Evidence map›Paper›PMID 33244666›Full record

ArticleJournal of assisted reproduction and genetics2020

Self-reported barriers to accessing infertility care: patient perspectives from urban gynecology clinics.

Iris G Insogna, Andrea Lanes, Eduardo Hariton, Tiffany Blake-Lamb, Susan Schilling, Mark D Hornstein

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Inequities in Medically Assisted Reproduction: a Scoping Review.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Iris G InsognaDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. iinsogna@partners.org.ORCID http://orcid.org/0000-0002-4961-7584
Andrea LanesDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Eduardo HaritonDepartment of Obstetrics and Gynecology, University of California, San Francisco, 33 Parnassus Ave, San Francisco, CA, 94143, USA.
Tiffany Blake-LambDepartment of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Susan SchillingDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Mark D HornsteinDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Brigham and Women's Hospital · USMassachusetts General Hospital · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose(1) To test the hypothesis that under-represented minority women, including Hispanic/Latina and African American or Black women, will be more likely to report greater socioeconomic and cultural barriers to infertility care compared with white women. (2) To identify gaps in knowledge that can guide future educational interventions.

methodsA cross-sectional survey was completed by 242 women, ages 18-44, at five gynecology clinics in the greater Boston, Massachusetts area from February 27, 2018, to February 25, 2019.

resultsOf the respondents, 61.4% identified as Hispanic/Latina, 24.5% as white, and 6.6% as Black or African American. Cost was the most commonly reported barrier to care (62.8%) regardless of race/ethnicity or insurance status. Only 8.9% of participants were aware of personal insurance coverage for infertility treatment. Compared with white patients, Hispanic/Latina patients were less likely to know if their own insurance covered infertility treatment: 14.3% vs 6.8%; aRR 0.36 (95% CI 0.17-0.74), after adjusting for a personal history of infertility.

conclusionCost was the most commonly reported barrier to care. Most women were unaware of their insurance coverage despite the state insurance mandate to cover infertility treatment in Massachusetts. Education and outreach will be instrumental in helping address disparities in access to care.

Indexed as

Health Knowledge, Attitudes, PracticeHealth Services AccessibilityInsurance, HealthSelf ReportSocioeconomic FactorsAdolescentAdultCross-Sectional StudiesFemaleHumansInfertilityMiddle AgedUnited StatesUrban PopulationYoung AdultAccess to careDisparitiesInfertility

Identifiers

PMID33244666
PMCPMC7714827
OpenAlexW3108952185

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.