Ensuring access to education and services on infertility for the underserved

Area of Science:

• Oncology
• Reproductive Health
• Health Disparities

Background:

• Cancer treatments can lead to infertility in survivors.
• Factors like race, ethnicity, culture, and socioeconomic status (SES) impact infertility coping and service utilization.
• Limited research exists on these influences in cancer survivor populations.

Purpose of the Study:

• To review Medline-cited literature (1980-present) on the impact of ethnicity and SES on infertility service use among cancer survivors.
• To highlight disparities in access to fertility services for different demographic groups.

Main Methods:

• Literature review of Medline-indexed studies.
• Analysis of research published from 1980 to the present.

Main Results:

• Underserved populations, despite higher infertility risk, are less likely to seek fertility services compared to middle- to high-SES Caucasians.
• Key barriers include lack of knowledge, financial constraints, and cultural norms.
• Ethnicity and SES significantly influence decisions regarding infertility and service use.

Conclusions:

• Oncology providers must consider patient ethnicity and SES when discussing infertility and fertility services.
• Awareness of cultural and religious values is crucial, especially concerning assisted reproductive technology.
• Addressing these factors can help reduce disparities in fertility care for cancer survivors.