A new Pew Research Center survey reveals significant disparities in the use of fertility treatments between Black and white adults in the United States. About a quarter of Black adults reported that they or someone they know used fertility treatments, compared to nearly half of white adults.
Stephanie Thompson, a reproductive endocrinologist and infertility specialist, attributes the lower rates among Black women to cultural stigma and a lack of awareness about fertility options. “In the Black community, fertility treatment, in general, is [considered] something that quote-unquote ‘only white women partake in,'” Thompson said.
The stigma may stem from historical perspectives dating back to slavery, when Black women were valued for their ability to bear children. Black patients also tend to be older when seeking treatment, which can negatively impact success rates.
Health issues and systemic barriers, including the high cost of treatments and limited Medicaid coverage, may contribute to higher infertility rates among Black women. Chronic exposure to systemic racism could also lead to negative health outcomes, including infertility.
However, Thompson notes some positive changes, such as increased employer fertility benefits, improved cultural competency in medical school curriculums, and the growth of support groups. She emphasizes the importance of sharing fertility experiences with friends and seeking out available support networks.
As awareness grows and efforts to address disparities continue, more Black women may feel empowered to seek the fertility care they need.
See “What it will take to eliminate disparities in fertility care for Black women” by Carly Mallenbaum on the Axios website (September 27, 2023)
