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Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study.

Publication ,  Conference
Cebert-Gaitors, M; Shannon-Baker, PA; Silva, SG; Hart, RE; Jahandideh, S; Gonzalez-Guarda, R; Stevenson, EL
Published in: F&S reports
May 2022

To provide a comprehensive and multidimensional description and conceptualization of the experiences of Black women seeking treatment for infertility.Convergent parallel mixed-methods study combining retrospective chart review data and semistructured interview data.Private infertility clinic.African American/Black women between 18 and 44 years of age who presented for an initial infertility evaluation with a male partner between January 2015 and September 2019 at an infertility clinic in the metropolitan Washington D.C. area.None.Treatment seeking.Psychobiological, clinical, and sociocultural factors.Along with the psychobiological, clinical, and sociocultural domains, we understood that Black women who sought treatment for infertility were older and overweight, had complex gynecological diagnoses, and experienced infertility for long periods of time. The delay in seeking treatment was possibly because of a low perceived risk of infertility, poor understanding of treatment options, inadequate referral patterns of primary care providers, and limited social support. Further, Black women experienced delays in seeking treatment because they attempted lifestyle-based self-interventions before considering medical interventions. Facilitators to care included psychological distress, complex gynecological medical history, and finding culturally competent providers.The study findings show that Black women in the United States are vulnerable to disparities in healthcare delivery, especially within reproductive endocrinology. Our findings highlight areas where Black women are experiencing missed opportunities for teaching, early identification, and early referrals for infertility-related concerns. Future studies should seek to reduce barriers to infertility treatment at the clinical and policy levels.

Duke Scholars

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Published In

F&S reports

DOI

EISSN

2666-3341

ISSN

2666-3341

Publication Date

May 2022

Volume

3

Issue

2 Suppl

Start / End Page

29 / 39
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cebert-Gaitors, M., Shannon-Baker, P. A., Silva, S. G., Hart, R. E., Jahandideh, S., Gonzalez-Guarda, R., & Stevenson, E. L. (2022). Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study. In F&S reports (Vol. 3, pp. 29–39). https://doi.org/10.1016/j.xfre.2022.02.004
Cebert-Gaitors, Morine, Peggy Ann Shannon-Baker, Susan G. Silva, Renee E. Hart, Samad Jahandideh, Rosa Gonzalez-Guarda, and Eleanor L. Stevenson. “Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study.” In F&S Reports, 3:29–39, 2022. https://doi.org/10.1016/j.xfre.2022.02.004.
Cebert-Gaitors M, Shannon-Baker PA, Silva SG, Hart RE, Jahandideh S, Gonzalez-Guarda R, et al. Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study. In: F&S reports. 2022. p. 29–39.
Cebert-Gaitors, Morine, et al. “Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study.F&S Reports, vol. 3, no. 2 Suppl, 2022, pp. 29–39. Epmc, doi:10.1016/j.xfre.2022.02.004.
Cebert-Gaitors M, Shannon-Baker PA, Silva SG, Hart RE, Jahandideh S, Gonzalez-Guarda R, Stevenson EL. Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study. F&S reports. 2022. p. 29–39.

Published In

F&S reports

DOI

EISSN

2666-3341

ISSN

2666-3341

Publication Date

May 2022

Volume

3

Issue

2 Suppl

Start / End Page

29 / 39