Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study
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 socioec...
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Format: | Article |
Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2014-02-01
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Series: | Cadernos de Saúde Pública |
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Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000200305&lng=en&tlng=en |
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author | Karine de Limas Irio Boclin Eduardo Faerstein Moyses Szklo |
author_facet | Karine de Limas Irio Boclin Eduardo Faerstein Moyses Szklo |
author_sort | Karine de Limas Irio Boclin |
collection | DOAJ |
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. |
first_indexed | 2024-12-21T12:31:06Z |
format | Article |
id | doaj.art-251871acaaed406eb70ba2bf7ed4a4cb |
institution | Directory Open Access Journal |
issn | 0102-311X |
language | English |
last_indexed | 2024-12-21T12:31:06Z |
publishDate | 2014-02-01 |
publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
record_format | Article |
series | Cadernos de Saúde Pública |
spelling | doaj.art-251871acaaed406eb70ba2bf7ed4a4cb2022-12-21T19:04:02ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X2014-02-0130230531710.1590/0102-311X00025413S0102-311X2014000200305Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude StudyKarine de Limas Irio BoclinEduardo FaersteinMoyses SzkloWe 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.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000200305&lng=en&tlng=enLeiomiomaRelaciones RacialesFactores Socioeconomicos |
spellingShingle | Karine de Limas Irio Boclin Eduardo Faerstein Moyses Szklo Does life-course socioeconomic position influence racial inequalities in the occurrence of uterine leiomyoma? Evidence from the Pro-Saude Study Cadernos de Saúde Pública Leiomioma Relaciones Raciales Factores Socioeconomicos |
title | 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_short | 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 |
topic | Leiomioma Relaciones Raciales Factores Socioeconomicos |
url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000200305&lng=en&tlng=en |
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