Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/11827
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dc.contributor.authorGilbert, Emilyen
dc.contributor.authorWalker, Ruthen
dc.contributor.authorSimon, Daviden
dc.contributor.authorDerkenne, Ruthen
dc.contributor.authorRumbold, Aliceen
dc.contributor.authorCampbell, Sandraen
dc.contributor.authorBoyle, Jacqueline Aen
dc.date.accessioned2021-07-27T04:21:08Zen
dc.date.available2021-07-27T04:21:08Zen
dc.date.issued2021-07-17en
dc.identifier.citation© 2021. The Author(s).en
dc.identifier.citationBMC Health Serv Res. 2021 Jul 17;21(1):704. doi: 10.1186/s12913-021-06714-8.en
dc.identifier.other101088677en
dc.identifier.urihttps://hdl.handle.net/10137/11827en
dc.description.abstractINTRODUCTION: Aboriginal and Torres Strait Islander women and men are disproportionately affected by a range of risk factors for infertility. However, remarkably little is known about the prevalence of infertility in this group, or how Aboriginal and Torres Strait Islander people access fertility treatments including assisted reproductive technology (ART). This qualitative study aims to explore health care provider (HCP) perspectives on the health burden of infertility among Aboriginal and Torres Strait Islander people, as well as factors that may affect access to infertility treatment for this group. METHOD: Semi-structured interviews were conducted with HCPs (8 doctors; 3 nurses and 1 Aboriginal Health Practitioner) working in fertility care in the Northern Territory, Australia. Transcribed interviews were analysed using an iterative thematic approach using the NVivo-9 software package. RESULTS: Providers perceive infertility as an underestimated health issue in this patient population, reporting a high prevalence of infertility-related risk factors but fewer clinical encounters of diagnosis and treatment. Perceived barriers to accessing fertility care included cultural differences such as the shame and stigma associated with reproductive health and the separation of men's business and women's business; service-related barriers such as limited timely and affordable access to specialist health services and; a lack of culturally responsive and appropriate fertility services. Providers had mixed opinions on their role in ameliorating inequities of access, and hence a range of strategies to address barriers were suggested. These included a greater patient education, ongoing patient support and providing a culturally safe environment. CONCLUSION: The current study adds to the understanding of how Aboriginal and Torres Strait Islander people access fertility treatments. There is a need for further research to quantify infertility in Aboriginal and Torres Strait Islander people, investigate community perceptions towards infertility and identify community-driven priorities to improve access to fertility care for this population.en
dc.language.isoengen
dc.subjectFemaleen
dc.subject*Health Services, Indigenousen
dc.subjectHumansen
dc.subject*Infertility/therapyen
dc.subjectMaleen
dc.subjectNorthern Territoryen
dc.subjectOceanic Ancestry Groupen
dc.subjectQualitative Researchen
dc.title"We are only looking at the tip of the iceberg in infertility": perspectives of health providers about fertility issues and management among Aboriginal and Torres Strait Islander people.en
dc.typeJournal Articleen
dc.identifier.journaltitleBMC health services researchen
dc.identifier.doi10.1186/s12913-021-06714-8en
dc.identifier.doi704en
dc.identifier.pubmedurihttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/34271914en
dc.format.pages704en
dc.description.affiliationMonash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, VIC, Melbourne, Australia.en
dc.description.affiliationTop End Health Service, NT, Casuarina, Australia.en
dc.description.affiliationSouth Australian Health and Medical Research Institute, SA, Adelaide, Australia.en
dc.description.affiliationMolly Wardaguga Research Centre, School of Nursing and Midwifery, Charles Darwin University, QLD, Brisbane City, Australia.en
dc.description.affiliationMonash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, VIC, Melbourne, Australia. Jacqueline.boyle@monash.edu.en
dc.source.volume21en
local.issue.number1472-6963 (Electronic)-
local.issue.number1472-6963 (Linking)-
Appears in Collections:(a) NT Health Research Collection

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