Division of Reproductive Endocrinology & Infertility, Department of Obstetrics & Gynecology, Northwestern University Feinberg School of Medicine, 259 E Erie St Suite 2400, Chicago, IL, 60611, USA.
Reprod Biol Endocrinol. 2022 Jan 3;20(1):1. doi: 10.1186/s12958-021-00875-1.
Hispanic women have lower rates of use of infertility services than non-Hispanic White women. There are many barriers that impede access to infertility care including economic, geographic, cultural, and societal factors and there are disparities in treatment outcomes. Hispanic women are less likely to seek infertility care than non-Hispanic White women and even after infertility evaluation, Hispanic women are less likely to receive treatment for their infertility. Lower use of infertility treatments among Hispanic women is unlikely to be driven solely by economic factors. There is disappointingly little data on in-vitro fertilization treatment outcomes including the population of Hispanic women, and existing data has yielded conflicting results. Incomplete and variable reporting of race data across clinics raises the potential for misclassification bias and invalid study conclusions. Addressing disparities in access to reproductive medicine in the Hispanic population will required a multifaceted approach including expanded insurance coverage, improved education for both patients and providers, and additional research on barriers to care.
西班牙裔女性使用不孕不育服务的比率低于非西班牙裔白人女性。有许多障碍阻碍了人们获得不孕不育护理,包括经济、地理、文化和社会因素,并且在治疗结果方面存在差异。西班牙裔女性比非西班牙裔白人女性更不愿意寻求不孕不育护理,即使在进行不孕不育评估后,西班牙裔女性也不太可能接受不孕不育治疗。西班牙裔女性不孕不育治疗使用率较低不太可能仅仅是由经济因素驱动的。关于体外受精治疗结果的数据,包括西班牙裔女性的人口数据,令人失望地很少,而且现有数据得出了相互矛盾的结果。诊所间种族数据报告不完整且多变,增加了分类偏差和无效研究结论的可能性。要解决西班牙裔人群获得生殖医学服务方面的差异,需要采取多方面的方法,包括扩大保险覆盖范围、加强患者和提供者的教育,并对护理障碍进行更多的研究。