Uterine Fibroid Prevalence in a Predominantly Black, Chicago-Based Cohort

Sithembinkosi Ndebele, Tecora Turner, Chuanhong Liao, Briseis Aschebrook-Kilfoy, Nina Randorf, Habibul Ahsan, Kunle Odunsi and Obianuju Sandra Madueke-Laveaux ()
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Sithembinkosi Ndebele: Department of Public Health Sciences, The University of Chicago, Chicago, IL 60637, USA
Tecora Turner: Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA
Chuanhong Liao: Department of Public Health Sciences, The University of Chicago, Chicago, IL 60637, USA
Briseis Aschebrook-Kilfoy: Department of Public Health Sciences, The University of Chicago, Chicago, IL 60637, USA
Nina Randorf: Department of Public Health Sciences, The University of Chicago, Chicago, IL 60637, USA
Habibul Ahsan: Department of Public Health Sciences, The University of Chicago, Chicago, IL 60637, USA
Kunle Odunsi: Comprehensive Cancer Center, The University of Chicago, Chicago IL 60637, USA
Obianuju Sandra Madueke-Laveaux: Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL 60637, USA

IJERPH, 2024, vol. 21, issue 2, 1-12

Abstract: (1) Objectives: To investigate the effect of individual-level, neighborhood, and environmental variables on uterine fibroid (UF) prevalence in a Chicago-based cohort. (2) Methods: Data from the Chicago Multiethnic Prevention and Surveillance Study (COMPASS) were analyzed. Individual-level variables were obtained from questionnaires, neighborhood variables from the Chicago Health Atlas, and environmental variables from NASA satellite ambient air exposure levels. The Shapiro–Wilk test, logistic regression models, and Spearman’s correlations were used to evaluate the association of variables to UF diagnosis. (3) Results: We analyzed 602 participants (mean age: 50.3 ± 12.3) who responded to a question about UF diagnosis. More Black than White participants had a UF diagnosis (OR, 1.32; 95% CI, 0.62–2.79). We observed non-significant trends between individual-level and neighborhood variables and UF diagnosis. Ambient air pollutants, PM2.5, and DSLPM were protective against UF diagnosis (OR 0.20, CI: 0.04–0.97: OR 0.33, CI: 0.13–0.87). (4) Conclusions: Associations observed within a sample in a specific geographic area may not be generalizable and must be interpreted cautiously.

Keywords: uterine fibroids; leiomyomas; myomas; fibroids; pollution; environmental justice (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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