Cited by 169Pelvic floor disorders treatmentsUterine Myomas and TreatmentsMenopause: Health Impacts and Treatments

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Racial Differences in Pelvic Organ Prolapse

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Whitcomb, Emily L., Rortveit, Guri, Brown, Jeanette S., Creasman, Jennifer M., Thom, David H., Van Den Eeden, Stephen K., Subak, Leslee L.·2009·Obstetrics & Gynecology

DOI 10.1097/aog.0b013e3181bf9cc8PMC PMC2879888

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Abstract

OBJECTIVE: To compare the estimated prevalence of, risk factors for, and level of bother associated with subjectively reported and objectively measured pelvic organ prolapse in a racially diverse cohort. METHODS: The Reproductive Risks for Incontinence Study at Kaiser 2 is a population-based cohort study of 2,270 middle-aged and older women. Symptomatic prolapse was self-reported, and bother was assessed on a five-point scale. In 1,137 women, prolapse was measured with the Pelvic Organ Prolapse Quantification (POP-Q) system. Multivariable logistic regression analysis was used to identify the independent association of prolapse and race while controlling for risk factors. RESULTS: The participants' mean (standard deviation) age was 55 (9) years, and 44% were white, 20% were African American, 18% were Asian American, and 18% were Latina or other race. Seventy-four women (3%) reported symptomatic prolapse. In multivariable analysis, the risk of symptomatic prolapse was higher in white (prevalence ratio 5.35, 95% confidence interval [CI] 1.89-15.12) and Latina (prevalence ratio 4.89, 95% CI 1.64-14.58) compared with African-American women. Race was not associated with report of moderate to severe bother. Degree of prolapse by POP-Q stage was similar across all racial groups; however, the risk of the leading edge of prolapse at or beyond the hymen was higher in white (prevalence ratio 1.40, 95% CI 1.02-1.92) compared with African-American women. CONCLUSION: Compared with African-American women, Latina and white women had four to five times higher risk of symptomatic prolapse, and white women had 1.4-fold higher risk of objective prolapse with leading edge of prolapse at or beyond the hymen. LEVEL OF EVIDENCE: II.

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Additional file 17 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596073
Additional file 2 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596028
Additional file 3 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596031
Additional file 13 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596061
Additional file 12 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596058
Additional file 4 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596034
Additional file 9 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596049
Additional file 11 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596055
Additional file 14 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596064
Additional file 1 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596025
Additional file 5 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596037
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Additional file 8 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596046
Additional file 6 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596040
Additional file 18 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596076
Additional file 7 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596043
Additional file 16 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596070
Additional file 19 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596079
Additional file 15 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596067
Additional file 10 of Evaluation for causal effects of socioeconomic traits on risk of female genital prolapse (FGP): a multivariable Mendelian randomization analysis
Zhang, W., Ge, J., Qu, Z., Wu, W., Lei, H., Pan, H., & Chen, H. (2024) · Figshare · doi:10.6084/m9.figshare.26596052
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Authors: Whitcomb, E. L., Rortveit, G., Brown, J. S., Creasman, J. M., Thom, D. H., Van Den Eeden, S. K., & Subak, L. L.
Affiliations: Kaiser Permanente (US)
ORCID: Thom, David H.
Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-12
Volume: 114
Issue: 6
Pages: 1271-1277
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0b013e3181bf9cc8
PMC: PMC2879888
OpenAlex: W2049056259
Semantic Scholar: 77bd2e345315067c8ed5956b427c75f1008ed0e4
Cited by: 166
References: 25
Citations by year: 2026: 5 · 2025: 6 · 2024: 29 · 2023: 15 · 2022: 13 · 2021: 19 · 2020: 11 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 7 · 2015: 8 · 2014: 6 · 2013: 4 · 2012: 5
FWCI: 3.55
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (P50DK064538, R01DK053335, DK53335, K24DK080775)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD 41134, R01HD041134)
Topics: Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: pelvic organ prolapse, racial disparities, African American women, Hispanic women, white women, risk factors, symptom bother, POP-Q staging, middle-aged and older women
MeSH terms: California, Female, Humans, Longitudinal Studies, Middle Aged, Risk Factors, Prevalence, Racial Groups, Pelvic Organ Prolapse

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Racial Differences in Pelvic Organ Prolapse

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