Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States

Stacey A. Missmer, David Seifer, Tarun Jain

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Objective: To identify cultural differences in access to infertility care. Design: Cross-sectional, self-administered survey. Setting: University hospital-based fertility center. Patient(s): Thirteen hundred fifty consecutive women who were seen for infertility care. Intervention(s): None. Main Outcome Measure(s): Details about demographic characteristics, health care access, and treatment opinions based on patient race or ethnicity. Result(s): The median age of participants was 35 years; 41% were white, 28% African American, 18% Hispanic, and 7% Asian. Compared with white women, African American and Hispanic women had been attempting to conceive for 1.5 years longer. They also found it more difficult to get an appointment, to take time off from work, and to pay for treatment. Forty-nine percent of respondents were concerned about the stigma of infertility, 46% about conceiving multiples, and 40% about financial costs. Disappointing one's spouse was of greater concern to African-American women, whereas avoiding the stigmatization of infertility was of greatest concern to Asian-American women. Conclusion(s): While the demand for infertility treatment increases in the United States, attention to cultural barriers to care and cultural meanings attributed to infertility should be addressed. Enhanced cultural competencies of the health care system need to be employed if equal access is to be realized as equal utilization for women of color seeking infertility care.

Original languageEnglish (US)
Pages (from-to)1943-1949
Number of pages7
JournalFertility and Sterility
Volume95
Issue number6
DOIs
StatePublished - May 2011
Externally publishedYes

Fingerprint

Midwestern United States
Healthcare Disparities
Infertility
African Americans
Hispanic Americans
Cultural Competency
Delivery of Health Care
Stereotyping
Asian Americans
Spouses
Fertility
Appointments and Schedules
Therapeutics
Color
Demography
Outcome Assessment (Health Care)
Costs and Cost Analysis

Keywords

  • assisted reproductive technology
  • cultural differences
  • equal access
  • equal utilization
  • Health care disparities
  • infertility
  • IVF
  • mandate health insurance
  • race/ethnicity
  • religion

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States. / Missmer, Stacey A.; Seifer, David; Jain, Tarun.

In: Fertility and Sterility, Vol. 95, No. 6, 05.2011, p. 1943-1949.

Research output: Contribution to journalArticle

Missmer, Stacey A. ; Seifer, David ; Jain, Tarun. / Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States. In: Fertility and Sterility. 2011 ; Vol. 95, No. 6. pp. 1943-1949.
@article{6814b8f84f204c559e202f7f0247cdf2,
title = "Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States",
abstract = "Objective: To identify cultural differences in access to infertility care. Design: Cross-sectional, self-administered survey. Setting: University hospital-based fertility center. Patient(s): Thirteen hundred fifty consecutive women who were seen for infertility care. Intervention(s): None. Main Outcome Measure(s): Details about demographic characteristics, health care access, and treatment opinions based on patient race or ethnicity. Result(s): The median age of participants was 35 years; 41{\%} were white, 28{\%} African American, 18{\%} Hispanic, and 7{\%} Asian. Compared with white women, African American and Hispanic women had been attempting to conceive for 1.5 years longer. They also found it more difficult to get an appointment, to take time off from work, and to pay for treatment. Forty-nine percent of respondents were concerned about the stigma of infertility, 46{\%} about conceiving multiples, and 40{\%} about financial costs. Disappointing one's spouse was of greater concern to African-American women, whereas avoiding the stigmatization of infertility was of greatest concern to Asian-American women. Conclusion(s): While the demand for infertility treatment increases in the United States, attention to cultural barriers to care and cultural meanings attributed to infertility should be addressed. Enhanced cultural competencies of the health care system need to be employed if equal access is to be realized as equal utilization for women of color seeking infertility care.",
keywords = "assisted reproductive technology, cultural differences, equal access, equal utilization, Health care disparities, infertility, IVF, mandate health insurance, race/ethnicity, religion",
author = "Missmer, {Stacey A.} and David Seifer and Tarun Jain",
year = "2011",
month = "5",
doi = "10.1016/j.fertnstert.2011.02.039",
language = "English (US)",
volume = "95",
pages = "1943--1949",
journal = "Fertility and Sterility",
issn = "0015-0282",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States

AU - Missmer, Stacey A.

AU - Seifer, David

AU - Jain, Tarun

PY - 2011/5

Y1 - 2011/5

N2 - Objective: To identify cultural differences in access to infertility care. Design: Cross-sectional, self-administered survey. Setting: University hospital-based fertility center. Patient(s): Thirteen hundred fifty consecutive women who were seen for infertility care. Intervention(s): None. Main Outcome Measure(s): Details about demographic characteristics, health care access, and treatment opinions based on patient race or ethnicity. Result(s): The median age of participants was 35 years; 41% were white, 28% African American, 18% Hispanic, and 7% Asian. Compared with white women, African American and Hispanic women had been attempting to conceive for 1.5 years longer. They also found it more difficult to get an appointment, to take time off from work, and to pay for treatment. Forty-nine percent of respondents were concerned about the stigma of infertility, 46% about conceiving multiples, and 40% about financial costs. Disappointing one's spouse was of greater concern to African-American women, whereas avoiding the stigmatization of infertility was of greatest concern to Asian-American women. Conclusion(s): While the demand for infertility treatment increases in the United States, attention to cultural barriers to care and cultural meanings attributed to infertility should be addressed. Enhanced cultural competencies of the health care system need to be employed if equal access is to be realized as equal utilization for women of color seeking infertility care.

AB - Objective: To identify cultural differences in access to infertility care. Design: Cross-sectional, self-administered survey. Setting: University hospital-based fertility center. Patient(s): Thirteen hundred fifty consecutive women who were seen for infertility care. Intervention(s): None. Main Outcome Measure(s): Details about demographic characteristics, health care access, and treatment opinions based on patient race or ethnicity. Result(s): The median age of participants was 35 years; 41% were white, 28% African American, 18% Hispanic, and 7% Asian. Compared with white women, African American and Hispanic women had been attempting to conceive for 1.5 years longer. They also found it more difficult to get an appointment, to take time off from work, and to pay for treatment. Forty-nine percent of respondents were concerned about the stigma of infertility, 46% about conceiving multiples, and 40% about financial costs. Disappointing one's spouse was of greater concern to African-American women, whereas avoiding the stigmatization of infertility was of greatest concern to Asian-American women. Conclusion(s): While the demand for infertility treatment increases in the United States, attention to cultural barriers to care and cultural meanings attributed to infertility should be addressed. Enhanced cultural competencies of the health care system need to be employed if equal access is to be realized as equal utilization for women of color seeking infertility care.

KW - assisted reproductive technology

KW - cultural differences

KW - equal access

KW - equal utilization

KW - Health care disparities

KW - infertility

KW - IVF

KW - mandate health insurance

KW - race/ethnicity

KW - religion

UR - http://www.scopus.com/inward/record.url?scp=79955002346&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955002346&partnerID=8YFLogxK

U2 - 10.1016/j.fertnstert.2011.02.039

DO - 10.1016/j.fertnstert.2011.02.039

M3 - Article

C2 - 21420677

AN - SCOPUS:79955002346

VL - 95

SP - 1943

EP - 1949

JO - Fertility and Sterility

JF - Fertility and Sterility

SN - 0015-0282

IS - 6

ER -