{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:35:48Z","timestamp":1793669748401,"version":"4.5.1"},"reference-count":54,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"African Female Breast Cancer Epidemiology (AFBRECANE) Grant from the Office Of The Director, National Institutes Of Health","award":["U01HG009784"],"award-info":[{"award-number":["U01HG009784"]}]},{"name":"Maryland Department of Health's Cigarette Restitution Fund Program","award":["CH-649-CRF"],"award-info":[{"award-number":["CH-649-CRF"]}]},{"DOI":"10.13039\/100000051","name":"the National Human Genome Research Institute","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100000051","id-type":"DOI","asserted-by":"crossref"}]},{"name":"University of Maryland Greenebaum Cancer Center Support Grant","award":["P30CA134274"],"award-info":[{"award-number":["P30CA134274"]}]},{"name":"the African Collaborative Center for Microbiome and Genomics Research (ACCME) Grant","award":["1U54HG006947"],"award-info":[{"award-number":["1U54HG006947"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,7,20]]},"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Studies, mainly from high-income countries, suggest that there are ethnic and racial variations in prevalence of uterine fibroids (UF). However, there have been few studies of the epidemiology of UF in sub-Saharan Africa (SSA). We reviewed published articles on the epidemiology of UF in SSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a scoping review of literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>We searched three databases (PubMed, African Wide Information (EBSCO) and African Journals OnLine (AJOL)). The search for eligible articles was conducted between December 2019 and January 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>To describe the reported prevalence\/incidence of, and risk factors for UF in SSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1052 articles retrieved, 9 met the inclusion criteria for review. The articles were from Nigeria (4\/9), Ghana (2\/9), Cameroon (1\/9), Kenya (1\/9) and South Africa (1\/9). Two studies from pathology departments and three studies from radiology departments reported prevalence of UF. We did not find any study on the incidence or genomics of UF in SSA. Of the three studies that reported on the risk factors of UF, only one case\u2013control study that was conducted using retrospective data of attendees at a gynaecological clinic conducted multivariable analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is lack of robust epidemiological studies of the prevalence, incidence and risk factors of UF in SSA. There is urgent need to study epidemiological and genomics risk factors of UF in SSA because UF is the most common gynaecological neoplasm in this population where it is associated with significant morbidity and occasional, usually perioperative, mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-052053","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T11:35:43Z","timestamp":1659526543000},"page":"e052053","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Epidemiology of uterine fibroid in black African women: a systematic scoping review"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7448-4824","authenticated-orcid":false,"given":"Imran O","family":"Morhason-Bello","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Ibadan College of Medicine, Ibadan, Nigeria"},{"name":"Institute for Advanced Medical Research and Training (IAMRAT), University of Ibadan College of Medicine, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6571-2880","authenticated-orcid":false,"given":"Clement A","family":"Adebamowo","sequence":"additional","affiliation":[{"name":"Center for Bioethics and Research, Ibadan, Nigeria"},{"name":"Department of Epidemiology and Public Health; 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