(SDAS) Racial Disparities in Prevalence of Infertility and Utilization of Fertility Services with a Special Focus on American Indian/Alaska Natives
Grantee: University of Oklahoma Health Sciences Center
Principal Investigator: Jennifer Peck
Project Number: R40MC29449
Project Date: 04/01/2016
Final Report
Age group(s)
- Women/Maternal
- Adolescence (12-18 years)
- Young Adulthood (19-25 years)
Targeted/Underserved Population
- Native American/Alaskan Native
- Asian/Pacific Islander
- Hispanic/Latino
- African American
Abstract
This HRSA-16-029 application addresses the need to monitor and assess potential reproductive health disparities in underserved populations. The paucity of data to monitor the detection, prevention and management of infertility in underserved populations such as American Indians/Alaska Natives (AI/AN) serves as a major barrier to addressing reproductive health disparities. The objective of the proposed study is to evaluate patterns of infertility prevalence and utilization of fertility services in the AI/AN population compared to other racial/ethnic groups. We will address this objective by conducting a secondary analysis of 2002, 2006-2010, and 2011-2013 pooled female respondent data from the National Survey of Family Growth (NSFG), a nationally representative survey that includes a weighted sample of men and women of childbearing age (15-44 years). Pooling the NSFG survey data provides a unique opportunity to examine infertility and treatment patterns in AI/AN women, whose numbers in prior clinical and population-based reports are typically too limited to assess separately. Examining racial/ethnic differences in the prevalence of infertility, impaired fecundity and the duration of the current pregnancy attempt will offer a broad perspective that addresses reproductive impairments among married or cohabiting partners, among couples regardless of relationship status or pregnancy planning and also among pregnancy planners. In addition to the emphasis on the AI/AN population, the proposed study is progressive in its application of both standard and advanced statistical methods. By incorporating methods for direct calculation of prevalence proportion ratios (as compared to odds ratios) and current duration methods for estimating timeto-pregnancy using cross-sectional data, the proposed study will provide a comprehensive population-based assessment of the infertility experience of AI/AN populations compared to other racial/ethnic groups. Elucidation of potential racial/ethnic disparities in infertility and differential access to infertility treatments aligns with the goals and objectives of MCHB Strategic Research Issues #II and #III, which address MCH services and systems to eliminate health disparities and barriers to health care access and assure quality of care for the MCH population.Publications
Listed is descending order by year published.
Craig, L.B., Weedin, E.A., Walker, W.D., Hansen, K.R., Peck, J.D. Racial and Ethnic Differences in Pregnancy Rates Following Intrauterine Insemination with a Focus on American Indians. Journal of Racial and Ethnic Health Disparities. 2018 [Epub ahead of print].
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