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Disparities: A Retrospective Cohort in Two US Clinics
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10 01 2021
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Source: Sex Transm Dis. 48(10):748-753
[PDF-580.24 KB]
Details:
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Alternative Title:Sex Transm Dis
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Description:Background:
Nearly 14% of US women report any lifetime infertility which is associated with health care costs and psychosocial consequences. Tubal factor infertility (TFI) often occurs as a result of sexually transmitted diseases and subsequent pelvic inflammatory disease. We sought to evaluate for and describe potential racial disparities in TFI and in vitro fertilization (IVF) prevalence.
Methods:
Records of women aged 19 to 42 years in our retrospective cohort from 2 US infertility clinics were reviewed. We calculated TFI prevalence, IVF initiation prevalence, and prevalence ratios (PRs), with 95% confidence intervals (CIs) for each estimate, overall and by race.
Results:
Among 660 infertile women, 110 (16.7%; 95% CI, 13.8–19.5%) had TFI which was higher in Black compared with White women (30.3% [33/109] vs 13.9% [68/489]; PR, 2.2 [95% CI, 1.5–3.1]). For women with TFI, IVF was offered to similar proportions of women by race (51.5% [17/ 33] vs 52.9% [36/68] for Black vs White women); however, fewer Black than White women with TFI started IVF (6.7% [1/15] vs 31.0% [9/29]; PR, 0.2 [95% CI, 0–1.0]), although the difference was not statistically different.
Conclusions:
Tubal factor infertility prevalence was 2-fold higher among Black than White women seeking care for infertility. Among women with TFI, data suggested a lower likelihood of Black women starting IVF than White women. Improved sexually transmitted disease prevention and treatment might ameliorate disparities in TFI.
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Pubmed ID:33833148
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Pubmed Central ID:PMC9012243
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