Gadson Alexis K, Sauerbrun-Cutler May-Tal, Eaton Jennifer L
Shady Grove Fertility Center, Rockville, MD 20850, USA.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Women and Infants Hospital and Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
J Clin Med. 2024 Feb 13;13(4):1060. doi: 10.3390/jcm13041060.
Significant ethnic and racial disparities exist in the utilization and outcomes of assisted reproductive technology (ART) in the United States. The popularity of fertility preservation (FP) procedures, a specific application of ART for those desiring to delay childbearing, has increased; however, many minority populations have seen a less rapid uptake of these services. Minority patients pursuing ART are more likely to have poorer in vitro fertilization (IVF) and pregnancy outcomes. These outcomes are used to predict success after FP and may lessen the appeal of such procedures in these populations. Suboptimal outcomes are further compounded by challenges with receiving referrals to, accessing, and paying for FP services. Resolving these disparities in minority populations will require culturally appropriate education surrounding the benefits of ART and FP, the demonstration of favorable outcomes in ART and FP through continued research engaging minority participants, and continued advocacy for expanded access to care for patients.
在美国，辅助生殖技术（ART）的使用情况和治疗结果存在显著的种族和民族差异。生育力保存（FP）程序作为ART的一种特殊应用，适用于那些希望推迟生育的人群，其受欢迎程度有所提高；然而，许多少数族裔群体对这些服务的接受速度较慢。寻求ART的少数族裔患者更有可能在体外受精（IVF）和妊娠结局方面表现较差。这些结局被用于预测FP后的成功率，可能会降低这些人群对这类程序的兴趣。获得FP服务的转诊、获取和支付方面的挑战进一步加剧了不理想的结局。要解决少数族裔群体中的这些差异，需要围绕ART和FP的益处开展文化上合适的教育，通过持续开展涉及少数族裔参与者的研究来证明ART和FP的良好结局，并持续倡导扩大患者获得护理的机会。
