Outcomes from a university-based low-cost in vitro fertilization program providing access to care for a low-resource socioculturally diverse urban community

Herndon, Christopher N.; Anaya, Yanett; Noel, Martha; Çakmak, Hakan; Cedars, Marcelle I.

doi:10.1016/j.fertnstert.2017.06.035

Cited by 16 publications

(13 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One strategy to correct this issue would be through the implementation of more low-cost IVF programs. With the creation of low-cost yet high quality ovarian stimulation protocols and IVF techniques, the prospect of providing full spectrum infertility care to those living in low resource settings has become feasible [17]. As the outcomes of these new techniques and programs materialize in the literature, hopefully additional programs with similar goals will begin to disseminate throughout the US and worldwide.…”

Section: Resultsmentioning

confidence: 99%

Infertility knowledge and treatment beliefs among African American women in an urban community

Wiltshire

Brayboy

Phillips

et al. 2019

Contracept Reprod Med

View full text Add to dashboard Cite

Background To assess infertility knowledge and treatment beliefs among African American women in an urban community in Atlanta, Georgia. Methods This was a cross sectional study at a safety net hospital. A convenience sample of a total of 158 women receiving outpatient obstetrical or gynecologic care from March–April 2017 were recruited. Infertility knowledge and treatment beliefs were assessed using a previously applied and field-tested survey from the International Fertility Decision Making Study. Results The mean infertility knowledge score was 38.15% for total subjects. Those with a higher level of education (p < 0.0001) and those with paid employment (p = 0.01) had a significantly higher level of infertility knowledge. Those who had a history of infertility therapy were significantly more likely to agree with negative treatment beliefs (p = 0.01). There was no significant difference in infertility knowledge or treatment beliefs based on age, sexuality, parity or being pregnant at the time of survey completion. Conclusions African American women in our urban clinic setting seem to have a limited level of knowledge pertaining to infertility. Further research is needed to understand how differences in knowledge and beliefs translate into infertility care decision-making and future childbearing.

show abstract

Section: Resultsmentioning

confidence: 99%

Infertility knowledge and treatment beliefs among African American women in an urban community

Wiltshire

Brayboy

Phillips

et al. 2019

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…The cost of funding IVF has been estimated as less than 0.25% of total healthcare expenditure in Australia and Scandinavia (Chambers et al, 2009). This can be even less with the adoption of low-cost programs with rational protocols, as shown by the San Francisco General Hospital that reduced the overall cost including medications per patient to USD 2500 or less, yet keeping a 29% clinical pregnancy rate per oocyte retrieval (Herndon et al, 2017). For the poorest regions, strategies of low-cost IVF using simplified embryo culture methods have also been developed (Inhorn and Patrizio, 2015).…”

Section: Future Directionsmentioning

confidence: 99%

Restricted access to assisted reproductive technology and fertility preservation: legal and ethical issues

Oliveira

Ataman

Rodrigues

et al. 2021

Reproductive BioMedicine Online

View full text Add to dashboard Cite

show abstract

“…The high out-of-pocket cost of infertility care in the United States disproportionately impacts individuals from a low resource, largely immigrant communities. Additionally, many may have limited eligibility to qualify for financing or loan programs to help financially access treatments ( 11 ).…”

mentioning

confidence: 99%

Public attitudes in the United States toward insurance coverage for in vitro fertilization and the provision of infertility services to lower income patients

Aghajanova

Mok-Lin

et al. 2022

F&S Reports

Self Cite

View full text Add to dashboard Cite

Objective: To assess attitudes and factors that influence public opinion in the general US population toward insurance coverage and provision of infertility care to lower income patients. Design: Cross-sectional survey. Setting: Online. Patient(s): A nationally representative sample of US residents. Intervention(s): Questionnaire with multiple choice and open response questions. Main Outcome Measure(s): Public attitudes toward in vitro fertilization and infertility care coverage for lower income patients. Result(s): A total of 1,027 (90.2%) participants completed the survey, among whom 620 (60.4%) had private insurance, 275 (26.8%) had Medicare/Medicaid, and 56 (5.5%) were uninsured. The majority (916, 89.2%) did not consider infertility a disease. Over half of the respondents (568, 55.3%) supported private insurance coverage of infertility services, including for in vitro fertilization. Most respondents, 735 (71.6%) believed that the prevalence and psychosocial impact of infertility were equal among the lower and higher income people. The majority of respondents with an opinion (512, 67.6%) believed that doctors should provide infertility treatments regardless of the income level of the patients. Of supporters, 40.1% believed in the right to have a family regardless of income, and 38.2% believed that doctors had a social responsibility to provide infertility services. After adjusting for covariates, age <45 years, noncollege graduates, desiring more children, believing that infertility was a disease, and residence in the Northeast region remained significant predictors for support of private insurance coverage. Conclusion(s):Public perception of infertility as a disease is one of the strongest predictors of support for insurance coverage for infertility services, underscoring the need for enhanced advocacy and education in the general public.

show abstract

Outcomes from a university-based low-cost in vitro fertilization program providing access to care for a low-resource socioculturally diverse urban community

Cited by 16 publications

References 33 publications

Infertility knowledge and treatment beliefs among African American women in an urban community

Infertility knowledge and treatment beliefs among African American women in an urban community

Restricted access to assisted reproductive technology and fertility preservation: legal and ethical issues

Public attitudes in the United States toward insurance coverage for in vitro fertilization and the provision of infertility services to lower income patients

Contact Info

Product

Resources

About