Racial and ethnic disparities in benign gynecologic conditions and associated surgeries.

Racial and ethnic disparities in benign gynecologic conditions and associated surgeries.
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DOI:
10.1016/j.ajog.2010.02.039
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发表时间:
2010-06
影响因子:
9.8
通讯作者:
Washington AE
Washington AE
中科院分区:
医学1区
文献类型:
--
作者:
Jacoby VL;Fujimoto VY;Giudice LC;Kuppermann M;Washington AE

文献摘要

被引文献

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常见的妇科疾病和手术可能因种族或民族而显着不同。子宫肌瘤在黑人女性中更普遍,黑人女性可能有更大,更多的肌瘤,导致更严重的症状和更大的肌瘤切除术并发症。一些,但不是全部,研究发现亚洲女性中子宫内膜异位症的患病率较高。人种和种族也与子宫切除率、途径和并发症有关。总体而言,目前的文献在识别子宫肌瘤、子宫内膜异位症和子宫切除术的种族和民族差异方面存在显著缺陷。需要进一步的研究来更好地定义这些条件中的种族和民族差异,并检查可能导致相关健康差异的复杂机制。
Common gynecologic conditions and surgeries may vary significantly by race or ethnicity. Uterine fibroids are more prevalent in black women and black women may have larger, more numerous fibroids that cause worse symptoms and greater myomectomy complications. Some, but not all, studies have found a higher prevalence of endometriosis among Asian women. Race and ethnicity are also associated with hysterectomy rate, route, and complications. Overall, the current literature has significant deficits in identifying racial and ethnic disparities in fibroids, endometriosis, and hysterectomy. Further research is needed to better define racial and ethnic differences in these conditions, and examine the complex mechanisms that may result in associated health disparities.