Fertility and Sterility
Volume 92, Issue 1 , Pages 116-123 , July 2009

The challenge of providing infertility services to a low-income immigrant Latino population

  • Robert D. Nachtigall, M.D.

      Affiliations

    • Institute for Health and Aging, University of California-San Francisco (UCSF), San Francisco, California
    • Department of Obstetrics, Gynecology, and Reproductive Sciences, UCSF, San Francisco, California
    • Corresponding Author InformationReprint requests: Robert D. Nachtigall, M.D., Institute for Health and Aging, University of California-San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118 (FAX: 415-502-5208).
  • ,
  • Martha Castrillo, B.A.

      Affiliations

    • Institute for Health and Aging, University of California-San Francisco (UCSF), San Francisco, California
  • ,
  • Nina Shah, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, University of California-Los Angeles, Los Angeles, California
  • ,
  • Dylan Turner, B.A.

      Affiliations

    • Institute for Health and Aging, University of California-San Francisco (UCSF), San Francisco, California
  • ,
  • Jennifer Harrington, B.A.

      Affiliations

    • Institute for Health and Aging, University of California-San Francisco (UCSF), San Francisco, California
  • ,
  • Rebecca Jackson, M.D.

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, UCSF, San Francisco, California

Received 28 March 2008 ,Revised 12 May 2008 ,Accepted 15 May 2008.

References 

  1. United Nations. Report of the International Conference on Population and development, Cairo, 5-13 September 1994. New York: United Nations; 1995;E.95.XIII.18
  2. Nachtigall RD. International disparities in access to infertility services. Fertil Steril. 2006;85:871–875
  3. Becker G. The elusive embryo: how women and men approach new reproductive technologies. Berkeley, CA: University of California Press; 2000;
  4. United States Census Bureau. Population by race and Hispanic or Latino Origin, for all ages and for 18 years and over, for the United States: 2000 (PHC-T-1). Census 2000 redistricting data (P.L. 94-171). Washington, DC: United States Census Bureau; 2000;
  5. May M. California Hispanics expected to be state's majority by 2042. San Francisco Chronicle. July 10, 2007;
  6. Bean FD, Swicegood CG, Berg R. Mexican-origin fertility: new patterns and interpretations. Soc Sci Quart. 2000;81:404–420
  7. Becker G, Castrillo M, Jackson R, Nachtigall RD. Infertility among low-income Latinos. Fertil Steril. 2006;85:882–887
  8. Abma JC, Chandra A, Mosher WD, Peterson LS, Piccinino LJ. Fertility, family planning, and women's health: new data from the 1995 National Survey of Family Growth. Vital Health Stat. 1997;23:1–114
  9. Meeting the health promotion needs of Hispanic communities. Policy and Research, National Coalition of Hispanic Health and Human Services Organizations (COSSMHO). Am J Health Promot. 1995;9:300–311
  10. Seijo R. Language as a communication barrier in medical care for Latino patients. Hispanic J Behav Science. 1991;13:363
  11. Todd KH, Samaroo N, Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia. JAMA. 1993;269:1537–1539
  12. Perez-Stable EJ, Napoles-Springer A, Miramontes JM. The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Med Care. 1997;35:1212–1219
  13. Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latinos less satisfied with communication by health care providers?. J Gen Intern Med. 1999;14:409–417
  14. Fernandez A, Schillinger D, Grumbach K, Rosenthal A, Stewart AL, Wang F, et al. Physician language ability and cultural competence an exploratory study of communication with Spanish-speaking patients. J Gen Intern Med. 2004;19:167–174
  15. Carrillo JE, Green AR, Betancourt JR. Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130:829–834
  16. Waitzkin H, Cabrera A, Cabrera EAD, Radlow M, Rodriguez F. Patient-doctor communication in cross-national perspective. Med Care. 1996;34:641
  17. Juckett G. Cross-cultural medicine. Am Fam Physician. 2005;72:2267–2274
  18. Kagawa-Singer M, Kassim-Lakha S. A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. Acad Med. 2003;78:577–587
  19. Phillips KA, Mayer ML, Aday LA. Barriers to care among racial/ethnic groups under managed care. Health Aff. 2000;19:65–75
  20. Agency for Healthcare Research and Quality. National healthcare disparities report. Rockville, MD: AHRQ; 2004;
  21. Jain T, Hornstein MD. Disparities in access to infertility services in a state with mandated insurance coverage. Fertil Steril. 2005;84:221–223
  22. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118:293–302
  23. Bigby J. Cross-cultural medicine. Philadelphia, PA: American College of Physicians; 2003;
  24. Crosson JC, Deng W, Brazeau C, Boyd L, Soto-Greene M. Evaluating the effect of cultural competency training on medical student attitudes. Fam Med. 2004;36:199–203
  25. Crandall SJ, George G. Applying theory to the design of cultural competency training for medical students: a case study. Acad Med. 2003;78:588–594
  26. Bussey-Jones J, Genao I, St. George DM, Corbie-Smith G. Knowledge of cultural competence among third-year medical students. J Natl Med Assoc. 2005;97:1272–1276
  27. Weissman JS, Betancourt J, Campbell EG, Park ER, Kim M, Clarridge B, et al. Resident physicians' preparedness to provide cross-cultural care. JAMA. 2005;294:1058–1067
  28. Park ER, Betancourt JR, Kim M, Maina AW, Blumenthal D, Weissman JS. Mixed messages: residents' experiences learning cross-cultural care. Acad Med. 2005;80:874–880
  29. Canales MK, Bowers BJ. Expanding conceptualizations of culturally competent care. J Adv Nurs. 2001;3:102–111
  30. Dogra N, Carter-Pokras O. Stakeholder views regarding cultural diversity teaching outcomes: a qualitative study. BMC Med Educ. 2005;5:37
  31. Hunt LM, de Voogd KB. Clinical myths of the cultural “other”: implications for Latino patient care. Acad Med. 2005;80:918–924
  32. Barkin SR, Balkrishnan R, Manuel J, Hall MA. Effect of language immersion on communication with Latino patients. N C Med J. 2003;64:258–262
  33. Assemi MC, Cullander , Hudmon KS. Implementation and evaluation of cultural competency training for pharmacy students. Ann Pharmacother. 2004;38:781–786
  34. Price EG, Beach MC, Gary TL, Robinson KA, Gozu A, Palacio A, et al. A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals. Acad Med. 2005;80:578–586
  35. Reimann JO, Talavera GA, Salmon M, Nuñez JA, Velasquez RJ. Cultural competence among physicians treating Mexican Americans who have diabetes: a structural model. Soc Sci Med. 2004;59:2195–2205
  36. Rivadeneyra R, Eldlerkin-Thompson V, Silver RC, Waitzkin H. Patient centeredness in medical encounters requiring an interpreter. Am J Med. 2000;108:470–474
  37. Baker DW, Hayes R, Fortier JP. Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients. Med Care. 1998;36:1461–1470

 R.D.N. has nothing to disclose. M.C. has nothing to disclose. N.S. has nothing to disclose. D.T. has nothing to disclose. J.H. has nothing to disclose. R.J. has nothing to disclose.

 Supported by National Institute of Child Health and Human Development grant RO1 HD42505 (G. Becker, Principal Investigator; R.D. Nachtigall, Co-investigator).

PII: S0015-0282(08)01149-7

doi: 10.1016/j.fertnstert.2008.05.037

Fertility and Sterility
Volume 92, Issue 1 , Pages 116-123 , July 2009