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Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study

OBJECTIVE: To provide a comprehensive and multidimensional description and conceptualization of the experiences of Black women seeking treatment for infertility. DESIGN: Convergent parallel mixed-methods study combining retrospective chart review data and semistructured interview data. SETTING: Priv...

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Autores principales: Cebert-Gaitors, Morine, Shannon-Baker, Peggy Ann, Silva, Susan G., Hart, Renee E., Jahandideh, Samad, Gonzalez-Guarda, Rosa, Stevenson, Eleanor L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349229/
https://www.ncbi.nlm.nih.gov/pubmed/35937441
http://dx.doi.org/10.1016/j.xfre.2022.02.004
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author Cebert-Gaitors, Morine
Shannon-Baker, Peggy Ann
Silva, Susan G.
Hart, Renee E.
Jahandideh, Samad
Gonzalez-Guarda, Rosa
Stevenson, Eleanor L.
author_facet Cebert-Gaitors, Morine
Shannon-Baker, Peggy Ann
Silva, Susan G.
Hart, Renee E.
Jahandideh, Samad
Gonzalez-Guarda, Rosa
Stevenson, Eleanor L.
author_sort Cebert-Gaitors, Morine
collection PubMed
description OBJECTIVE: To provide a comprehensive and multidimensional description and conceptualization of the experiences of Black women seeking treatment for infertility. DESIGN: Convergent parallel mixed-methods study combining retrospective chart review data and semistructured interview data. SETTING: Private infertility clinic. PATIENT(S): African American/Black women between 18 and 44 years of age who presented for an initial infertility evaluation with a male partner between January 2015 and September 2019 at an infertility clinic in the metropolitan Washington D.C. area. INTERVENTION(S): None MAIN OUTCOME(S): Treatment seeking. MEASURE(S): Psychobiological, clinical, and sociocultural factors. RESULT(S): Along with the psychobiological, clinical, and sociocultural domains, we understood that Black women who sought treatment for infertility were older and overweight, had complex gynecological diagnoses, and experienced infertility for long periods of time. The delay in seeking treatment was possibly because of a low perceived risk of infertility, poor understanding of treatment options, inadequate referral patterns of primary care providers, and limited social support. Further, Black women experienced delays in seeking treatment because they attempted lifestyle-based self-interventions before considering medical interventions. Facilitators to care included psychological distress, complex gynecological medical history, and finding culturally competent providers. CONCLUSION(S): The study findings show that Black women in the United States are vulnerable to disparities in healthcare delivery, especially within reproductive endocrinology. Our findings highlight areas where Black women are experiencing missed opportunities for teaching, early identification, and early referrals for infertility-related concerns. Future studies should seek to reduce barriers to infertility treatment at the clinical and policy levels.
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spelling pubmed-93492292022-08-05 Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study Cebert-Gaitors, Morine Shannon-Baker, Peggy Ann Silva, Susan G. Hart, Renee E. Jahandideh, Samad Gonzalez-Guarda, Rosa Stevenson, Eleanor L. F S Rep Original Article OBJECTIVE: To provide a comprehensive and multidimensional description and conceptualization of the experiences of Black women seeking treatment for infertility. DESIGN: Convergent parallel mixed-methods study combining retrospective chart review data and semistructured interview data. SETTING: Private infertility clinic. PATIENT(S): African American/Black women between 18 and 44 years of age who presented for an initial infertility evaluation with a male partner between January 2015 and September 2019 at an infertility clinic in the metropolitan Washington D.C. area. INTERVENTION(S): None MAIN OUTCOME(S): Treatment seeking. MEASURE(S): Psychobiological, clinical, and sociocultural factors. RESULT(S): Along with the psychobiological, clinical, and sociocultural domains, we understood that Black women who sought treatment for infertility were older and overweight, had complex gynecological diagnoses, and experienced infertility for long periods of time. The delay in seeking treatment was possibly because of a low perceived risk of infertility, poor understanding of treatment options, inadequate referral patterns of primary care providers, and limited social support. Further, Black women experienced delays in seeking treatment because they attempted lifestyle-based self-interventions before considering medical interventions. Facilitators to care included psychological distress, complex gynecological medical history, and finding culturally competent providers. CONCLUSION(S): The study findings show that Black women in the United States are vulnerable to disparities in healthcare delivery, especially within reproductive endocrinology. Our findings highlight areas where Black women are experiencing missed opportunities for teaching, early identification, and early referrals for infertility-related concerns. Future studies should seek to reduce barriers to infertility treatment at the clinical and policy levels. Elsevier 2022-02-22 /pmc/articles/PMC9349229/ /pubmed/35937441 http://dx.doi.org/10.1016/j.xfre.2022.02.004 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Cebert-Gaitors, Morine
Shannon-Baker, Peggy Ann
Silva, Susan G.
Hart, Renee E.
Jahandideh, Samad
Gonzalez-Guarda, Rosa
Stevenson, Eleanor L.
Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title_full Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title_fullStr Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title_full_unstemmed Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title_short Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study
title_sort psychobiological, clinical, and sociocultural factors that influence black women seeking treatment for infertility: a mixed-methods study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349229/
https://www.ncbi.nlm.nih.gov/pubmed/35937441
http://dx.doi.org/10.1016/j.xfre.2022.02.004
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