Massachusetts outcomes study of assisted reproductive technology equity

Active Project Grant Awarded Last action

Award ID
R01HD111499
Recipient
Awarding agency
Obligated
$2,771,483

Award facts

Completion date 46% complete
Place of performance
Aurora, CO 80045, USA

Award details come from USAspending.gov.

Description

Abstract
Given the persistently stark racial/ethnic disparities in perinatal health outcomes in the U.S. And the increasing utilization of fertility treatment to achieve pregnancy, the overall goal of this study is to apply a health equity framework to investigate the experiences and outcomes of women of color who receive fertility treatment and achieve a live birth. Our specific aims are: 1) for fertile, subfertile, and assisted reproductive technology (art) groups, we will quantify racial/ethnic disparities among non-hispanic white (NHW), non-hispanic black (NHB), hispanic, non-hispanic asian (NHA) and other groups in (a) maternal morbidity (based upon centers for disease control and prevention definition) and mortality during birth hospitalization through the first year postpartum and (B) infant health outcomes at birth and through the first year of life (e.g. mortality, RE-hospitalizations, and emergency room use) through analysis of the population based massachusetts outcome study of assisted reproductive technology (MOSART) data system from 2004-2020, which includes data from the society for assisted reproductive technology clinic outcome reporting system (sart cors) and the MA pregnancy to early life longitudinal (PELL) data system (an ongoing longitudinally-linked population-based system that includes birth certificates, death records, and hospital utilization data for MA birthing people and their infants). We will also test whether the magnitude of racial/ethnic disparities in the art group varies from fertile and subfertile populations. 2) among NHW, NHB, and hispanic women who receive art or other fertility treatments and their infants, we will investigate the impact of racism and other individual-, healthcare-, and community-level factors associated with adverse perinatal health outcomes, through linkages of the MA pregnancy risk assessment monitoring system (PRAMS) with the MA PELL data system. PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy with specific questions pertaining to receipt of fertility treatment. 3) through qualitative interviews with NHB and hispanic women who have received fertility treatment and a live birth, we will identify facilitators and barriers to successful navigation of fertility treatment and subsequent maternal and infant care that may lead to excess risk for adverse maternal and infant health outcomes relative to their NHW counterparts with a focus on the experience of racism. This proposal will provide a comprehensive investigation using quantitative and qualitative methods that will inform the development of future policies and programs aimed at providing equitable perinatal healthcare to those accessing and receiving art and other fertility treatments.

Transactions

Action Obligated Date
Amendment $634,379
Amendment $649,244
Amendment $0
Amendment $0
Amendment $743,930
Original award $743,930

Subawards

Subrecipient Amount Awarded
The Washington University Massachusetts Outcomes Study of Assisted Reproductive Technology Equity $180,607
Oregon Health & Science University $67,802
Massachusetts Department Of Public Health $102,416
University Of Arizona $38,270
Regents Of The University Of Michigan $101,070
Trustees Of Boston University $128,060
Trustees Of Boston University $108,360

Quick answers

Who received award R01HD111499?

R01HD111499 was awarded to The Regents Of The University Of Colorado by National Institute of Child Health and Human Development (National Institutes of Health) on September 16, 2024.

How much is award R01HD111499 worth?

$2,771,483 has been obligated on R01HD111499.

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