Socioeconomic and racial disparities among infertility patients seeking care
Socioeconomic and racial disparities among infertility patients seeking care
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DOI：
10.1016/j.fertnstert.2005.07.1338
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发表时间：
2006-04-01
影响因子：
6.7
通讯作者：
Jain, T
中科院分区：
文献类型：
--
作者：
Jain, T
目的：调查在不孕不育治疗强制覆盖的州寻求护理的不孕症患者中基于患者种族/民族的社会人口统计学差异。设计：横断面调查。地点：大学医院生育中心。患者：总共 1,500 名连续接受不孕症护理的女性。干预措施（S）：无。主要结果指标：自我报告问卷，评估患者种族/民族、诊断、收入、教育水平和就诊前的不孕持续时间。结果（S）：与白人女性相比，非洲裔美国女性在就医前经历的不孕持续时间明显更长（分别为 4.3 年和 3.3 年，P=.03）。在不孕不育诊断方面，与白人女性相比，非裔美国和西班牙裔女性患有输卵管因素不孕的比例明显更高（分别为 24.0% 和 27.3% vs. 5.3%；P=0.001）。查看患者获得的最高教育水平。与白人女性相比，非裔美国人和西班牙裔女性拥有不到 4 年制大学学位的比例明显更高（分别为 48% 和 40.9% vs. 13.2%：P
Objective: To examine sociodemographic differences based on patient race/ethnicity among infertility patients seeking care in a state with mandated coverage of infertility treatment.Design: Cross-sectional survey.Setting: University-hospital-based fertility center.Patient(s): A total of 1,500 consecutive women who presented for infertility care. Intervention(S): None.Main Outcome Measure(s): Self-report questionnaire assessing patient race/ethnicity, diagnosis, income, education level, and duration of infertility before seeking care.Result(S): African American women experienced a significantly longer duration of infertility before seeking care compared with Caucasian women (4.3 vs. 3.3 years, respectively P=.03). With regard to infertility diagnosis, a significantly greater proportion of African American and Hispanic women had tubal factor infertility compared with Caucasian women (24.0% and 27.3% vs. 5.3%, respectively; P=.001). Looking at the highest level of education attained by patients. a significantly greater proportion of African American and Hispanic women had less than a 4-year college degree compared with Caucasian women (48% and 40.9% vs. 13.2%, respectively: P