Evidence map›Paper›PMID 34013445›Full record

ArticleJournal of racial and ethnic health disparities2022

Perceptions of Ethnoracial Factors in the Management and Treatment of Uterine Fibroids.

Minerva Orellana, Kirsten A Riggan, Karen DSouza, Elizabeth A Stewart, Sateria Venable, Joyce E Balls-Berry, Megan A Allyse

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevalence and associated risk factors of uterine fibroids in the Kingdom of Eswatini.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 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

7 authors at 4 institutions in 1 country.

Minerva Orellana *Mayo Clinic Graduate School of Biomedical Sciences, Rochester, MN, USA.ORCID 0000-0002-0152-7117
Kirsten A Riggan *Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-0127-9555
Karen DSouzaMayo Clinic Graduate School of Biomedical Sciences, Rochester, MN, USA.ORCID 0000-0003-3230-5100
Elizabeth A StewartDivision of Reproductive Endocrinology, Department of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1110-2400
Sateria VenableThe Fibroid Foundation, Bethesda, MD, USA.
Joyce E Balls-BerryDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-3497-1115
Megan A AllyseBiomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA. allyse.megan@mayo.edu.ORCID 0000-0001-6136-9256
Mayo Clinic in Arizona · USCystic Fibrosis Foundation · USMayo Clinic in Florida · USWashington University in St. Louis · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NRSA Training CoreTL1TR002380 · NCATS · MAYO CLINIC ROCHESTER · PI Felicity T. B. Enders, ANTHONY John WINDEBANK · 2017 to 2026
$6.0M
Factors Influencing Access and Utilization of Genetic Prenatal Care Services Among Women from Underserved PopulationsK01HG009542 · NHGRI · MAYO CLINIC ROCHESTER · PI ALLYSE, MEGAN A. · 2018 to 2022
$809k
AHRQ HHS P50 HS023418NCATS NIH HHS TL1 TR002380NCATS NIH HHS UL1 TR002377NCATS NIH HHS UL1 TR002494NHGRI NIH HHS K01 HG009542
6 · The paper itself

Abstract

backgroundUterine fibroids are non-cancerous neoplasms of the uterus. Women of color, including non-Hispanic Black/African American women and Hispanic/Latinas, have a higher uterine fibroid prevalence, incidence, and disease burden compared to non-Hispanic White women. Therefore, understanding ethnoracial factors in the diagnosis and treatment of uterine fibroids in women of color is critical. This study provides insight on the ethnoracial factors and cultural barriers experienced by women of color in the management and treatment of uterine fibroids.

methodsWomen were recruited via The Fibroid Foundation, a nonprofit that provides uterine fibroid support and education. Women who were interested completed an online screening survey. Eligible participants were interviewed via phone. Transcribed audio recordings were qualitatively analyzed using the principles of grounded theory.

resultsForty-seven women of reproductive age who were diagnosed with uterine fibroids and received U.S.-based care participated in a semi-structured interview exploring experiences with uterine fibroid diagnosis and management. Twenty-eight women self-identified as Black, Latina, or other ethnicity. Women of color reported fibroid symptoms that significantly disrupted their work and home life. Women of color also reported perceptions that their race/ethnicity impacted their uterine fibroid treatment, including negative interpersonal provider-patient interactions. These perceptions engendered feelings of skepticism towards the medical system based on historical injustices and/or their own negative experiences and led some to go without longitudinal care.

conclusionCultural and familial factors have significant impact on uterine fibroid diagnosis and management. Greater attention to culturally sensitive care and potential bias reduction in the treatment of uterine fibroids should be a priority.

Indexed as

LeiomyomaUterine NeoplasmsBlack or African AmericanBlack PeopleCost of IllnessFemaleHumansUterusEthnoracial factorsHealth disparitiesRacismUterine fibroidsUterine leiomyoma

Identifiers

PMID34013445
PMCPMC10695323
OpenAlexW3160203458

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.