Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433 |
Resumo: | We aimed to investigate whether life-course socioeconomic position mediates the association between skin color/race and occurrence of uterine leiomyomas. We analyzed 1,475 female civil servants with baseline data (1999-2001) of the Pró-Saúde Study in Rio de Janeiro State, Brazil. Life-course socioeconomic position was determined by parental education (early life socioeconomic position), participant education (socioeconomic position in early adulthood) and their combination (cumulative socioeconomic position). Gynecological/breast exams and health insurance status were considered markers of access to health care. Hazard ratios (HR) and 95% confidence intervals (95%CI) were estimated using Cox proportional hazards models. Compared with white women, black and parda (“brown”) women had higher risk of reporting uterine leiomyomas, respectively HR: 1.6, 95%CI: 1.2-2.1; HR: 1.4, 95%CI: 0.8-2.5. Estimates were virtually identical in models including different variables related to life-course socioeconomic position. This study corroborated previous evidence of higher uterine leiomyomas risk in women with darker skin color, and further suggest that life-course socioeconomic position adversity does not influence this association. |
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Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude StudyLeiomyomaRace RelationsSocioeconomic FactorsWe aimed to investigate whether life-course socioeconomic position mediates the association between skin color/race and occurrence of uterine leiomyomas. We analyzed 1,475 female civil servants with baseline data (1999-2001) of the Pró-Saúde Study in Rio de Janeiro State, Brazil. Life-course socioeconomic position was determined by parental education (early life socioeconomic position), participant education (socioeconomic position in early adulthood) and their combination (cumulative socioeconomic position). Gynecological/breast exams and health insurance status were considered markers of access to health care. Hazard ratios (HR) and 95% confidence intervals (95%CI) were estimated using Cox proportional hazards models. Compared with white women, black and parda (“brown”) women had higher risk of reporting uterine leiomyomas, respectively HR: 1.6, 95%CI: 1.2-2.1; HR: 1.4, 95%CI: 0.8-2.5. Estimates were virtually identical in models including different variables related to life-course socioeconomic position. This study corroborated previous evidence of higher uterine leiomyomas risk in women with darker skin color, and further suggest that life-course socioeconomic position adversity does not influence this association.Hemos investigado si es estatus socioeconómico durante toda la vida influye en la asociación entre raza y presencia de mioma uterino. Se analizaron a 1.475 funcionarias, con datos provenientes de la cohorte Pró-Saúde (1999-2001) en Río de Janeiro, Brasil. La posición socioeconómica durante toda la vida se determinó por la educación de los padres (posición socioeconómica temprana), educación de la participante (posición socioeconómica principio de la edad adulta) y combinaciones de los mismos (posición socioeconómica acumulada). Exámenes ginecológicos/mama y el plan de salud se consideran marcadores de acceso a la salud. La razón de riesgo (hazards ratio, HR) y el intervalo de un 95% de confianza (IC95%) se calcularon utilizando modelos de riesgos proporcionales. La comparación entre mujeres blancas, negras y mulatas/mestizas concluyó que tenían un riesgo más elevado de mioma uterino, en los siguientes porcentajes respectivamente HR: 1,6 IC95%: 1,2-2,1; HR: 1,4 IC95%: 0,8-2,5. Las estimaciones fueron prácticamente idénticas en los modelos que incluyen diferentes variables de posición socioeconómica para toda la vida. Este estudio apoya la evidencia de mayor riesgo de mioma uterino entre mujeres de color de piel más oscuro y también sugiere que la posición socioeconómica para toda la vida no influye en esta asociación.Nós investigamos se posição socioeconômica ao longo da vida medeia a associação entre cor/raça e ocorrência de mioma uterino. Analisamos 1.475 funcionárias públicas com dados na linha de base (1999-2001) do Estudo Pró-Saúde no Rio de Janeiro, Brasil. A posição socioeconômica ao longo da vida foi determinada pela escolaridade dos pais (posição socioeconômica precoce), escolaridade da participante (posição socioecônomica no inicio da vida adulta) e suas combinações (posição socioeconômica acumulada). Exames ginecológicos/mama e plano de saúde foram considerados marcadores de acesso à saúde. Razão de hazards (RH) e intervalos de 95% de confiança (IC95%) foram estimados por modelos de riscos proporcionais de Cox. Comparadas às mulheres brancas, as de cor preta e parda tiveram maior risco de relatarem mioma uterino (RH: 1,6, IC95%: 1,2-2,1; RH: 1,4, IC95%: 0,8-2,5, respectivamente). As estimativas foram praticamente idênticas nos modelos que incluíram as diferentes variáveis de posição socioeconômica ao longo da vida. Este estudo corrobora evidências prévias de maior risco de mioma uterino entre mulheres de cor da pele mais escura e também sugere que a posição socioeconômica ao longo da vida não influencia esta associação.Reports in Public HealthCadernos de Saúde Pública2014-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433Reports in Public Health; Vol. 30 No. 2 (2014): FebruaryCadernos de Saúde Pública; v. 30 n. 2 (2014): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433/11180https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433/11181Karine de Limas Irio BoclinEduardo FaersteinMoyses Szkloinfo:eu-repo/semantics/openAccess2024-03-06T15:28:43Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5433Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:14.821246Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
title |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
spellingShingle |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study Karine de Limas Irio Boclin Leiomyoma Race Relations Socioeconomic Factors |
title_short |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
title_full |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
title_fullStr |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
title_full_unstemmed |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
title_sort |
Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study |
author |
Karine de Limas Irio Boclin |
author_facet |
Karine de Limas Irio Boclin Eduardo Faerstein Moyses Szklo |
author_role |
author |
author2 |
Eduardo Faerstein Moyses Szklo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Karine de Limas Irio Boclin Eduardo Faerstein Moyses Szklo |
dc.subject.por.fl_str_mv |
Leiomyoma Race Relations Socioeconomic Factors |
topic |
Leiomyoma Race Relations Socioeconomic Factors |
description |
We aimed to investigate whether life-course socioeconomic position mediates the association between skin color/race and occurrence of uterine leiomyomas. We analyzed 1,475 female civil servants with baseline data (1999-2001) of the Pró-Saúde Study in Rio de Janeiro State, Brazil. Life-course socioeconomic position was determined by parental education (early life socioeconomic position), participant education (socioeconomic position in early adulthood) and their combination (cumulative socioeconomic position). Gynecological/breast exams and health insurance status were considered markers of access to health care. Hazard ratios (HR) and 95% confidence intervals (95%CI) were estimated using Cox proportional hazards models. Compared with white women, black and parda (“brown”) women had higher risk of reporting uterine leiomyomas, respectively HR: 1.6, 95%CI: 1.2-2.1; HR: 1.4, 95%CI: 0.8-2.5. Estimates were virtually identical in models including different variables related to life-course socioeconomic position. This study corroborated previous evidence of higher uterine leiomyomas risk in women with darker skin color, and further suggest that life-course socioeconomic position adversity does not influence this association. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433/11180 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5433/11181 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 30 No. 2 (2014): February Cadernos de Saúde Pública; v. 30 n. 2 (2014): Fevereiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1816705368550539264 |