Socioeconomic disparities in access to ART treatment and the differential impact of a policy that increased consumer costs

Chambers, Georgina M.; Hoang, Van Phuong; Illingworth, Peter

doi:10.1093/humrep/det302

Cited by 69 publications

(49 citation statements)

References 17 publications

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“…Furthermore 43.4% of participants were from financially higher socioeconomic groups, reflective of socioeconomic advantages. Our findings are consistent with those of other health economics studies (48), highlighting the bias of higher socioeconomic status and education in terms of access to health services. This health advantage potentially makes CBRC treatment a medical option for the affluent, highlighting differential health access and potentially adding fuel to the ethical debate about exploitation of stakeholders associated with CBRC (12, 17).…”

Section: Discussionsupporting

confidence: 92%

Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Rodino

Goedeke

Nowoweiski

2014

Fertility and Sterility

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Section: Discussionsupporting

confidence: 92%

Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Rodino

Goedeke

Nowoweiski

2014

Fertility and Sterility

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“…These procedures are not only costly and uncomfortable, but cause socioeconomic problems (Chambers et al, 2013;Ferraretti, 2014;Katz et al, 2002). The impact of DNA damage and its clinical significance remain controversial and most IVF physicians are skeptical about its diagnosis and treatment (Practice Committee of American Society for Reproductive Medicine, 2008).…”

Section: Introductionmentioning

confidence: 99%

Effect of bajijiasu isolated from Morinda officinalis F. C. how on sexual function in male mice and its antioxidant protection of human sperm

Chen

Lin

et al. 2015

Journal of Ethnopharmacology

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“…The changes resulted in a significant decline in the number of women having IVF cycles in particular among women 40 years or older (Chambers et al, 2012a). The 21-25% decrease in the number of women of all ages accessing IVF suggests that the additional out-of-pocket expense of approximately $2500 was financially prohibitive for many couples (Chambers, Hoang, & Illingworth, 2013b).…”

Section: Commodification Of Infertilitymentioning

confidence: 99%

“…Multiple births are more likely than ART-conceived singletons to require neonatal care and have a LBW (Shieve et al, 2002). Perinatal outcomes for ART for either a singleton or multiple birth is reflected in greater usage of neonatal services and paediatric services for the first five years of life, which is a funding concern for health services (Chambers et al, 2013b).…”

Section: Risks To Babies Born To Midlife Intending Mothers and Women mentioning

confidence: 99%

“…Overall, the EMSN had not made Medicare services more accessible for Australians living in the lower socio-economic quintile (Chambers et al, 2013b). The cessation of the EMSN and the capping of the Medicare rebates for ART resulted in a 13% decrease in the number of treatment cycles in 2008 (Macaldowie et al, 2010).…”

Section: The History Of Public Funding Of Art In Australiamentioning

confidence: 99%

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Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Hayward¹

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The age for optimal women's childbearing, with the best chance of delivering a healthy baby, is generally considered to be when aged in their 20s years. Some researchers propose that fertility declines occurs from 32 years of age. After this age women have a decreasing chance of conception attributed primarily to age-related chromosomal changes in their oocytes. Midlife intending mothers (women aged 35 and older) This research investigates perceptions of women's fertility decline and ART success from a group of women who had used ART, and from men and women in the community who may not have used ART. Women who had used ART and a community cohort were surveyed. Responses from these two groups were analysed separately and compared.Women who had used ART were asked about their experiences at their clinic, and if treatment had social or psychological repercussions. Participants asked about their perceptions of media portrayal of ART success for women aged 35 and older. The concept that ART has become commodified, where commodification is the transformation of services or entities into a commodity, is explored. Those who had used ART suggested recommendations for younger women about childbearing.A mixed-methods approach was utilised. Data were gathered from three cohorts of participants. Quantitative and qualitative data were gathered from an in-vitro fertilisation (IVF) support group (N = 68) and qualitative data from an interview group of IVF users (N=6) who had engaged with ART treatment either currently or recently. Some had conceived and some were still having treatment. The community group (N= 1243) comprised men and women over 18 years of age who participated in a Queensland-wide telephone survey. Quantitative data gathered from the support group and the community were analysed using SPSS. Qualitative data were explored via thematic analysis.Thematic findings from the interview group supported findings of the support group. Most women knew the benefits and risks of delaying childbearing and made an informed choice ii to use ART. Most were aware that fertility declined from the age of 35, yet this age group is the major consumer of ART. Most women younger than 40 years believed they would get pregnant and have a healthy baby. Only half of the women aged 40 years and older had that confidence. However, this insight may have been gained after using ART. Women found their experience physiologically and psychologically challenging and those who didn't conceive, found making the decision to stop treatment confronting. Some were confused on the published success rates, and expectations elevated from overall rather than age specific pregnancy not birth rates.Support group and interview participants felt delayed childbearing was mainly due to lack of a relationship partner whereas community members believed career or work aspirations. Both he support group and community group agreed that women's fertility declined from the age of 35 years but significantly more community members, and significantly more men th...

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Socioeconomic disparities in access to ART treatment and the differential impact of a policy that increased consumer costs

Abstract: N/A.

Cited by 69 publications

References 17 publications

Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Motivations and experiences of patients seeking cross-border reproductive care: the Australian and New Zealand context

Effect of bajijiasu isolated from Morinda officinalis F. C. how on sexual function in male mice and its antioxidant protection of human sperm

Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

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