Evidence map›Paper›PMID 39427161›Full record

ArticleReproductive health2024

Reflecting sex, social class and race inequalities in reproduction? Study of the gender representations conveyed by 38 fertility centre websites in 8 European countries.

Virginie Rozée, Anna De Bayas Sanchez, Michaela Fuller, María López-Toribio, Juan A Ramón-Soria, Jose Miguel Carrasco, Kristien Hens, Joke Struyf, Francisco Guell, Manon Vialle

Abstract read
In one paragraph

Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Virginie RozéeINED, Research Unit on Sexual and Reproductive Health and Rights, Campus Condorcet, cours des Humanités-CS 50004, 93322, Aubervilliers, France. virginie.rozee@ined.fr.
Anna De Bayas SanchezMedistella Mediversvm s.r.o., Management, Prague, Czech Republic.
Michaela FullerMedistella Mediversvm s.r.o., Management, Prague, Czech Republic.
María López-ToribioAPLICA Investigación y Traslación Soc Coop Mad, Madrid, Spain.
Juan A Ramón-SoriaAPLICA Investigación y Traslación Soc Coop Mad, Madrid, Spain.
Jose Miguel CarrascoAPLICA Investigación y Traslación Soc Coop Mad, Madrid, Spain.
Kristien HensDepartment of Philosophy, University of Antwerpen, Antwerp, Belgium.
Joke StruyfDepartment of Philosophy, University of Antwerpen, Antwerp, Belgium.
Francisco GuellInstitute for Culture and Society, ICS-University of Navarra, Mind-Brain Group, Pamplona, Spain.
Manon VialleINED, Research Unit on Sexual and Reproductive Health and Rights, Campus Condorcet, cours des Humanités-CS 50004, 93322, Aubervilliers, France.

Funding

Evaluation of Relative Effect of Four Pub Hlth Strat for Prov HIV Test to High-RiU62PS000199 · PS · HARLEM UNITED COMMUNITY AIDS CENTER, INC · PI GILLEN, SARA · 2006 to 2009
$996k
European Union's Horizon 2020 research and innovation programme 872706NCHHSTP CDC HHS U62 PS000199
6 · The paper itself

Abstract

backgroundFertility centre websites are a key sources of information on medically assisted reproduction (MAR) for both infertile people and the general public. As part of a global fertility market, they are also a window to attract potential future patients. They give formal and practical information but in the way the information is displayed, they also convey social representations, and in particular, gender representation in its intersectional dimension. The objective is to analyse the sex, class and race representations regarding reproduction and parenthood that are embedded in the content of fertility centre websites in eight European countries.

methodsThe 5 most visible fertility centres that appeared in the first places on Internet search were selected for each country under study, except for one country which has only three fertility centres. In total, 38 fertility centre websites were considered for a thematic analysis using an iterative approach and a comprehensive perspective.

resultsEach centre details its services and techniques according to the legal provisions in force in its country. However, on all the websites studied, the fertility centres demonstrate a strong gendered representation. The logos generally depict women or parts of their bodies, as do the photos, which mainly show white women with light eyes. The description of the causes of infertility and the techniques offered by the centres also highlights gender differences. Sperm donation, where MAR is reserved for heterosexual couples, is included among the techniques for women with the comment that it will enable them to fulfil their dream of becoming mothers.

conclusionsMAR, and through it the project of having a child and procreative work, is presented as a matter for white, cisgender and heterosexual women, thus fueling stratified reproduction and limiting reproductive justice. The research team formulated guidelines for fertility centres to encourage them to adopt a more inclusive approach in terms of sex, social class and race, so that the diversity of infertile people feel involved and welcome in these centres, to avoid misperceptions about infertility in the general population and to reinforce autonomy and justice in reproductive matters.

Indexed as

Reproductive Techniques, AssistedEuropeFemaleFertility ClinicsHumansInfertilityInternetMaleReproductionSocial ClassSocioeconomic FactorsEuropeFertility centresGenderIntersectionalityMedically assisted reproductionWebsites

Identifiers

PMID39427161
PMCPMC11490993

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.