Evidence map›Paper›PMID 35937441›Full record

ArticleF&S reports2022

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

Morine Cebert-Gaitors, Peggy Ann Shannon-Baker, Susan G Silva, Renee E Hart, Samad Jahandideh, Rosa Gonzalez-Guarda, Eleanor L Stevenson

Abstract read
In one paragraph

Article in F&S reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Morine Cebert-GaitorsThe University of Pennsylvania, Perelman School of Medicine, the National Clinician Scholars Program, Philadelphia, Pennsylvania.
Peggy Ann Shannon-BakerGeorgia Southern University, College of Education, Statesboro, Georgia.
Susan G SilvaDuke University School of Nursing, Durham, North Carolina.
Renee E HartUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Samad JahandidehShady Grove Fertility Clinical Research, Rockville, Maryland.
Rosa Gonzalez-GuardaDuke University School of Nursing, Durham, North Carolina.
Eleanor L StevensonDuke University School of Nursing, Durham, North Carolina.

Funding

Reducing Disparities among African American Women Seeking Infertility TreatmentF31NR018790 · NINR · DUKE UNIVERSITY · PI CEBERT, MORINE · 2019 to 2019
$36k
NINR NIH HHS F31 NR018790
6 · The paper itself

Abstract

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. Patients: 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. Interventions: None. Main Outcomes: Treatment seeking. Measures: Psychobiological, clinical, and sociocultural factors. Results: 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. Conclusions: 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.

Indexed as

access to careBlack womeninfertilityTreatment seeking

Identifiers

PMID35937441
PMCPMC9349229

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.