Race-ethnicity and medical services for infertility: stratified reproduction in a population-based sample of U.S. women

Evidence of group differences in reproductive control and access to reproductive health care suggests the continued existence of "stratified reproduction" in the United States. Women of color are overrepresented among people with infertility but are underrepresented among those who receive medical services. The authors employ path analysis to uncover mechanisms accounting for these differences among black, Hispanic, Asian, and non-Hispanic white women using a probability-based sample of 2,162 U.S. women. Black and Hispanic women are less likely to receive services than other women. The enabling conditions of income, education, and private insurance partially mediate the relationship between race-ethnicity and receipt of services but do not fully account for the association at all levels of service. For black and Hispanic women, social cues, enabling conditions, and predisposing conditions contribute to disparities in receipt of services. Most of the association between race-ethnicity and service receipt is indirect rather than direct.     

Deciding Not to Adopt: The Role of Normative Family Ideologies in Adoption Consideration

ABSTRACT

Americans view adoption favorably, yet few consider adopting or actually adopt a child. Using qualitative data from the representative National Survey of Fertility Barriers, we explored why women who had considered adoption decided not to pursue it as a pathway to parenthood. Our sample includes responses from 1,747 women who considered adoption at some point. Seven themes emerged: prioritization of biology, economic concerns, family building prerequisites, relationship barriers, barriers to adoption, family barriers, and change of heart. Findings highlight that barriers to adoption are not always the primary reasons women opt out of adoption; normative conceptualizations of “family” are also important.