Joseph M. Letourneau|James F. Smith|E. Ebbel|Amaranta D. Craig|Patricia Katz|Marcelle I. Cedars|Mitchell P. Rosen
Racial, socioeconomic, and demographic disparities in access to fertility preservation in young women diagnosed with cancer
University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
abstract background study seeks examine relation sociodemographic characteristics utilization fertility preservation services reproductive age women diagnosed cancer methods total 1041 women diagnosed cancer ages 18 40 years responded retrospective survey demographic information reproductive health history five cancer types included leukemia hodgkin disease nonhodgkin lymphoma breast cancer gastrointestinal cancer nine hundred eighteen women reported treatment potential affect fertility chemotherapy pelvic radiation pelvic surgery bone marrow transplant student test linear regression multivariate logistic regression used appropriate determine relation sociodemographic characteristics odds using fertility preservation services results sixtyone percent women counseled risk cancer treatment fertility oncology team overall 4 women pursued fertility preservation multivariate analysis women attained bachelors degree odds ratio 07 95 confidence interval ci 0509 less likely counseled trends also suggested possible disparities access fertility preservation age older 35 years 01 95 ci 0014 previous children 03 95 ci 0111 diagnosis disparities access fertility preservation based ethnicity sexual orientation also observed conclusions sociodemographic health disparities likely affect access fertility preservation services although awareness fertility preservation improved past decade unmet need remains reproductive health counseling fertility preservation reproductive age women diagnosed cancer cancer 2012 2012 american cancer society