Evidence map›Paper›PMID 40628590›Full record

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

"Am I Truly Invisible?": A Qualitative Study on Black Women's Experiences of and Coping With Intersectional Invisibility in Uterine Fibroid Treatment.

Arianne N Malekzadeh, Ami R Zota, Myla Lyons, Tamara Taggart

Abstract readObservational Study
In one paragraph

Observational study 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Arianne N MalekzadehDepartment of Psychological & Brain Sciences, The George Washington University, Washington, District of Columbia.
Ami R ZotaDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Myla LyonsDepartment of Psychological & Brain Sciences, The George Washington University, Washington, District of Columbia.
Tamara TaggartDepartment of Prevention & Community Health, The George Washington University, Washington, District of Columbia; Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut. Electronic address: ttaggart@gwu.edu.

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Steven N. Chillrud · 1998 to 2026
$44.7M
Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Systems Modeling to Improve Adolescent Health and Well-beingR01MD019763 · NIMHD · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Tamara Taggart · 2024 to 2026
$2.9M
Measuring the impact of structural racism and discrimination during adolescence on substance use, psychological distress, and criminal justice outcomes in adulthoodR01DA056264 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOTTFREDSON O'SHEA, NISHA, TAGGART, TAMARA · 2022 to 2025
$2.1M
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 HD096248NIDA NIH HHS R01 DA056264NIEHS NIH HHS P30 ES009089NIMHD NIH HHS L60 MD014382NIMHD NIH HHS R01 MD019763
6 · The paper itself

Abstract

backgroundBlack women are disproportionately burdened by uterine leiomyomas (fibroids) and face intersectional invisibility wherein their needs are ignored in health care settings due to sexism and racism. Our objective was to elucidate Black women's experiences in fibroid treatment and the strategies they use to protect their health and counter their intersectional invisibility.

methodsWe recruited participants from the Fibroids Observational Research on Genes and the Environment (FORGE) Study. We conducted semistructured individual interviews (average length 45 minutes) on Black women's experiences in fibroid treatment. We analyzed the transcripts using a thematic analytical approach and intersectionality, a critical analytical framework that allows for the examination of how sexism and racism intersect to influence health inequities.

resultsParticipants were 16 Black women aged 30-52 years who were seeking fibroid treatment in Washington, DC. Our analysis revealed that participants experience gendered racism (the intersection of sexism and racism) in fibroid treatment, mirroring a historical and ongoing pattern of how Black women are treated in health care settings, and that they manage their intersectional invisibility by engaging in strategies characteristic of the superwoman schema: projecting strength, suppressing emotions, resisting being dependent, and striving to succeed despite limited resources. Participants also highlighted that their ideal fibroid-related care would include a holistic approach and social support.

conclusionsOur findings emphasize that Black women's intersectional invisibility extends to fibroid treatment, reflecting the social-structural inequities that they face in health care settings more broadly. Attendance to Black women's voices in research and practice can help decrease their intersectional invisibility and subsequently improve their fibroid treatment and related health outcomes.

Indexed as

Black or African AmericanHealthcare DisparitiesLeiomyomaRacismSexismUterine NeoplasmsAdaptation, PsychologicalAdultDistrict of ColumbiaFemaleHumansInterviews as TopicMiddle AgedQualitative Research

Identifiers

PMID40628590
PMCPMC12243959

What OpenQuestion holds

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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.