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首页> 外文期刊>Journal of women’s health >Disparities in Assisted Reproductive Technology Utilization by Race and Ethnicity, United States, 2014: A Commentary
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Disparities in Assisted Reproductive Technology Utilization by Race and Ethnicity, United States, 2014: A Commentary

机译：差距在竞争生殖技术利用赛和族，美国，2014年：评论

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摘要

Disparities in infertility and access to infertility treatments, such as assisted reproductive technology (ART), by race/ethnicity, have been reported. However, identifying disparities in ART usage may have been hampered by missing race/ethnicity information in ART surveillance. We review infertility prevalence and treatment disparities, use recent data to examine ART use in the United States by race/ethnicity and residency in states with mandated insurance coverage for in vitro fertilization (IVF), and discuss approaches for reducing disparities. We used 2014 National ART Surveillance System (NASS) data to calculate rates of ART procedures per million women 15-44 years of age, a proxy measure of ART utilization, for Census-defined racial/ethnic groups in the United States; rates were further stratified by the presence of insurance mandates for IVF treatment. Missing race/ethnicity data (35.6% of cycles) were imputed. Asian/Pacific Islander (A/PI) women had the highest rates of ART utilization at 5883 ART procedures per million women 15-44 years of age in 2014, whereas American Indian/Alaska Native non-Hispanic women had the lowest rates at 807 per million, compared with other racial/ethnic groups. In each racial/ethnic category, ART utilization rates were higher for women in states with an insurance mandate for IVF treatment versus those without. In 2014, A/PI women had the highest rates of ART utilization. ART utilization for all racial/ethnic groups was higher in states with insurance mandates for IVF than those without, although disparities were still evident. Although mandates may increase access to infertility treatments, they are not sufficient to eliminate these disparities.
机译：已经报道了不孕症和不孕症治疗的差异，例如通过种族/种族的辅助生殖技术（艺术品）。然而，识别艺术用法的差异可能被艺术监测中的缺失种族/种族信息所阻碍。我们审查不孕症患病率和治疗差异，利用最近的数据在各国通过种族/种族和居住在体外施肥（IVF）的规定保险范围，并讨论减少差异的方法。我们使用2014年全国艺术监测系统（NASS）数据来计算每百万女性15-44岁的艺术手续率，是美国普查定义的种族/民族群体的代理艺术利用率;通过对IVF治疗的保险任务的存在，进一步分解了利率。缺少种族/种族数据（35.6％的周期）被归咎于。亚洲/太平洋岛民（A / PI）妇女在2014年15-44岁的百万女性5883艺术程序中拥有最高的艺术利用率，而美国印第安人/阿拉斯加本地非西班牙裔女性每股最低速度百万，与其他种族/族群相比。在每个种族/民族类别中，艺术利用率对于各国的妇女为IVF治疗的妇女而言更高。 2014年，A / PI妇女的艺术利用率最高。所有种族/族裔群体的艺术利用率在IVF保险任务的州较高，但差距仍然很明显。虽然任务可能会增加对不孕症治疗的访问，但它们不足以消除这些差异。

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