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

Maternal and Child Health Journal
Amanda E JanitzLaTasha B Craig

Abstract

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 ...Continue Reading

References

Jul 13, 2005·Fertility and Sterility·Tarun Jain, Mark D Hornstein
Apr 4, 2006·Fertility and Sterility·Marcia C Inhorn, Michael Hassan Fakih
Apr 4, 2006·Fertility and Sterility·Robert D Nachtigall
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Jun 15, 2007·Fertility and Sterility·Eve C FeinbergAlicia Y Armstrong
Oct 27, 2009·Journal of Public Health Management and Practice : JPHMP·Kakoli RoyCarol A Gotway Crawford
Nov 27, 2009·Fertility and Sterility·Samantha F Butts, David B Seifer
Apr 2, 2010·Fertility and Sterility·Desireé M McCarthy-KeithAlicia Y Armstrong
Apr 24, 2014·American Journal of Public Health·Nathaniel CobbJessica King
Jul 24, 2015·Paediatric and Perinatal Epidemiology·Helen B ChinJessica B Spencer
Jan 31, 2016·Fertility and Sterility·Eli Y Adashi, Laura A Dean
Apr 8, 2016·Fertility and Sterility·Molly Quinn, Victor Fujimoto
Jan 11, 2018·Journal of Racial and Ethnic Health Disparities·LaTasha B CraigJennifer D Peck

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Citations

Nov 28, 2020·Journal of Assisted Reproduction and Genetics·Iris G InsognaMark D Hornstein
Mar 25, 2021·SN Comprehensive Clinical Medicine·Dandison Nat Ebeh, Shayesteh Jahanfar

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