Moving toward Narrowing the United States Gap in Assisted Reproductive Technology (ART) Racial and Ethnic Disparities in the Next Decade

被引:1
作者
Mahabamunuge, Jasmin [1 ]
Seifer, David B. [1 ]
机构
[1] Yale Univ, Sch Med, Dept Obstet Gynecol & Reprod Sci, 333 Cedar St, New Haven, CT 06510 USA
关键词
race; ethnicity; disparities; DART hypothesis; bias; assisted reproductive technology; in vitro fertilization; intrauterine insemination; access; treatment outcomes; public health; FERTILITY PRESERVATION; INSURANCE-COVERAGE; AFRICAN-AMERICAN; NATIONAL-SURVEY; LIVE BIRTH; CARE; INFERTILITY; ACCESS; HEALTH; WOMEN;
D O I
10.3390/jcm13082224
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Disparities in Assisted Reproductive Technology (DART) hypothesis, initially described in 2013 and further modified in 2022, is a conceptual framework to examine the scope and depth of underlying contributing factors to the differences in access and treatment outcomes for racial and ethnic minorities undergoing ART in the United States. In 2009, the World Health Organization defined infertility as a disease of the reproductive system, thus recognizing it as a medical problem warranting treatment. Now, infertility care is largely recognized as a human right. However, disparities in Reproductive Endocrinology and Infertility (REI) care in the US persist today. While several studies and review articles have suggested possible solutions to racial and ethnic disparities in access and outcomes in ART, few have accounted for and addressed the multiple complex factors contributing to these disparities on a systemic level. This review aims to acknowledge and address the myriad of contributing factors through the DART hypothesis which converge in racial/ethnic disparities in ART and considers possible solutions to effect large scale societal change by narrowing these gaps within the next decade.
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页数:11
相关论文
共 78 条
  • [11] Access to infertility care in a low-resource setting: bridging the gap through resident and fellow education in a New York City public hospital
    Blakemore, Jennifer K.
    Maxwell, Susan M.
    Hodes-Wertz, Brooke
    Goldman, Kara N.
    [J]. JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 2020, 37 (07) : 1545 - 1552
  • [12] Race/ethnic disparities in reproductive age: an examination of ovarian reserve estimates across four race/ethnic groups of healthy, regularly cycling women
    Bleil, Maria E.
    Gregorich, Steven E.
    Adler, Nancy E.
    Sternfeld, Barbara
    Rosen, Mitchell P.
    Cedars, Marcelle I.
    [J]. FERTILITY AND STERILITY, 2014, 101 (01) : 199 - 207
  • [13] Access to Fertility Care in Geographically Underserved Populations, a Second Look
    Brodeur, Tia Y.
    Grow, Daniel
    Esfandiari, Navid
    [J]. REPRODUCTIVE SCIENCES, 2022, 29 (07) : 1983 - 1987
  • [14] Structural Racism and Health Stratification: Connecting Theory to Measurement
    Brown, Tyson H.
    Homan, Patricia
    [J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2024, 65 (01) : 141 - 160
  • [15] Health disparities of African Americans in reproductive medicine
    Butts, Samantha F.
    [J]. FERTILITY AND STERILITY, 2021, 116 (02) : 287 - 291
  • [16] Center for Disease Control and Prevention, 2023, 2021 National ART Summary
  • [17] The economic impact of assisted reproductive technology: a review of selected developed countries
    Chambers, Georgina M.
    Sullivan, Elizabeth A.
    Ishihara, Osamu
    Chapman, Michael G.
    Adamson, G. David
    [J]. FERTILITY AND STERILITY, 2009, 91 (06) : 2281 - 2294
  • [18] Racial Disparities in Seeking Care for Help Getting Pregnant
    Chin, Helen B.
    Howards, Penelope P.
    Kramer, Michael R.
    Mertens, Ann C.
    Spencer, Jessica B.
    [J]. PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2015, 29 (05) : 416 - 425
  • [19] Age-related natural fertility outcomes in women over 35 years: a systematic review and individual participant data meta-analysis
    Chua, S. J.
    Danhof, N. A.
    Mochtar, M. H.
    van Wely, M.
    McLernon, D. J.
    Custers, I
    Lee, E.
    Dreyer, K.
    Cahill, D. J.
    Gillett, W. R.
    Righarts, A.
    Strandell, A.
    Rantsi, T.
    Schmidt, L.
    Eijkemans, M. J. C.
    Mol, B. W. J.
    van Eekelen, R.
    [J]. HUMAN REPRODUCTION, 2020, 35 (08) : 1808 - 1820
  • [20] State insurance mandates for in vitro fertilization are not associated with improving racial and ethnic disparities in utilization and treatment outcomes
    Correia, Katharine F. B.
    Kraschel, Katherine
    Seifer, David B.
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2023, 228 (03) : 313.e1 - 313.e8