). There was also a tendency toward aligning self-identification and behavior over time. Latent class analyses revealed six patterns: 1) consistently involved, 2) early consulters, 3) consistently uninvolved, 4) consistent perceivers, 5) medical dropouts, and 6) early perceivers. Strong fertility intent and primary infertility, two identity-relevant characteristics, had the strongest associations with latent class membership. The relationship between selfidentification and medical help-seeking is thus dynamic and complex.Studies of medical help-seeking often presume that self-identifying as having a health problem precedes medical contact (Andersen 1968;Pescosolido 1992;Thoits 1985;White et al. 2006;Zola 1973), but such temporal ordering of the identity-behavior relationship has not been systematically addressed. Furthermore, there are examples of people seeking *

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Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility

et al. 2020

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Reproductive Justice

Luna

Luker

2013

Annu. Rev. Law. Soc. Sci.

215

164

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The authors examine the development of reproductive rights, a law-focused movement, and reproductive justice, a social justice–aimed movement that emphasizes intersecting social identities (e.g., gender, race, and class) and community-developed solutions to structural inequalities. In examining the intertwining histories of the reproductive health, reproductive rights, and reproductive justice movements, we consider the relationship between law and social movements, including the limits of law to inform radical social movements. We highlight how the relationship between scholarship and activism on the right to not have children has expanded to include notions of the right to have children (e.g., for low-income people or with the aid of technology) and the right to parent with dignity (e.g., for incarcerated people or in nonmedicalized settings). We end the article with a discussion of best practices and future directions for research.

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Infertility Status and Infertility Treatment: Racial and Ethnic Disparities

Cited by 2 publications

References 38 publications

Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility

Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility

Reproductive Justice

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