Health care concerns in women at midlife: differences by race, ethnicity, and neighborhood socioeconomic status.

IF 2.8 3区 医学 Q1 OBSTETRICS & GYNECOLOGY Menopause: The Journal of The North American Menopause Society Pub Date : 2025-02-01 Epub Date: 2024-12-17 DOI:10.1097/GME.0000000000002468
Jennifer L St Sauver, Ekta Kapoor, Suzette J Bielinski, Kathy L MacLaughlin, Stephanie S Faubion, Ruoxiang Jiang, Walter A Rocca
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Abstract

Objectives: The aims of the study were to identify conditions diagnosed in at least 10% of midlife women living in the US upper midwest and to assess prevalence by age, race, ethnicity, and sociodemographic status.

Methods: The Rochester Epidemiology Project was used to conduct a cross-sectional prevalence study of 86,946 women between 40 and 59 years residing in a 27-county region of the United States on January 1, 2020. Diagnostic billing codes were extracted and grouped into broader condition categories using the Clinical Classification System Refined. The prevalence of 424 conditions was calculated by age, race, ethnicity, and area deprivation index quartiles. Logistic regression was used to examine associations between participant characteristics and conditions that affected 10% or more of the study population.

Results: Twenty-eight conditions affected ≥10% of women, and eight conditions increased by ≥45% between the ages of 40 and 59 (disorders of lipid metabolism, hypertension, sleep/wake disorders, thyroid disorders, esophageal disorders, osteoarthritis, tendon and synovial disorders, and menopausal disorders; all test for trend P < 0.01). Black women had a significantly higher prevalence of hypertension and esophageal disorders at all ages (adjusted P values <0.05). Women living in more deprived areas had a significantly higher prevalence of hyperlipidemia, hypertension, sleep/wake disorders, and esophageal disorders (adjusted P values <0.05). Women living in less deprived areas had a significantly higher prevalence of thyroid disorders at age 40 to 44 and menopausal disorders at ages 50 to 59 (adjusted P values <0.05).

Conclusions: These data suggest that additional attention should focus on Black women and women with a lower socioeconomic status to ensure that common midlife conditions are diagnosed and treated.

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中年妇女的保健问题:种族、民族和社区社会经济地位的差异。
目的:本研究的目的是确定居住在美国中西部北部的至少10%的中年妇女被诊断出的疾病,并根据年龄、种族、民族和社会人口状况评估患病率。方法:利用罗切斯特流行病学项目于2020年1月1日对居住在美国27个县地区的86,946名40至59岁的女性进行横断面流行病学研究。提取诊断账单代码,并使用临床分类系统细化分组到更广泛的条件类别。424种疾病的患病率按年龄、种族、民族和地区剥夺指数四分位数计算。使用逻辑回归来检查参与者特征与影响10%或更多研究人群的条件之间的关联。结果:28种疾病影响了≥10%的女性,其中8种疾病在40 - 59岁之间增加了≥45%(脂质代谢障碍、高血压、睡眠/觉醒障碍、甲状腺疾病、食道疾病、骨关节炎、肌腱和滑膜疾病、更年期疾病);P < 0.01)。结论:这些数据表明,应更多地关注黑人女性和社会经济地位较低的女性,以确保常见的中年疾病得到诊断和治疗。
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来源期刊
CiteScore
5.40
自引率
7.40%
发文量
330
审稿时长
3-8 weeks
期刊介绍: ​Menopause, published monthly, provides a forum for new research, applied basic science, and clinical guidelines on all aspects of menopause. The scope and usefulness of the journal extend beyond gynecology, encompassing many varied biomedical areas, including internal medicine, family practice, medical subspecialties such as cardiology and geriatrics, epidemiology, pathology, sociology, psychology, anthropology, and pharmacology. This forum is essential to help integrate these areas, highlight needs for future research, and enhance health care.
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