Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study

Detalhes bibliográficos
Autor(a) principal: Karine de Limas Irio Boclin
Data de Publicação: 2014
Outros Autores: Eduardo Faerstein, Moyses Szklo
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.
id FIOCRUZ-5_09fe525b167d1f31c75dfd115dcaa2c4
oai_identifier_str oai:ojs.teste-cadernos.ensp.fiocruz.br:article/5433
network_acronym_str FIOCRUZ-5
network_name_str Cadernos de Saúde Pública
repository_id_str
spelling 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