Table 1 Summary of studies addressing access to infertility care in Hispanic patients
From: A review of disparities in access to infertility care and treatment outcomes among Hispanic women
Authors | Year Published | Study Design | Location | Sample Size | Outcomes/Highlighted Findings | Study Limitations |
|---|---|---|---|---|---|---|
Chandra et al. [5] | 2005 | National survey | United States | 12,571 | 7.6% of Hispanic women ages 25-44 have sought medical help to get pregnant compared to 15% of White women | Descriptive; risk of non-sampling error; risk of recall error |
Jain & Hornstein [13] | 2005 | Cross-sectional survey | Massachusetts | 561 | 6.8% of the MA state population identified as Hispanic/Latino as compared to 3.9% of patients who presented for care to a large fertility center in a state with mandated insurance coverage for services (p=.011) | Descriptive; risk of non-sampling error; patients from single fertility center |
Feinberg et al. [14] | 2007 | Retrospective chart review | Washington D.C. | 1,457 | Hispanics comprised 9% of the Department of Defense population and 4% of the ART population | Low number of Hispanic patients; specific military population |
Greil et al. [8] | 2011 | Path analysis of telephone survey data | United States | 2,162 | Hispanic and Black women had higher infertility stigma scores and more ethical concerns surrounding infertility than White women | Descriptive; risk of non-sampling error |
Missmer, Seifer & Jain [7] | 2011 | Cross-sectional survey | Illinois | 743 | Hispanic patients had been trying to conceive 20 months longer than White patients when presenting for care; Hispanic patients reported it was more difficult to get treatment due to race/ethnicity (OR 36, 95% CI 6.6-195) | Descriptive; patients from single fertility center |
Dupree et al. [15] | 2019 | Retrospective chart review | Michigan | 18,282 | Following implementation of employer-sponsored IVF coverage, the absolute rate of increase in IVF among Hispanic women was 27.5% (p=.25) compared to an increase of 64.9% among White women (p<.001) | Data from single employer; no control group |
2021 | Cross-sectional survey | Illinois | 1,460 | Hispanic patients traveled twice as far for treatment (p=.01) and were more likely to report race/ethnicity treatment barriers than White patients (p=.01); Hispanic patients were more concerned about side effects of treatment (p<.05) and to worry about violating religious beliefs than White patients (OR 2.3, 95% CI 0.8-6.5) | Descriptive; patients from single fertility center |