Infertility knowledge and treatment beliefs among African American women in an urban community

Wiltshire, Ashley; Brayboy, Lynae M.; Phillips, Kiwita; Matthews, Roland; Yan, Fuhua; McCarthy-Keith, D.

doi:10.1186/s40834-019-0097-x

Cited by 15 publications

(19 citation statements)

References 14 publications

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“…had male respondents as better scorers. [ 4 18 28 ] A study at Ottawa University revealed that female and male respondents both had analogous and lower scores, this finding was similar to the present study as all the groups had statistically nonsignificant difference. [ 29 ]…”

Section: Discussionsupporting

confidence: 88%

“…[ 3 ] A recent tendency among them was observed wherein first-time parenthood was considered in late thirties. [ 4 5 6 7 ] As child conception is deferred for considerable time giving priority to professional goals, it deteriorates the probability of natural conception and subsequently requires specialized treatment to help the couples. [ 3 ] Statistics are available, emphasized the fact that there was downward trend in the total fertility rate, i.e.…”

Section: Introductionmentioning

confidence: 99%

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Fertility Awareness and Perceptions among Procreant Age Group in Western India

Banerjee

Mathews

2021

Journal of Pharmacy and Bioallied Sciences

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Background: In India, fertility rate demonstrates a descending trend whereas there is upsurge in infertility rate. In addition, a knowledge gap concerning fertility has been identified among the current generation. Aim: To quantify the fertility awareness and in-depth exploration of perceptions about fertility among procreant age group. Materials and Methods: Explanatory mixed method design with sequential data collection, nested sampling technique was assumed. Purposive sampling was incorporated to recruit 1000 participants into the prospective cohort study. Awareness was measured using fertility knowledge questionnaire, while qualitative data were collected by in-depth interview of 28 participants until data saturation. The study was intact in terms of ethical compliance. Results: Sociodemographic data revealed that the mean age of the respondents was 31.33 ± 6.4 years, 59.6% were female, 78.3% were married, 61.5% completed their university education, 76.0% were working. The mean of overall fertility awareness score was 50.2 ± 13.5. There was no statistical difference in responses of the subgroups (P > 0.05) and only educational status was significantly associated (P = 0.001*) with awareness scores. Perceptions pertinent to fertility were evidently varying amongst the general group and couples accessing fertility treatment, which subsequently was elucidated with the qualitative thematic analysis. Conclusion: Procreant age group of western India demonstrated low to average fertility awareness. Assertive recommendations were proposed for fertility awareness initiatives across both genders, irrespective of educational status.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Fertility Awareness and Perceptions among Procreant Age Group in Western India

Banerjee

Mathews

2021

Journal of Pharmacy and Bioallied Sciences

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“…Additionally, Ho et al in a study of patients at SFGH found that level of education and socioeconomic status was inversely proportionate to duration of infertility [28]. Recently, Wiltshire et al assessed infertility knowledge and treatment beliefs among African American women from an urban community in Atlanta, Georgia using a field-tested survey from the International Fertility Decision Making Study [29]. In this population, a lower level of infertility knowledge was identified and, similar to our findings, higher level of education correlated with increased knowledge scores [29].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, Wiltshire et al assessed infertility knowledge and treatment beliefs among African American women from an urban community in Atlanta, Georgia using a field-tested survey from the International Fertility Decision Making Study [29]. In this population, a lower level of infertility knowledge was identified and, similar to our findings, higher level of education correlated with increased knowledge scores [29]. The data from prior studies of populations with higher socioeconomic status and health literacy identified several factors strongly associated with fertility knowledge including resource level, region of origin, ethnicity, primary language, education level, and parity [30,31].…”

Section: Discussionmentioning

confidence: 99%

Disparities in fertility knowledge among women from low and high resource settings presenting for fertility care in two United States metropolitan centers

