Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
Endocrinol Metab Clin North Am. 2023 Dec;52(4):659-675. doi: 10.1016/j.ecl.2023.05.005. Epub 2023 Jun 11.
Infertility disproportionately affects the minority, non-White populace, with Black women having twofold higher odds than White women. Despite higher infertility rates, minority racial and ethnic groups access and utilize fertility care less frequently. Even once care is accessed, racial and ethnic disparities exist in infertility treatment and ART outcomes. Preliminary studies indicate that Asian and American Indian women have lower intrauterine insemination pregnancy rates. Many robust studies indicate significant racial and ethnic disparities in rates of clinical pregnancy, live birth, pregnancy loss, and obstetrical complications following in vitro fertilization, with lower favorable outcomes in Black, Asian, and Hispanic women.
不孕症不成比例地影响少数民族和非白人群体，黑人女性的患病几率是白人女性的两倍。尽管不孕症的发病率较高，但少数族裔群体获得和使用生育护理的频率却较低。即使获得了护理，在不孕症治疗和辅助生殖技术（ART）结果方面也存在种族和民族差异。初步研究表明，亚洲和美洲印第安妇女的宫腔内人工授精妊娠率较低。许多强有力的研究表明，在体外受精后，临床妊娠、活产、妊娠丢失和产科并发症的发生率存在显著的种族和民族差异，黑人、亚洲和西班牙裔妇女的有利结局较低。
