Self-reported barriers to accessing infertility care: patient perspectives from urban gynecology clinics
| Autor: | Tiffany Blake-Lamb, Eduardo Hariton, Mark D. Hornstein, Iris G. Insogna, Susan Schilling, Andrea Lanes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Infertility Adult medicine.medical_specialty Health Knowledge Attitudes Practice Adolescent Urban Population Ethnic group Reproductive medicine Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Genetics medicine Humans Assisted Reproduction Technologies Socioeconomic status Genetics (clinical) Gynecology 030219 obstetrics & reproductive medicine Insurance Health business.industry Obstetrics and Gynecology General Medicine Middle Aged medicine.disease United States Test (assessment) Outreach 030104 developmental biology Cross-Sectional Studies Reproductive Medicine Socioeconomic Factors Infertility care Female Self Report Educational interventions business Developmental Biology |
| Zdroj: | J Assist Reprod Genet |
| Popis: | PURPOSE: (1) To test the hypothesis that under-represented minority women, including Hispanic/Latina and African American or Black women, will be more likely to report greater socioeconomic and cultural barriers to infertility care compared with white women. (2) To identify gaps in knowledge that can guide future educational interventions. METHODS: A cross-sectional survey was completed by 242 women, ages 18–44, at five gynecology clinics in the greater Boston, Massachusetts area from February 27, 2018, to February 25, 2019. RESULTS: Of the respondents, 61.4% identified as Hispanic/Latina, 24.5% as white, and 6.6% as Black or African American. Cost was the most commonly reported barrier to care (62.8%) regardless of race/ethnicity or insurance status. Only 8.9% of participants were aware of personal insurance coverage for infertility treatment. Compared with white patients, Hispanic/Latina patients were less likely to know if their own insurance covered infertility treatment: 14.3% vs 6.8%; aRR 0.36 (95% CI 0.17–0.74), after adjusting for a personal history of infertility. CONCLUSION: Cost was the most commonly reported barrier to care. Most women were unaware of their insurance coverage despite the state insurance mandate to cover infertility treatment in Massachusetts. Education and outreach will be instrumental in helping address disparities in access to care. |
| Databáze: | OpenAIRE |
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