Disparities in access to infertility services in a state with mandated insurance coverage

Jain, Tarun; Hornstein, Mark D.

doi:10.1016/j.fertnstert.2005.01.118

Cited by 182 publications

(131 citation statements)

References 12 publications

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“…For example, among the infertile in this sample, fewer than 50% experienced infertility in the past 10 years, about half never sought any medical advice or help for infertility, many are mothers, and the average age is 39. Compared to more homogeneity among those seeking medical help (more educated and more wealthy; Jain & Hornstein, 2005), the heterogeneity among the random sample of women who meet the criteria for infertility likely dilutes the association. As we discuss later, an association between infertility and life satisfaction emerges for certain groups of women.…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Infertility and Life Satisfaction Among Women

McQuillan

Stone

Greil

2007

Journal of Family Issues

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Using data from a random sample of 580 midwestern women, the authors explore the association between lifetime infertility and life satisfaction. Past research shows lower life satisfaction among those seeking help for infertility. The authors find no direct effects of lifetime infertility, regardless of perception of a problem, on life satisfaction; however, there are several conditional effects. Among women who have ever met the criteria for infertility and perceive a fertility problem, life satisfaction is significantly lower for nonmothers and those with higher internal medical locus of control, and the association is weaker for employed women. For women with infertility who do not perceive a problem, motherhood is associated with higher life satisfaction compared to women with no history of infertility.

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Section: Conclusion and Discussionmentioning

confidence: 99%

Infertility and Life Satisfaction Among Women

McQuillan

Stone

Greil

2007

Journal of Family Issues

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“…There is indirect evidence suggesting that the association between high socioeconomic status and higher multiple births rates is mediated by the socioeconomic gradient in the use of ART (Heitman, 1995;Jenkins, 2005). Although infertility is more common among low income and African-origin groups in North America, women of greater material resources can more easily afford the cost of infertility therapies, even in settings with universal access to medically indicated infertility treatments (Jain & Hornstein, 2005).…”

Section: Discussionmentioning

confidence: 99%

Multiple Maternities and Neighborhood Income

Urquia¹,

Frank

Glazier

et al. 2007

Twin Res Hum Genet

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This study aimed to examine differences in multiple maternities by neighborhood-income levels in Toronto, Canada. Hospital records were used to perform secondary analysis of 144,731 maternities resulting in single or multiple infants live-born to mothers residing in the City of Toronto 1996 to 2001. The independent variable was neighborhood income, defined as mean household neighborhoodincome quintiles. Multiple logistic regression analysis was used to compute adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Differences by income levels were found in twin maternities but not in higher order maternities. Twin maternities were more likely to occur in the richest neighborhood-income quintile compared to the rest of the population (AOR: 1.25, 95% CI: 1.10-1.41), after adjustment for potential confounders. The positive association between high neighborhood income and twin maternities found in this study suggests that the richest neighborhoods select families whose characteristics pose them at increased risk of having twins. Further studies are needed to clarify the underlying mechanisms leading to socioeconomic differences in multiple births.

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“…Because a growing number of states mandate that health insurance cover infertility treatment, overall rates of treatment seeking are likely to rise (42). Major racial disparities in health insurance coverage (11% of non-Hispanic whites, 20% of African Americans, and 33% of Hispanics are without health insurance coverage [43]) are just one reason that such laws are unlikely to reduce racial disparities in treatment seeking (42,44).…”

Section: Explaining Disparitiesmentioning

confidence: 99%