社会经济和种族/民族不平等在不孕症的流行,寻求帮助,并帮助收到自1995年以来的帮助
Katherine I Tierney1, Arthur L Greil2, Ann V Bell3
1Department of Sociology, Western Michigan University, Kalamazoo, Michigan.
概括
在不孕症流行率和寻求治疗方面的种族/民族和社会经济不平等随着时间的推移而持续. 尽管取得了进展,但这些在获得护理和特定不孕症治疗方面的差异并没有显著缩小.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 公共卫生 公共卫生
背景情况:
- 美国在不孕症患病率和治疗方面存在显著的种族/民族和社会经济不平等.
- 生物医学的进步和公共卫生对不孕不育的关注度有所增加.
- 这些不平等的时间趋势在很大程度上仍未得到研究.
研究的目的:
- 研究随着时间的推移与不孕症相关的种族/民族和社会经济不平等的变化.
- 分析不孕症患病率的趋势,寻求帮助的行为和医疗治疗的利用情况.
- 评估时间对不育护理差异的影响.
主要方法:
- 利用国家家庭增长调查数据从1995年到2017-2019年.
- 采用多变量逻辑回归与相互作用项.
- 在不孕症患病率,寻求帮助和特定治疗方法 (药物,手术,授精) 中检查不平等.
主要成果:
- 在整体不孕症患病率和寻求帮助方面的不平等仍然存在.
- 在医学检测,排卵药物和输卵管手术方面,种族/民族差异仍然存在.
- 社会经济不平等在医疗检测方面扩大,但在排卵药物使用方面缩小.
结论:
- 很少有证据表明,干预,进步或宣传活动已经减少了与不孕不育有关的不平等.
- 持续存在的差异凸显了针对性政策的需要,以解决生殖健康保健中的不平等问题.
- 未来的研究应该集中在有效的策略,以减轻这些持续的差异.
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