Racial and economic demographics of couples seeking infertility treatment

Green, Jennifer Ach; Robins, Jared C.; Scheiber, Michael D.; Awadalla, Sherif G.; Thomas, Michael A.

doi:10.1067/mob.2001.115222

Cited by 36 publications

(21 citation statements)

References 4 publications

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“…They have a higher prevalence of some risk factors for infertility such as uterine fibroids (4) and excess weight (1,6). They also have a higher prevalence of tubal disease (2)(3)(4)6). Overall, this evidence suggests that there are major differences between black women and white women seeking care for infertility.…”

Section: Introductionmentioning

confidence: 65%

“…The majority of studies on black/white differences in infertility have focused on women who seek infertility treatment (2)(3)(4)(5). Among these women, black women are significantly different with regard to socioeconomic position (2,3) and marital status (3). They have a higher prevalence of some risk factors for infertility such as uterine fibroids (4) and excess weight (1,6).…”

Section: Introductionmentioning

confidence: 99%

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Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Wellons

Lewis

Schwartz

et al. 2008

Fertility and Sterility

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Objective-To determine racial differences in self-reported infertility and in risk factors for infertility in a cohort of black and white women.Design-A cross-sectional analyses of data from the longitudinal Coronary Artery Risk Development in Young Adults (CARDIA) Study, a prospective, epidemiologic investigation of the determinants and evolution of cardiovascular risk factors among black and white young adults and from the ancillary CARDIA Women's Study (CWS).Setting-Population-based sample from 4 US communities (Birmingham, AL; Chicago, IL, Minneapolis, MN; and Oakland, CA).Participants-Women ages 33-44 who had complete data (n=764). Interventions-noneMain Outcome Measure-Self-report of ever having unprotected sexual intercourse for at least 12 months without becoming pregnant.Results-Among non-surgically sterile women, blacks had a two-fold increased odds (95% CI = 1.3-3.1) of infertility as compared with whites after adjustment for socioeconomic position (education and ability to pay for basics), correlates of pregnancy intent (marital status and hormonal contraceptive use), and risk factors for infertility (age, smoking, testosterone, fibroid presence, and ovarian volume). The corresponding OR among all women was 1.5 (95% CI 1.0-2.2). Difficulty paying for basics and ovarian volume were associated with infertility among black but not white women. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.Significant black/white differences in infertility were present in a population-based cohort of women even when adjusting for socioeconomic position, correlates of pregnancy intent, and infertility risk factors. Conclusions-In this population-based sample, black women were more likely to have experienced infertility. This disparity is not explained by common risk factors for infertility such as smoking and obesity, and among non-surgically sterile women, it is not explained by gynecologic risk factors such as fibroids and ovarian volume. NIH Public Access

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Section: Introductionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Wellons

Lewis

Schwartz

et al. 2008

Fertility and Sterility

View full text Add to dashboard Cite

show abstract

“…They also had lower educational level and lower income than Caucasian women (22). Another study found that African American women had more risk factors for PID than Caucasian women (23). In addition, previous studies of sexually transmitted infections show a considerable disparity among racial/ethnic groups, including large disparities in socioeconomic status (24,25).…”

Section: Pelvic Inflammatory Diseasementioning

confidence: 96%

Country of birth and hospitalization for pelvic inflammatory disease, ectopic pregnancy, endometriosis, and infertility: a nationwide study of 2 million women in Sweden

Eggert

Sundquist

2008

Fertility and Sterility

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“…Our population may have an altered immune system secondary to the urban environment in which they were raised in and/or currently live. The resulting deregulated immune system may contribute to the higher propensity of uterine implants in this group of women [3].…”

Section: Discussionmentioning

confidence: 99%

“…His focus was to prove the chief complaint of abdominal pain in the African American female was not typically pelvic inflammatory disease, as was so often labeled in the Emergency Departments, but was indeed endometriosis [1,2]. A recent report however showed that among women presenting for infertility care, African American women were significantly more likely to have salpingitis than non-African Americans; however, in this report, endometriosis was only identified in 2.6% of 77 African American women [3].…”

Section: Introductionmentioning

confidence: 86%

Endometriosis in the African American woman—racially, a different entity?

Shade

Lane²,

Diamond

2011

Gynecol Surg

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Endometriosis has been identified in up to 10% of women in some reports; however, few studies have evaluated African American women. The purpose of this study was to localize the implantation sites of endometriosis in urban Detroit female patients. This study was a retrospective chart analysis of patients with laparoscopes for endometriosis at St. John Detroit Riverview Hospital in Detroit, Michigan. All women had concomitant disease involving the uterus and multiple genital structures. In total, 93% had uterine implants, 62% had ovarian implants, 51% had posterior cul-de-sac disease, and 44% had fallopian tube involvement. Forty-five percent had abdominal wall spread, 8% with large bowel implants, and 13% with small bowel involvement. Fifty percent had uterosacral implants, 2% had bladder involvement, 2% had perihepatic involvement, and 4% had omental implants. African American women appear to have a predilection for uterine implants of endometriosis, which may be due to genetic, environmental, or previously presented theories. Further study of urban African American females is necessary to investigate the departure from typical sites of endometriotic implant localization.

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Racial and economic demographics of couples seeking infertility treatment

Cited by 36 publications

References 4 publications

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Country of birth and hospitalization for pelvic inflammatory disease, ectopic pregnancy, endometriosis, and infertility: a nationwide study of 2 million women in Sweden

Endometriosis in the African American woman—racially, a different entity?

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