{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:09:09Z","timestamp":1791356949826,"version":"4.3.1"},"reference-count":39,"publisher":"Wiley","issue":"18","license":[{"start":{"date-parts":[[2012,3,26]],"date-time":"2012-03-26T00:00:00Z","timestamp":1332720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2012,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND:<\/jats:title><jats:p>This study seeks to examine the relation between sociodemographic characteristics and the utilization of fertility preservation services in reproductive age women diagnosed with cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>A total of 1041 women diagnosed with cancer between the ages of 18 and 40 years responded to a retrospective survey on demographic information and reproductive health history. Five cancer types were included: leukemia, Hodgkin disease, non\u2010Hodgkin lymphoma, breast cancer, and gastrointestinal cancer. Nine hundred eighteen women reported treatment with potential to affect fertility (chemotherapy, pelvic radiation, pelvic surgery, or bone marrow transplant). Student <jats:italic>t<\/jats:italic> test, linear regression, and multivariate logistic regression were used where appropriate to determine the relation between sociodemographic characteristics and the odds of using fertility preservation services.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Sixty\u2010one percent of women were counseled on the risk of cancer treatment to fertility by the oncology team. Overall, 4% of women pursued fertility preservation. In multivariate analysis, women who had not attained a bachelor's degree (odds ratio [OR], 0.7; 95% confidence interval [CI], 0.5\u20100.9) were less likely to be counseled. Trends also suggested possible disparities in access to fertility preservation with age older than 35 years (OR, 0.1; 95% CI, 0.0\u20101.4) or previous children (OR, 0.3; 95% CI, 0.1\u20101.1) at diagnosis. Disparities in access to fertility preservation based on ethnicity and sexual orientation were also observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>Sociodemographic health disparities likely affect access to fertility preservation services. Although awareness of fertility preservation has improved in the past decade, an unmet need remains for reproductive health counseling and fertility preservation in reproductive age women diagnosed with cancer. Cancer 2012. \u00a9 2012 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.26649","type":"journal-article","created":{"date-parts":[[2012,3,26]],"date-time":"2012-03-26T18:40:36Z","timestamp":1332787236000},"page":"4579-4588","source":"Crossref","is-referenced-by-count":201,"title":["Racial, socioeconomic, and demographic disparities in access to fertility preservation in young women diagnosed with cancer"],"prefix":"10.1002","volume":"118","author":[{"given":"Joseph M.","family":"Letourneau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James F.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Ebbel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaranta","family":"Craig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia P.","family":"Katz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelle I.","family":"Cedars","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell P.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,26]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"National Cancer Institute. Surveillance Epidemiology and End Results. Fast Stats. Statistics stratified by age. Available at:http:\/\/seer.cancer.gov\/faststats\/selections.phpAccessed on January 7 2010."},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70317-1"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.01.159"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.04.021"},{"key":"e_1_2_6_6_2","article-title":"Pretreatment fertility counseling and fertility preservation improve quality of life in reproductive age women with cancer","author":"Letourneau J","journal-title":"Cancer."},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.06.5888"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e31818860ac"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.10.008"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.23.0250"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1600"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25060"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-009-9277-0"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/107327480801500107"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.02.039"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2009.07.019"},{"key":"e_1_2_6_17_2","unstructured":"Pierce D.Overlooked and Undercounted 2009: Struggle to Make Ends Meet in California. Report of the United Way of the Bay Area. Available at:www.liveunitedca.orgAccessed on June 5 2011."},{"key":"e_1_2_6_18_2","unstructured":"MendesE. In the United States Health Disparities Across Incomes Are Wide\u2010Ranging. Gallop Well\u2010Being Index. Available at:http:\/\/www.gallup.com\/poll\/143696\/health\u2010disparities\u2010across\u2010incomes\u2010wide\u2010ranging.aspxAccessed on April 12 2011."},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmp015"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.028"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.04.028"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.10.049"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.01.169"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.01.134"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.08.064"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.05.017"},{"key":"e_1_2_6_27_2","unstructured":"BeckL SileoM CoppermanA.The average cost of fertility preservation for female cancer patients. Paper presented at: 66th Annual American Society of Reproductive Medicine Conference; October 26\u201329 2010; Denver Colo; P\u201039."},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.11.026"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgi017"},{"key":"e_1_2_6_30_2","article-title":"The psychosocial impact of interrupted childbearing in long\u2010term female cancer survivors","author":"Canada AL","journal-title":"Psychooncology."},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.800"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2000.18.18.3273"},{"key":"e_1_2_6_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.02.084"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.07.1338"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.05.037"},{"key":"e_1_2_6_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.10.029"},{"key":"e_1_2_6_37_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.01005.x"},{"key":"e_1_2_6_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19990815)86:4<697::AID-CNCR20>3.0.CO;2-J"},{"key":"e_1_2_6_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-007-0004-3"},{"key":"e_1_2_6_40_2","unstructured":"National Cancer Institute. Report of the Leukemia Lymphoma and Myeloma Progress Review Group. Available at:http:\/\/planning.cancer.gov\/disease\/plans.shtml#prgAccessed on November 8 2010."}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.26649","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.26649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T15:10:13Z","timestamp":1760281813000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.26649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,26]]},"references-count":39,"journal-issue":{"issue":"18","published-print":{"date-parts":[[2012,9,15]]}},"alternative-id":["10.1002\/cncr.26649"],"URL":"https:\/\/doi.org\/10.1002\/cncr.26649","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"value":"0008-543X","type":"print"},{"value":"1097-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,26]]}}}