Olig Emily, Mountan Shanalee, Beal James R, Sahmoun Abe E
School of Medicine, University of North Dakota, Dakota, USA.
Department of Family and Community Medicine, School of Medicine, University of North Dakota, Dakota, USA.
J Family Reprod Health. 2019 Sep;13(3):146-153.
The evaluation of racial disparities in access to and use of infertility services in the U.S. has been documented. The aims of this study were to: 1) investigate racial differences in length of time women report attempting to become pregnant until seeking medical help; and 2) determine the predictors of seeking medical help to achieve pregnancy. The National Survey of Family Growth 2011-2015 was used to analyze the duration women attempted to get pregnant among those who sought medical help. 563 women reported seeking medical help to achieve pregnancy. The majority 422 (81%) were white. Multiple linear regression showed that age (β = .93; p = .00), having less than high school education (β = 14.64; p = .01), and higher body mass index (β = .59; p = .00) are significantly associated with an increased length of time for seeking medical help to get pregnant. Religions other than Catholic or Protestant (β = -8.63; p = .04) is significantly associated with a decreased length of time for seeking medical help to get pregnant. Race was not associated with a significant difference in the length of time attempting to become pregnant (β = -1.80; p = .44). Age, education attainment, religious affiliation, and body mass index are significantly associated with the length of time pursuing pregnancy. Once women have utilized medical resources, racial differences in the length of time pursuing pregnancy are not apparent.
美国在获得和使用不孕不育服务方面的种族差异评估已有文献记载。本研究的目的是:1)调查女性报告尝试怀孕直至寻求医疗帮助的时间长度上的种族差异;2)确定寻求医疗帮助以实现怀孕的预测因素。使用2011 - 2015年全国家庭成长调查来分析寻求医疗帮助的女性尝试怀孕的持续时间。563名女性报告寻求医疗帮助以实现怀孕。其中大多数422人(81%)是白人。多元线性回归显示,年龄(β = 0.93;p = 0.00)、高中以下学历(β = 14.64;p = 0.01)以及较高的体重指数(β = 0.59;p = 0.00)与寻求医疗帮助以怀孕的时间长度增加显著相关。天主教或新教以外的宗教信仰(β = -8.63;p = 0.04)与寻求医疗帮助以怀孕的时间长度减少显著相关。种族与尝试怀孕的时间长度没有显著差异(β = -1.80;p = 0.44)。年龄、教育程度、宗教信仰和体重指数与追求怀孕的时间长度显著相关。一旦女性利用了医疗资源,在追求怀孕的时间长度上的种族差异就不明显了。