Hoffman

Delaney

Valdés³

et al. 2020

Fertil Res and Pract

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Background: Few studies have examined health literacy and fertility knowledge among women from low income, socio-culturally diverse communities presenting for fertility care in the United States. Our study sought to examine demographic predictors of fertility-related knowledge among infertile women from low and high-resource communities in two major metropolitan centers in the United States. Methods: Fertility Knowledge Assessments were administered to women presenting for fertility care at county medical centers serving low-resource, largely immigrant patients and to women from largely affluent populations presenting to comprehensive fertility centers in two cities. The influence of demographic predictors on fertility knowledge was examined through regression analysis. Results: A total of 143 women were included in our analysis. In the county hospital/low resource clinic (LR, n = 70), the mean age was 32.8 ± 6.1 years vs 35.0 ± 5.0 years in the fee-for-service/high resource clinic (HR, n = 73). Among the LR patients, 74% were immigrants, 71% had an annual income <$25,000 and 52% had completed high school. Among HR patients, 36% were immigrants, 60% had an annual income >$100,000, and 95% had some college or above. On average, women from HR settings scored 3.0 points higher on the Fertility Knowledge Assessment than their LR counterparts (p < 0.001). Upon multivariate analysis, education level remained the sole independent factor associated with fertility knowledge assessment score (p < 0.001). Stratifying by resource level revealed that income was highly associated with fertility knowledge (p < 0.01) among high resource individuals even when adjusting for education level. Conclusions: Women from low resource, largely immigrant communities, seeking fertility care have greater disparities in fertility knowledge and lower health literacy compared to women from high resource clinical settings. Further studies are needed to understand these barriers and to develop targeted inventions to lower disparities and improve care for these vulnerable populations.

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“…Obama and other famous Black women have described using ART ( Luna, 2018 ). Nonetheless, Black women, who have higher rates of infertility, are less likely to pursue infertility services than white women, and, when they do, the success rates are much lower ( Shapiro et al, 2017 , Wiltshire et al, 2019 ). Typically, differences in success rates are attributed to a combination of genetic factors, environmental issues, socio-economic status and behavioural factors ( Tal and Seifer, 2013 ).…”

Section: Scaling the Crisis Of Reproducing While Blackmentioning

confidence: 99%

Reproducing while Black: the crisis of Black maternal health, obstetric racism and assisted reproductive technology

Davis

2020

Reproductive Biomedicine & Society Online

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Black women bear the burden of a number of crises related to reproduction. Historically, their reproduction has been governed in relation to the slave economy, and connected to this, they have been experimented upon and subjected to exploitative medical interventions and policies. Even now, they are more likely to experience premature births and more likely to die from pregnancy-related complications. Their reproductive lives have been beleaguered by racism. This reality, as this article points out, shapes the use of assisted reproductive technology (ART) by Black women. Using the framework of obstetric racism, I suggest that, in addition to the crisis of adverse maternal health outcomes, such as premature birth, low-birthweight infants and maternal death, Black women also face the crisis of racism in their medical encounters as they attempt to conceive through ART. Obstetric racism is enacted on racialized bodies that have historically experienced subjugation, especially, but not solely, reproductive subjugation. In my prior work, I delineated four dimensions of obstetric racism: diagnostic lapses; neglect, dismissiveness or disrespect; intentionally causing pain; and coercion. In this article, I extend that framework and explore three additional dimensions of obstetric racism: ceremonies of degradation; medical abuse; and racial reconnaissance. This article is based on ethnographic work from 2011 to 2019, during which time I collected narratives of US-based Black women and documented the circumstances under which they experienced obstetric racism in their interactions with medical personnel while attempting conception through ART.

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Infertility knowledge and treatment beliefs among African American women in an urban community

Cited by 15 publications

References 14 publications

Fertility Awareness and Perceptions among Procreant Age Group in Western India

Fertility Awareness and Perceptions among Procreant Age Group in Western India

Disparities in fertility knowledge among women from low and high resource settings presenting for fertility care in two United States metropolitan centers

Reproducing while Black: the crisis of Black maternal health, obstetric racism and assisted reproductive technology

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