Will decreasing assisted reproduction technology costs improve utilization and outcomes among minority women?

Desireé M. McCarthy-Keith, Enrique F. Schisterman, Randal D. Robinson, Kathleen O'Leary, Richard S. Lucidi, Alicia Y. Armstrong

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Objective: To evaluate assisted reproduction technology (ART) usage and outcomes in minority women seeking care at enhanced access, military ART programs. Design: Retrospective cohort. Setting: Federal ART programs. Patient(s): Two thousand fifty women undergoing first cycle, fresh, nondonor ART from 2000 to 2005. Intervention(s): None. Main Outcome Measure(s): Rate of ART use, clinical pregnancy rate, live birth rate. Result(s): African American women had an almost fourfold increased use of ART and Hispanic women had decreased use. Clinical pregnancy rates were significantly lower for African American women compared with white women (46.1% vs. 52.6%, relative risk [RR] 0.88; 95% confidence interval [CI], 0.78-0.99) as were live birth rates (33.7%. vs. 45.7%, RR 0.74; 95% CI, 0.63-0.91). Conclusion(s): Economics appear to influence ART use by African American women but not Hispanic women. Despite increased use by African American women, outcomes in this group were worse when compared with Caucasian women. Improving access through decreased cost may increase use by some but not all minority groups. Improved access may not translate into improved outcomes in some ethnic groups.

Original languageEnglish (US)
Pages (from-to)2587-2589
Number of pages3
JournalFertility and Sterility
Volume94
Issue number7
DOIs
StatePublished - Dec 1 2010

Keywords

  • ART utilization
  • ethnic disparity
  • infertility

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Will decreasing assisted reproduction technology costs improve utilization and outcomes among minority women?'. Together they form a unique fingerprint.

  • Cite this