PMID- 30738028
OWN - NLM
STAT- Publisher
LR  - 20190331
IS  - 1097-6868 (Electronic)
IS  - 0002-9378 (Linking)
DP  - 2019 Feb 6
TI  - Behind the times: revisiting endometriosis and race.
LID - S0002-9378(19)30322-9 [pii]
LID - 10.1016/j.ajog.2019.01.238 [doi]
AB  - Endometriosis is a common gynecologic condition, affecting approximately 10% of
      reproductive-aged women. It commonly presents with pelvic pain, painful periods, 
      and infertility and can significantly have an impact on one's quality of life.
      Early exploration into the pathophysiology of this condition identified race as a
      risk factor for endometriosis, with the condition predominantly identified in
      white women. It is still unclear whether there is a biological basis for this
      conviction or whether it can be explained by methodological and social bias that 
      existed in the literature at that time. Although there is more recent literature 
      exploring the association between endometriosis and race/ethnicity, studies have 
      continued to focus on the prevalence of disease and have not taken into account
      possible variation in disease presentation among women of different ethnicities. 
      Furthermore, information on diverse populations by race/ethnicity, other than
      white or black, is quite limited. This paper explores the history of how the
      association between endometriosis and whiteness was established and whether we
      still ascribe to a certain stereotype of a typical endometriosis patient today.
      Furthermore, we discuss the potential implications of such a racial bias on
      patient care and suggest areas of focus to achieve a personalized and patient
      focused approach in endometriosis care.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Bougie, Olga
AU  - Bougie O
AD  - Department of Obstetrics and Gynaecology, Queen's University, Kingston, Canada.
      Electronic address: bougieo@kgh.kari.net.
FAU - Healey, Jenna
AU  - Healey J
AD  - Department of Obstetrics and Gynaecology, Queen's University, Kingston, Canada;
      Department of History, Queen's University, Kingston, Canada.
FAU - Singh, Sukhbir S
AU  - Singh SS
AD  - Ottawa Hospital Research Institute, Ottawa, Canada; Department of Obstetrics and 
      Gynecology, University of Ottawa, Ottawa, Canada.
LA  - eng
PT  - Journal Article
DEP - 20190206
PL  - United States
TA  - Am J Obstet Gynecol
JT  - American journal of obstetrics and gynecology
JID - 0370476
OTO - NOTNLM
OT  - endometriosis
OT  - ethnicity
OT  - history
OT  - race
EDAT- 2019/02/10 06:00
MHDA- 2019/02/10 06:00
CRDT- 2019/02/10 06:00
PHST- 2018/05/22 00:00 [received]
PHST- 2019/01/29 00:00 [revised]
PHST- 2019/01/31 00:00 [accepted]
PHST- 2019/02/10 06:00 [pubmed]
PHST- 2019/02/10 06:00 [medline]
PHST- 2019/02/10 06:00 [entrez]
AID - S0002-9378(19)30322-9 [pii]
AID - 10.1016/j.ajog.2019.01.238 [doi]
PST - aheadofprint
SO  - Am J Obstet Gynecol. 2019 Feb 6. pii: S0002-9378(19)30322-9. doi:
      10.1016/j.ajog.2019.01.238.