The burden of uterine fibroids for african-american women: Results of a national survey

Elizabeth A Stewart, Wanda K. Nicholson, Linda Bradley, Bijan J Borah

Research output: Contribution to journalArticle

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Abstract

Background: Uterine fibroids have a disproportionate impact on African-American women. There are, however, no data to compare racial differences in symptoms, quality of life, effect on employment, and information-seeking behavior for this disease. Methods: An online survey was conducted by Harris Interactive between December 1, 2011 and January 16, 2012. Participants were U.S. women aged 29-59 with symptomatic uterine fibroids. African-American women were oversampled to allow statistical comparison of this high-risk group. Bivariate comparison of continuous and categorical measures was based on the t-test and the Chi-squared test, respectively. Multivariable adjustment of risk ratios was based on log binomial regression. Results: The survey was completed by 268 African-American and 573 white women. There were no differences between groups in education, employment status, or overall health status. African-American women were significantly more likely to have severe or very severe symptoms, including heavy or prolonged menses (RR=1.51, 95% CI 1.05-2.18) and anemia (RR=2.73, 95% CI 1.47-5.09). They also more often reported that fibroids interfered with physical activities (RR=1.67, 95% CI 1.20-2.32) and relationships (RR=2.27, 95% CI 1.23-4.22) and were more likely to miss days from work (RR=1.77, 95% CI 1.20-2.61). African-American women were more likely to consult friends and family (36 vs. 22%, P=0.004) and health brochures (32 vs. 18%, P<0.001) for health information. Concerns for future fertility (RR=2.65, 95% CI 1.93-3.63) and pregnancy (RR=2.89, 95% CI 2.11-3.97) following fibroid treatments were key concerns for black women. Conclusions: African-American women have more severe symptoms, unique concerns, and different information-seeking behavior for fibroids.

Original languageEnglish (US)
Pages (from-to)807-816
Number of pages10
JournalJournal of Women's Health
Volume22
Issue number10
DOIs
StatePublished - Oct 1 2013

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Leiomyoma
African Americans
Information Seeking Behavior
Social Adjustment
Pamphlets
Menstruation
Surveys and Questionnaires
Health
Health Status
Fertility
Anemia
Odds Ratio
Quality of Life
Exercise
Education
Pregnancy

ASJC Scopus subject areas

  • Medicine(all)

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The burden of uterine fibroids for african-american women : Results of a national survey. / Stewart, Elizabeth A; Nicholson, Wanda K.; Bradley, Linda; Borah, Bijan J.

In: Journal of Women's Health, Vol. 22, No. 10, 01.10.2013, p. 807-816.

Research output: Contribution to journalArticle

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abstract = "Background: Uterine fibroids have a disproportionate impact on African-American women. There are, however, no data to compare racial differences in symptoms, quality of life, effect on employment, and information-seeking behavior for this disease. Methods: An online survey was conducted by Harris Interactive between December 1, 2011 and January 16, 2012. Participants were U.S. women aged 29-59 with symptomatic uterine fibroids. African-American women were oversampled to allow statistical comparison of this high-risk group. Bivariate comparison of continuous and categorical measures was based on the t-test and the Chi-squared test, respectively. Multivariable adjustment of risk ratios was based on log binomial regression. Results: The survey was completed by 268 African-American and 573 white women. There were no differences between groups in education, employment status, or overall health status. African-American women were significantly more likely to have severe or very severe symptoms, including heavy or prolonged menses (RR=1.51, 95{\%} CI 1.05-2.18) and anemia (RR=2.73, 95{\%} CI 1.47-5.09). They also more often reported that fibroids interfered with physical activities (RR=1.67, 95{\%} CI 1.20-2.32) and relationships (RR=2.27, 95{\%} CI 1.23-4.22) and were more likely to miss days from work (RR=1.77, 95{\%} CI 1.20-2.61). African-American women were more likely to consult friends and family (36 vs. 22{\%}, P=0.004) and health brochures (32 vs. 18{\%}, P<0.001) for health information. Concerns for future fertility (RR=2.65, 95{\%} CI 1.93-3.63) and pregnancy (RR=2.89, 95{\%} CI 2.11-3.97) following fibroid treatments were key concerns for black women. Conclusions: African-American women have more severe symptoms, unique concerns, and different information-seeking behavior for fibroids.",
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