title: A Comparison of Immigrant and Canadian-Born Patients Seeking Fertility Treatment.
abstract: The present study examined whether public funding for in vitro fertilization (IVF) in Quebec, Canada was associated with differential access among Canadian-born infertility patients and those born outside of Canada. Anonymous demographic questionnaires were completed at 3 time points: 2 weeks before the implementation of public funding, 2 weeks after, and 8 months later. Almost half the patients were not born in Canada and of these, 35 % were recent immigrants to Canada. While patients born outside Canada were generally better educated than Canadian-born patients, they were more likely to be unemployed and have lower incomes. Following public funding, there was an overall increase in patients with lower incomes and lower levels of education. Canadian-born patients were more likely than immigrant patients to consult for secondary infertility. Patients born outside Canada tended to be older and nulliparous, suggesting that they may have delayed treatment seeking due to financial and other barriers. The results indicate that public funding reduces health disparities in access to IVF.
authors.affiliation: Department of Psychiatry, Jewish General Hospital, The Lady Davis Institute for Medical Research, McGill University, 4333 Cote Ste. Catherine, Montreal, QC, H3T 1E4, Canada, phyllis.zelkowitz@mcgill.ca.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Zelkowitz
authors.forename: Leonora
authors.initials: L
authors.lastname: King
authors.forename: Rob
authors.initials: R
authors.lastname: Whitley
authors.forename: Togas
authors.initials: T
authors.lastname: Tulandi
authors.forename: Carolyn
authors.initials: C
authors.lastname: Ells
authors.forename: Nancy
authors.initials: N
authors.lastname: Feeley
authors.forename: Ian
authors.initials: I
authors.lastname: Gold
authors.forename: Zeev
authors.initials: Z
authors.lastname: Rosberger
authors.forename: Peter
authors.initials: P
authors.lastname: Chan
authors.forename: Sharon
authors.initials: S
authors.lastname: Bond
authors.forename: Neal
authors.initials: N
authors.lastname: Mahutte
authors.forename: Sophia
authors.initials: S
authors.lastname: Ouhilal
authors.forename: Hananel
authors.initials: H
authors.lastname: Holzer
mesh_terms: D000328:Adult; D002170:Canada / Q000453:epidemiology; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005307:Fertilization in Vitro / Q000706:statistics & numerical data; D005380:Financing, Government; D006801:Humans; D007246:Infertility / Q000208:ethnology / Q000628:therapy; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires