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健康素养对美国子宫肌瘤认知、诊断及治疗的影响:一项小型文献综述

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review.

作者信息

Evans Joyvina

机构信息

Department of Health Management, Howard University, Washington, DC, United States.

出版信息

Front Reprod Health. 2024 Mar 11;6:1335412. doi: 10.3389/frph.2024.1335412. eCollection 2024.

Abstract

Limited health literacy is a social health determinant leading to poor health outcomes. General and health literacy correlate and can impact diagnosis and treatment understanding. Limited literacy can lead to women receiving more significant rates of invasive surgical treatment, including hysterectomies. This review explores the impact of health literacy levels on uterine fibroid awareness, diagnosis, and treatment. PubMed, CINAHL, and Academic Search Premier searched articles published between January 1, 2012, and December 31, 2022. The keywords uterine fibroids, fibroids, myomas, leiomyomas, and health literacy were used. A total of four articles were returned. Increased rates of hysterectomies were found among participants with low income and education, as well as those with limited health literacy. Hysterectomies are the removal of the uterus and thus removes a woman's right to have children. While increased efforts are needed to understand the impact of health literacy levels on disparities and inequities in uterine fibroid diagnosis and treatment, there is still a need for targeted patient education and community-based education that ensures patient understanding of the diagnosis and treatment options for uterine fibroids.

摘要

健康素养有限是导致不良健康结果的一个社会健康决定因素。一般素养和健康素养相互关联,并会影响对诊断和治疗的理解。素养有限可能导致女性接受包括子宫切除术在内的侵入性手术治疗的比例更高。本综述探讨了健康素养水平对子宫肌瘤的认知、诊断和治疗的影响。通过在PubMed、CINAHL和学术搜索高级版中检索2012年1月1日至2022年12月31日期间发表的文章。使用了子宫肌瘤、肌瘤、平滑肌瘤、纤维瘤和健康素养等关键词。共检索到四篇文章。在低收入和低教育水平的参与者以及健康素养有限的参与者中,子宫切除术的发生率有所增加。子宫切除术是切除子宫,从而剥夺了女性生育的权利。虽然需要加大力度了解健康素养水平对子宫肌瘤诊断和治疗方面的差异和不平等的影响,但仍需要有针对性的患者教育和基于社区的教育,以确保患者理解子宫肌瘤的诊断和治疗选择。

相似文献

2
The management of uterine leiomyomas.子宫平滑肌瘤的管理
J Obstet Gynaecol Can. 2015 Feb;37(2):157-178. doi: 10.1016/S1701-2163(15)30338-8.
3
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The management of uterine leiomyomas.子宫平滑肌瘤的管理
J Obstet Gynaecol Can. 2003 May;25(5):396-418; quiz 419-22.
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Preoperative medical therapy before surgery for uterine fibroids.子宫肌瘤手术前的术前医学治疗。
Cochrane Database Syst Rev. 2017 Nov 15;11(11):CD000547. doi: 10.1002/14651858.CD000547.pub2.
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Therapeutic management of uterine fibroid tumors: updated French guidelines.子宫纤维瘤肿瘤的治疗管理:法国更新指南。
Eur J Obstet Gynecol Reprod Biol. 2012 Dec;165(2):156-64. doi: 10.1016/j.ejogrb.2012.07.030. Epub 2012 Aug 29.
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The Environment, Leiomyomas, Latinas, and Adiposity Study: rationale and design.环境、平滑肌瘤、拉丁裔与肥胖研究:原理与设计
Am J Obstet Gynecol. 2022 Mar;226(3):392.e1-392.e12. doi: 10.1016/j.ajog.2021.05.005. Epub 2021 May 8.
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EMAS position statement: management of uterine fibroids.欧洲更年期与男性更年期协会立场声明:子宫肌瘤的管理
Maturitas. 2014 Sep;79(1):106-16. doi: 10.1016/j.maturitas.2014.06.002. Epub 2014 Jun 9.

本文引用的文献

4
Randomized trial of a patient education tool about leiomyoma.随机对照试验研究一种关于子宫肌瘤的患者教育工具。
Patient Educ Couns. 2020 Aug;103(8):1568-1573. doi: 10.1016/j.pec.2020.02.031. Epub 2020 Feb 22.
5
Health Literacy in Surgery.外科手术中的健康素养
Health Lit Res Pract. 2020 Feb 11;4(1):e46-e65. doi: 10.3928/24748307-20191121-01.
7
8
Disparities in Fibroid Incidence, Prognosis, and Management.子宫肌瘤发病率、预后及治疗方面的差异。
Obstet Gynecol Clin North Am. 2017 Mar;44(1):81-94. doi: 10.1016/j.ogc.2016.11.007.

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