The price of an egg: oocyte donor compensation in the US fertility industry

Market-based health services have arisen out of major transformations in US healthcare in the last several decades. This study addresses pricing in the human egg donation market – an under-explored topic despite substantial scholarship on commodification and financial coercion of donors. Through analysis of primary data collected from 276 US fertility clinics and egg donation agencies, I assess what impacts average donor compensation and likelihood of compensation being more than $5000. Drawing on theories of organizational behavior, I test whether organizational characteristics, ecological factors, or regulatory pressure have the greatest impact on donor compensation amounts. I find that compensation is influenced primarily by ecological/market factors. Furthermore, industry self-regulation (measured by professional affiliation) did not deter clinics and agencies from having higher donor compensation levels, despite American Society for Reproduction Medicine recommendations. I conclude by addressing the broader implications of these findings for medical market dynamics and the problem of industry self-regulation.     

Assessing Health Risks from Sub-Standard Medical Waste Incineration: A Site Conceptual Model

Poor medical waste treatment is common practice in most developing countries where on-site sub-standard incineration is common. Potentially hazardous substances such as polychlorinated dioxins and dibenzofurans and polycyclic aromatic hydrocarbons have been detected in gaseous emissions as well as bottom ash generated by the said process. There is also evidence on the emission of potentially toxic trace metals such as lead and cadmium as well as speculations on the release of brominated dioxins and dibenzofurans. The presence of residential areas within the vicinity of these sites increases human susceptibility to various health risks. This eventually necessitates the development of efficient risk assessment tools such as a site conceptual model that can adequately facilitate data collection activities and the estimation of health risks.     

Psychoactive substance use among medical students in a Nigerian university

The study was aimed at determining the prevalence, pattern and factors associated with psychoactive substance use among medical students in the University of Ilorin, Nigeria. All consenting medical students were requested to compile a 22-item modified, pilot-tested semi- structured self-report questionnaire based on the World Health Organization''s guidelines for student substance use survey. It was found that the most currently used substances were mild stimulants (33.3%), alcohol (13.6%), sedatives (7.3%) and tobacco (3.2%). Except for tobacco, the use of these substances seemed to be only instrumental. Substance use was directly associated with male gender, living alone, self-reported study difficulty, being a clinical student, and being aged 25 years or more. There was an inverse relationship of substance use with religiosity and good mental health.