The Disparities in ART (DART) Hypothesis of Racial and Ethnic Disparities in Access and Outcomes of IVF Treatment in the USA

被引：20

作者：

Seifer, David B. ^{[1
]}

Sharara, Fady, I ^{[2
,3
]}

Jain, Tarun ^{[4
]}

机构：

[1] Yale Sch Med, Div Reprod Endocrinol & Infertil, Dept Obstet Gynecol & Reprod Sci, New Haven, CT 06510 USA

[2] Virginia Ctr Reprod Med, Reston, VA USA

[3] George Washington Univ, Dept Obstet & Gynecol, Washington, DC USA

[4] Northwestern Feinberg Sch Med, Dept Obstet & Gynecol, Div Reprod Endocrinol & Infertil, Chicago, IL USA

来源：

REPRODUCTIVE SCIENCES | 2022年 / 29卷 / 07期

关键词：

Disparities in IVF; Disparities in ART; Black women; Hispanic women; Asian women; Cultural factors; Access to care; Health care outcomes; DART hypothesis; AFRICAN-AMERICAN; BLACK-WOMEN; INFERTILITY; WHITE; CARE; SERVICES; RATES; STATE;

D O I：

10.1007/s43032-022-00888-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We propose the Disparities in ART (DART) hypothesis which identifies underlining causes that contribute to racial disparities in access and outcomes of ART treatment in the USA. Reasons for disparities in access and outcomes of ART treatment for infertility are derived from some relative contribution of four identified causes. They are simply stated as delays in obtaining treatment, higher dropout during and following unsuccessful ART treatment, provider factors, and differences in patient biological factors. Each of these causes has a subset of 4-6 factors that contribute to each of the 4 broad categorical causes that are discussed. This hypothesis may serve as a platform for better understanding the scope of the challenges and potential research inquiries that may lead to narrowing of racial/ethnic disparities in access and outcomes in ART.

引用

页码：2084 / 2088

页数：5

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