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Racial and Ethnic Variation in Genetic Susceptibility: Are Disparities in Infertility Prevalence and Outcomes more
Jerrine R Morris1, Torie Comeaux Plowden2, Lisa J Green3,4
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, 499 Illinois Street, San Francisco, CA, 94158, USA. Jerrinemorris.md@gmail.com.
Abstract:
Race, as a social construct without a clear genetic underpinning, is frequently referenced in medicine as predictor of multiple diseases including that of infertility. The authors will discuss how systematic racism can have downstream consequences ranging from overt physician bias to use of medical algorithms that may potentiate the same disparities they attempt to narrow. Then, the authors explore the utility and pragmatic use of genetic ancestry to estimate disease prevalence, instead of racial categories. Finally, the authors explore how health inequities, rooted in systematic racism, can influence disease heritability effectively advocating for research to disentangle the contributions of racism to genetic susceptibility in infertility.
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