Nsiah-Jefferson Laurie
New Jersey Department of Health, Parlin.
Fetal Diagn Ther. 1993 Apr;8(Suppl. 1):107-27. doi: 10.1159/000263879.
This article examines access to reproductive genetics services for low-income women and women of color. It explores implications of the use of reproductive technologies; access and barriers to general prenatal care and its impact on accessing reproductive-genetic services; the implications of obtaining reproductive genetic services through public programs and funding, especially as they relate to equal provision of services. The traditional barriers to reproductive-genetics services; the decision-making process involved in genetic counseling when Caucasians dominate the process of counseling people of color; financial/insurance barriers to care for low- and moderate-income clients are also addressed. Recommendations are made to address the problems and inequities.
本文探讨了低收入女性和有色人种女性获得生殖遗传学服务的情况。它探讨了生殖技术使用的影响;一般产前护理的可及性和障碍及其对获得生殖遗传学服务的影响;通过公共项目和资金获得生殖遗传学服务的意义,特别是与平等提供服务相关的意义。还讨论了生殖遗传学服务的传统障碍;当白人主导为有色人种提供咨询的过程时,遗传咨询中的决策过程;低收入和中等收入客户在护理方面的财务/保险障碍。针对这些问题和不平等现象提出了建议。