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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：据报道，按种族/族裔划分的不孕症和获得辅助生殖技术（ART）等不孕症治疗的机会存在差异。然而，由于ART监测中缺少种族/民族信息，确定ART使用方面的差异可能会受到阻碍。我们回顾了不孕症的患病率和治疗差异，利用最新数据按种族/民族和在有强制体外受精（IVF）保险覆盖的州的居住情况检查了美国的ART使用情况，并讨论了减少差异的方法。我们使用2014年国家艺术监测系统（NASS）数据计算了美国人口普查确定的种族/族裔群体中每百万15-44岁女性的艺术程序使用率，这是艺术利用率的一个替代指标；根据IVF治疗的保险要求，比率进一步分层。缺失的种族/民族数据（35.6%的周期）被插补。2014年，亚洲/太平洋岛民（A/PI）女性的ART利用率最高，每百万15-44岁女性中有5883例ART程序，而与其他种族/族裔群体相比，美洲印第安/阿拉斯加土著非西班牙裔女性的ART利用率最低，为每百万807例。在每一个种族/族裔类别中，有IVF治疗保险授权的州的女性ART使用率高于没有保险授权的州。2014年，A/PI女性的艺术利用率最高。在有IVF保险授权的州，所有种族/族裔群体的ART利用率都高于没有IVF保险授权的州，尽管差异仍然很明显。尽管授权可能会增加不孕症治疗的机会，但不足以消除这些差异。

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