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子宫记录着一切:黑人女性学者对子宫肌瘤的见解与应对之策

The Uterus Keeps the Score: Black Women Academics' Insights and Coping with Uterine Fibroids.

作者信息

Goosby Bridget J, Winkle-Wagner Rachelle, Zhang Amy

机构信息

University of Texas at Austin, Austin, TX, USA.

University of Wisconsin, Madison, WI, USA.

出版信息

J Health Soc Behav. 2025 Jun;66(2):212-227. doi: 10.1177/00221465241268434. Epub 2024 Sep 5.

DOI:10.1177/00221465241268434
PMID:39235356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12125492/
Abstract

Few studies examine how high-achieving Black women navigate chronic reproductive health morbidities. Black women are disproportionately more likely to experience uterine fibroids, with earlier onset and more severe symptoms. This study leverages a national mixed-methods data set of Black women academics to examine how they describe symptomatic fibroids impacting their careers and lives. We find that participants (1) actively coped by engaging in superwoman schema, (2) postponed treatment due to the demands of their tenure-track position, and (3) normalized pain. Our findings suggest a potentially high prevalence of uterine fibroids among Black women faculty, that symptomatic fibroids were an impediment to some women's careers, and that women with symptomatic fibroids often identified expectations of their careers as an impediment to seeking timely treatment. We provide insights for how highly educated, successful Black women cope and navigate career stress coupled with challenges resulting from chronic reproductive health morbidities.

摘要

很少有研究探讨成就卓越的黑人女性如何应对慢性生殖健康疾病。黑人女性患子宫肌瘤的比例格外高,发病更早且症状更严重。本研究利用了一个关于黑人女性学者的全国性混合方法数据集,以考察她们如何描述有症状的肌瘤对其职业和生活的影响。我们发现,参与者:(1)通过采用女超人模式积极应对;(2)由于终身教职岗位的要求而推迟治疗;(3)对疼痛习以为常。我们的研究结果表明,黑人女性教员中子宫肌瘤的患病率可能很高,有症状的肌瘤对一些女性的职业构成了障碍,而且有症状肌瘤的女性常常认为职业期望是寻求及时治疗的障碍。我们为受过高等教育、成功的黑人女性如何应对职业压力以及慢性生殖健康疾病带来的挑战提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bb/12125492/328c5d62f44e/10.1177_00221465241268434-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bb/12125492/328c5d62f44e/10.1177_00221465241268434-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bb/12125492/328c5d62f44e/10.1177_00221465241268434-fig1.jpg

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J Health Soc Behav. 2025 Jun;66(2):212-227. doi: 10.1177/00221465241268434. Epub 2024 Sep 5.
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本文引用的文献

1
Superwoman Schema and self-rated health in black women: Is socioeconomic status a moderator?黑人女性的女超人模式与自评健康:社会经济地位是调节因素吗?
Soc Sci Med. 2024 Jan;340:116445. doi: 10.1016/j.socscimed.2023.116445. Epub 2023 Nov 26.
2
A Matter of Time: Racialized Time and the Production of Health Disparities.时间的问题:种族化时间与健康差异的产生。
J Health Soc Behav. 2024 Mar;65(1):126-140. doi: 10.1177/00221465231182377. Epub 2023 Jun 28.
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Racial disparities in uterine fibroids and endometriosis: a systematic review and application of social, structural, and political context.
种族差异与子宫肌瘤和子宫内膜异位症:系统综述及社会、结构和政治背景的应用。
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"I think people should be more aware:" Uterine fibroid experiences among women living in Indiana, USA.“我认为人们应该更加意识到:”美国印第安纳州的女性的子宫肌瘤经历。
Patient Educ Couns. 2023 Feb;107:107584. doi: 10.1016/j.pec.2022.107584. Epub 2022 Dec 1.
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Superwoman Schema and John Henryism among African American women: An intersectional perspective on coping with racism.非裔美国女性中的女超人模式与约翰·亨利主义:应对种族主义的交叉性视角
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Cultur Divers Ethnic Minor Psychol. 2024 Jan;30(1):95-106. doi: 10.1037/cdp0000533. Epub 2022 Feb 21.
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Social status differences in allostatic load among young adults in the United States.美国年轻人中负荷应激反应的社会地位差异。
SSM Popul Health. 2021 Apr 2;15:100771. doi: 10.1016/j.ssmph.2021.100771. eCollection 2021 Sep.
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Perceptions of Ethnoracial Factors in the Management and Treatment of Uterine Fibroids.对种族因素在子宫肌瘤管理和治疗中的认知。
J Racial Ethn Health Disparities. 2022 Aug;9(4):1184-1191. doi: 10.1007/s40615-021-01059-8. Epub 2021 May 19.
9
Race/ethnicity, maternal educational attainment, and infant mortality in the United States.美国的种族/民族、母亲受教育程度与婴儿死亡率。
Biodemography Soc Biol. 2020 Jan-Mar;66(1):1-26. doi: 10.1080/19485565.2020.1793659.
10
Black Women's Psychosocial Experiences with Seeking Surgical Treatment for Uterine Fibroids: Implications for Clinical Practice.黑人女性寻求子宫肌瘤手术治疗的心理社会体验:对临床实践的启示。
Womens Health Issues. 2021 May-Jun;31(3):263-270. doi: 10.1016/j.whi.2021.01.001. Epub 2021 Feb 18.