The challenge of providing infertility services to a low-income immigrant Latino population
Open accessAbstract
Objective To provide insight into the experience of low-income immigrant Latino couples seeking infertility treatment.Design Qualitative interview study.Setting Infertility clinic at a university-affiliated urban public teaching hospital.Patient(s) Infertile low-income immigrant Latino couples (105 women and 40 men).Intervention(s) In-depth, tape-recorded interviews.Main outcome measure(s) After transcription and translation, the interviews were coded and analyzed for thematic content.Result(s) Four major challenges to providing infertility services to this population were identified: [1] communication: language and cultural barriers resulted in patients having difficulty both in understanding diagnoses and treatments and in communicating their questions, concerns, and experiences to physicians; [2] continuity: because medical students and residents rotated frequently, patients usually saw a different physician at each visit; [3] bureaucracy: patients reported having difficulty with appointment scheduling, follow-up visits, and timed laboratory procedures; and [4] accessibility: patients faced issues of limited availability and affordability of treatment.Conclusion(s) At a large, urban, university-affiliated infertility clinic, challenges related to communication, comprehension, continuity, bureaucracy, accessibility, availability, and affordability impeded the delivery of optimal infertility care to many low-income immigrant Latino patients. A greater availability of translators and both patient and physician cultural orientations to address these health care barriers is recommended.
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The subtheme of negative interactions with healthcare providers adds to previous findings and highlights need for increased awareness/education among providers.
“The subtheme relating to negative interactions with healthcare providers adds to the findings of previous studies31 32 and highlights the need for increased awareness and education among healthcare providers in addressing the emotional aspect of infertility with sensitivity and compassion.”
From Infertility-related distress and clinical targets for psychotherapy: A qualitative study (2021) · cites this paper as [32]
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Isaacson, E. E., Woolford, S. J., Dobson, C. C., McCaffery, H., & Rosen, M. W. (2025) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-025-03581-8
Hoffman, J. R., Delaney, M. A., Valdés, C. T., Herrera, D., Washington, S. L., Aghajanova, L., Smith, J. F., & Herndon, C. N. (2020) · Figshare · doi:10.6084/m9.figshare.12813475
- Authors
- Nachtigall, R. D., Castrillo, M., Shah, N., Turner, D., Harrington, J., & Jackson, R.
- Affiliations
- University of California, San Francisco (US)
- University of California, Los Angeles (US)
- Corresponding author
- Nachtigall, Robert D.
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2009-07
- Volume
- 92
- Issue
- 1
- Pages
- 116-123
- ISSN
- 0015-0282 (ISSN-L)
- PMC
- PMC2722953
- OpenAlex
- W2057126098
- Cited by
- 71
- References
- 40
- Citations by year
- 2025: 6 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 9 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 2 · 2014: 5 · 2013: 3 · 2012: 8
- FWCI
- 4.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Child Health and Human Development (RO1 HD42505)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
- Keywords
- infertility treatment, Hispanic patients, language barriers, cultural barriers, patient-physician communication, continuity of care, appointment scheduling, treatment affordability, access to fertility care, patient experience
- MeSH terms
- Adolescent, Adult, Child, Female, Health Services Accessibility, Hispanic or Latino, Humans, Infertility, Female, Infertility, Male, Interviews as Topic, Language, Male, Middle Aged, Poverty, San Francisco, Reproductive Techniques, Assisted, Emigrants and Immigrants, Young Adult
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