Evidence map›Paper›PMID 33610438›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Black Women's Psychosocial Experiences with Seeking Surgical Treatment for Uterine Fibroids: Implications for Clinical Practice.

Brianna N VanNoy, Lisa Bowleg, Cherie Marfori, Gaby Moawad, Ami R Zota

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  3. Pharmacological treatment for uterine fibroids.The Cochrane database of systematic reviews · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Brianna N VanNoyDepartment of Environmental and Occupational Health, The George Washington University Milken Institute School of Public Health, Washington, District of Columbia.
Lisa BowlegDepartment of Psychology, The George Washington University, Washington, District of Columbia.
Cherie MarforiDepartment of Obstetrics and Gynecology, The George Washington University, Washington, District of Columbia.
Gaby MoawadDepartment of Obstetrics and Gynecology, The George Washington University, Washington, District of Columbia.
Ami R ZotaDepartment of Environmental and Occupational Health, The George Washington University Milken Institute School of Public Health, Washington, District of Columbia. Electronic address: azota@gwu.edu.
George Washington University · USMilken Institute · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
Using EV-microRNAs to identify a non-invasive biomarker of uterine fibroid outcomesR21HD096248 · NICHD · GEORGE WASHINGTON UNIVERSITY · PI ZOTA, AMI R · 2019 to 2020
$453k
NCATS NIH HHS KL2 TR001877NCATS NIH HHS UL1 TR001876NICHD NIH HHS R21 HD096248
6 · The paper itself

Abstract

introductionBlack women are more likely to undergo surgery for uterine fibroids compared with non-Black women. However, few studies have characterized the psychosocial experiences of Black women seeking fibroid treatment. We aimed to identify factors that shape Black women's fibroid management decisions; explore how discrimination based on race, class, and gender feature in treatment-seeking experiences, and compare experiences across age and socioeconomic status.

methodsWe conducted semistructured interviews with 37 Black women undergoing surgery for fibroid management. We used a thematic analysis to code transcripts and identify themes.

resultsParticipants were predominately single, college educated, and insured. Respondents reported that patient-doctor interactions, support from social networks, fertility consequences, and fear of fibroid malignancy influenced their fibroid management decisions. Knowledge and perceptions of fibroids were also influenced by community norms and differed by socioeconomic status; women of higher socioeconomic status had greater fibroid awareness than women of lower socioeconomic status. Discrimination was discussed in the context of historical inequity against Black women, with one participant questioning whether Black women were valued less in clinical settings compared with non-Black women. Although several women discussed positive experiences seeking fibroids care, others expressed medical mistrust or said that alternative management options were not offered by clinicians.

conclusionsFibroid management decisions were influenced not only by interactions with clinicians and social networks, and concerns about fertility and fibroid malignancy, but also by broader social and historical conditions. These findings suggest that clinicians should deliver intersectional gynecologic care that centers the voices of Black women seeking fibroid treatment.

Indexed as

LeiomyomaUterine NeoplasmsBlack or African AmericanFemaleHumansSurveys and QuestionnairesTrust

Identifiers

PMID33610438
PMCPMC9835088
OpenAlexW3112250261

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.