Racial and ethnic disparities in benign gynecologic conditions and associated surgeries

Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA.
American journal of obstetrics and gynecology (Impact Factor: 4.7). 06/2010; 202(6):514-21. DOI: 10.1016/j.ajog.2010.02.039
Source: PubMed


Common gynecologic conditions and surgeries may vary significantly by race or ethnicity. Uterine fibroid tumors are more prevalent in black women, and black women may have larger, more numerous fibroid tumors 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 the identification of racial and ethnic disparities in the incidence of fibroid tumors, endometriosis, and hysterectomy. Further research is needed to better define racial and ethnic differences in these conditions and to examine the complex mechanisms that may result in associated health disparities.

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    • "Health care is free in the UK, but ethnic minority groups are more likely to access maternity services late in pregnancy and less likely to have a scan at 20 weeks than are their white British counterparts [15]. Health problems which might underlie the present findings include higher rates of uterine fibroids [16] and systemic lupus erythematosus [17] in black women—disorders that are known risk factors for spontaneous abortion and preterm birth [18] [19]—and higher rates of polycystic ovarian syndrome in South Asian women. Symptoms of polycystic ovarian syndrome present at a younger age in South Asian women than in white women [20]. "
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