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High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence.

Publication ,  Journal Article
Baird, DD; Dunson, DB; Hill, MC; Cousins, D; Schectman, JM
Published in: American journal of obstetrics and gynecology
January 2003

Uterine leiomyoma, or fibroid tumors, are the leading indication for hysterectomy in the United States, but the proportion of women in whom fibroid tumors develop is not known. This study screened for fibroid tumors, independently of clinical symptoms, to estimate the age-specific proportion of black and white women in whom fibroid tumors develop.Randomly selected members of an urban health plan who were 35 to 49 years old participated (n = 1364 women). Medical records and self-report were used to assess fibroid status for those women who were no longer menstruating (most of whom had had hysterectomies). Premenopausal women were screened by ultrasonography. We estimated the age-specific cumulative incidence of fibroid tumors for black and white women.Thirty-five percent of premenopausal women had a previous diagnosis of fibroid tumors. Fifty-one percent of the premenopausal women who had no previous diagnosis had ultrasound evidence of fibroid tumors. The estimated cumulative incidence of tumors by age 50 was >80% for black women and nearly 70% for white women. The difference between the age-specific cumulative incidence curves for black and white women was highly significant (odds ratio, 2.9; 95% CI, 2.5-3.4; P <.001).The results of this study suggest that most black and white women in the United States develop uterine fibroid tumors before menopause and that uterine fibroid tumors develop in black women at earlier ages than in white women.

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Published In

American journal of obstetrics and gynecology

DOI

EISSN

1097-6868

ISSN

0002-9378

Publication Date

January 2003

Volume

188

Issue

1

Start / End Page

100 / 107

Related Subject Headings

  • White People
  • Uterine Neoplasms
  • Urban Population
  • Ultrasonography
  • Premenopause
  • Postmenopause
  • Parity
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Leiomyoma
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Baird, D. D., Dunson, D. B., Hill, M. C., Cousins, D., & Schectman, J. M. (2003). High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. American Journal of Obstetrics and Gynecology, 188(1), 100–107. https://doi.org/10.1067/mob.2003.99
Baird, Donna Day, David B. Dunson, Michael C. Hill, Deborah Cousins, and Joel M. Schectman. “High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence.American Journal of Obstetrics and Gynecology 188, no. 1 (January 2003): 100–107. https://doi.org/10.1067/mob.2003.99.
Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. American journal of obstetrics and gynecology. 2003 Jan;188(1):100–7.
Baird, Donna Day, et al. “High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence.American Journal of Obstetrics and Gynecology, vol. 188, no. 1, Jan. 2003, pp. 100–07. Epmc, doi:10.1067/mob.2003.99.
Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. American journal of obstetrics and gynecology. 2003 Jan;188(1):100–107.
Journal cover image

Published In

American journal of obstetrics and gynecology

DOI

EISSN

1097-6868

ISSN

0002-9378

Publication Date

January 2003

Volume

188

Issue

1

Start / End Page

100 / 107

Related Subject Headings

  • White People
  • Uterine Neoplasms
  • Urban Population
  • Ultrasonography
  • Premenopause
  • Postmenopause
  • Parity
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Leiomyoma