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Health equity in fertility specialty care among cancer survivors

Award Number: R01MD017999
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/28/2023
PERIOD OF PERFORMANCE END DATE: 12/31/2027

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Health equity in fertility specialty care among cancer survivors - For many reproductive-age cancer survivors, access to safe and effective methods for fertility preservation is an essential but often elusive path to creating a family. As more women delay childbirth and greater numbers are diagnosed before completing childbearing, fertility concerns have become increasingly relevant. Although the appropriateness of fertility treatment varies by clinical and patient factors, cancer survivors often require assisted reproductive technologies (ARTs) at younger ages and may face reduced chances of conception. Fertility-related needs arise in two key clinical contexts: at cancer diagnosis (for fertility preservation) and after treatment completion (to achieve pregnancy). In both situations, multiple factors—such as insurance coverage, geographic access to ART clinics, and neighborhood socioeconomic conditions—can affect access to services. Many patients pay out of pocket for ARTs, making this option unaffordable for those with limited financial means. Our study addresses two primary questions: 1. What are the sources and extent of variation in fertility preservation, ART use, and live births among cancer survivors? 2. Can expanded access to ARTs mitigate these variations in outcomes? Using a multilevel framework, we will examine how individual-, neighborhood-, and policy-level factors (e.g., state insurance mandates) influence ART access and use. Our specific aims are to: - Investigate factors associated with fertility preservation - Investigate factors associated with ART use after treatment - Assess how these factors contribute to live birth rates following cancer diagnosis Findings will clarify the barriers that affect family-building opportunities for reproductive-age cancer survivors and support evidence-based policy and service delivery improvements.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $497,133 )
2025	2025	THE UNIVERISTY OF TEXAS M.D. ANDERSON CANCER CENTER	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	000	3	12/17/2024	NON-COMPETING CONTINUATION	$447,420
2025	2025	THE UNIVERISTY OF TEXAS M.D. ANDERSON CANCER CENTER	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	001	3	4/26/2025	NON-COMPETING CONTINUATION	$49,713
														Subtotal = $497,133

Issue Date FY: 2024 ( Subtotal = $683,452 )
2024	2024	THE UNIVERISTY OF TEXAS MD ANDERSON CANCER CENTER, A COMPONENT OF THE UNIVERISTY OF TEXAS SYSTEM	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	001	2	12/9/2023	NON-COMPETING CONTINUATION	$615,106
2024	2024	THE UNIVERISTY OF TEXAS MD ANDERSON CANCER CENTER, A COMPONENT OF THE UNIVERISTY OF TEXAS SYSTEM	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	002	2	5/31/2024	NON-COMPETING CONTINUATION	$68,346
2024	2023	UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER, THE	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	000	1	11/22/2023	NEW	$0
														Subtotal = $683,452

Issue Date FY: 2023 ( Subtotal = $763,304 )
2023	2023	UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER, THE	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	HARRIS	USA	Minority Health and Health Disparities Research	000	1	6/28/2023	NEW	$763,304
														Subtotal = $763,304

Grand Total All Awards = $1,943,889

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Health equity in fertility specialty care among cancer survivors

Award Number: R01MD017999

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/28/2023

PERIOD OF PERFORMANCE END DATE: 12/31/2027

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