{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T07:41:57Z","timestamp":1792914117478,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the relationship between race and social determinants of health and receipt of hysterectomy versus uterine-preserving fibroid treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study using deidentified claims and longitudinal health data from OptumLabs\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Data Warehouse. Patients aged 15\u201355 years with newly diagnosed fibroids between 2010 and 2023 were included. Menopausal individuals and those with gynecological cancer were excluded. The primary outcome was hysterectomy by any route versus uterine-preserving fibroid surgery within 180 days of fibroid diagnosis. We used logistic regression to assess associations between socioeconomic factors and receipt of hysterectomy after adjusting for pertinent covariates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 73,479 individuals were included; 50,645 received hysterectomy, 22,834 received a uterine-preserving treatment. Race, income, education level, and rurality were independently associated with the probability of hysterectomy. Odds of hysterectomy were lower for all people of color compared with White individuals (Asian odds ratio [OR] 0.61 [95% confidence interval (CI): 0.56\u20130.66], Black OR: 0.70 [95% CI: 0.67\u20130.73], and Hispanic OR: 0.90 [95% CI: 0.86\u20130.95]). Individuals with household income &lt;$40,000, less than high school education, and rural address were more likely to undergo hysterectomy compared with those with income &gt;$124,999 (OR: 1.15, 95% CI: 1.09\u20131.21), bachelor\u2019s degree or higher (OR: 2.55, 95% CI: 1.78\u20133.65), and metropolitan address (OR: 1.70, 95% CI: 1.44\u20132.01). All associations were significant at\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>People with fewer socioeconomic advantages, such as lower household income, lower educational attainment, and rural address were more likely to receive hysterectomy rather than uterine-preserving fibroid treatment. After controlling for age, surgery year, and socioeconomic factors, people of color were less likely to receive hysterectomy rather than uterine-preserving fibroid treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996261472992","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:09:41Z","timestamp":1785474581000},"page":"1166-1171","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial and Socioeconomic Factors Associated with Hysterectomy for Uterine Fibroids"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5043-7567","authenticated-orcid":false,"given":"Michelle","family":"Louie","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Gynecology, Mayo Clinic, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria A.","family":"Stevens","sequence":"additional","affiliation":[{"name":"OptumLabs, Eden Prairie, Minnesota, USA."},{"name":"Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juhi","family":"Salunke","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L. Cohen","family":"Rassier","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics and Gynecology and Surgery, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon K.","family":"Laughlin-Tommaso","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics and Gynecology and Surgery, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics and Gynecology and Surgery, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijan J.","family":"Borah","sequence":"additional","affiliation":[{"name":"Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.43"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2016.11.007"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8634"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/15409996261420987"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005851.79"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001043"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.04.037"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7076"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/26334941241297634"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001160"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.08.008"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2023.01.022"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.2747\/0272-3638.20.8.727"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304883"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.07.017"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2013.4334"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2024.11.013"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2021.0179"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13753907291594"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2019.08.006"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2023.03.005"},{"issue":"1","key":"e_1_3_2_23_1","first-page":"1","article-title":"Births: Final data for 2022","author":"Osterman MJK","year":"2025","unstructured":"22.Osterman MJK, , Hamilton BE, , Martin JA, et al. 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