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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Main Authors: Karine de Limas Irio Boclin, Eduardo Faerstein, Moyses Szklo
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2014-02-01
Series:Cadernos de Saúde Pública
Subjects:
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.
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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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AT moysesszklo doeslifecoursesocioeconomicpositioninfluenceracialinequalitiesintheoccurrenceofuterineleiomyomaevidencefromtheprosaudestudy