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American Journal of Public Health logoLink to American Journal of Public Health
. 1996 Jun;86(6):858–862. doi: 10.2105/ajph.86.6.858

Risk factors for self-reported uterine fibroids: a case-control study.

A R Samadi 1, N C Lee 1, W D Flanders 1, J R Boring 3rd 1, E B Parris 1
PMCID: PMC1380408  PMID: 8659663

Abstract

To identify risk factors for uterine fibroids, a case-control design used to analyze data from control subjects enrolled in the Cancer and Steroid Hormone Study. Case patients were 201 women who reported a history of uterine fibroids, and control subjects were 1503 women without fibroids, individually matched by age to case patients. Reporting of fibroids was more frequent among premenopausal women, women who had frequent Papanicolaou (Pap) smears, women who used oral contraceptives and had infrequent Pap smears, and women with higher education. Reporting of fibroids was less frequent among women with a lower body mass index who were current or long-time smokers.

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Selected References

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  1. Bachmann G. A. Hysterectomy. A critical review. J Reprod Med. 1990 Sep;35(9):839–862. [PubMed] [Google Scholar]
  2. Baron J. A. Smoking and estrogen-related disease. Am J Epidemiol. 1984 Jan;119(1):9–22. doi: 10.1093/oxfordjournals.aje.a113730. [DOI] [PubMed] [Google Scholar]
  3. Buttram V. C., Jr Uterine leiomyomata--aetiology, symptomatology and management. Prog Clin Biol Res. 1986;225:275–296. [PubMed] [Google Scholar]
  4. Chu S. Y., Lee N. C., Wingo P. A., Senie R. T., Greenberg R. S., Peterson H. B. The relationship between body mass and breast cancer among women enrolled in the Cancer and Steroid Hormone Study. J Clin Epidemiol. 1991;44(11):1197–1206. doi: 10.1016/0895-4356(91)90152-y. [DOI] [PubMed] [Google Scholar]
  5. Daniell H. W. Smoking, obesity, and the menopause. Lancet. 1978 Aug 12;2(8085):373–373. doi: 10.1016/s0140-6736(78)92970-7. [DOI] [PubMed] [Google Scholar]
  6. Franks A. L., Kendrick J. S., Tyler C. W., Jr Postmenopausal smoking, estrogen replacement therapy, and the risk of endometrial cancer. Am J Obstet Gynecol. 1987 Jan;156(1):20–23. doi: 10.1016/0002-9378(87)90196-7. [DOI] [PubMed] [Google Scholar]
  7. Friedman A. J., Lobel S. M., Rein M. S., Barbieri R. L. Efficacy and safety considerations in women with uterine leiomyomas treated with gonadotropin-releasing hormone agonists: the estrogen threshold hypothesis. Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1114–1119. doi: 10.1016/0002-9378(90)90667-v. [DOI] [PubMed] [Google Scholar]
  8. Henderson B. E., Casagrande J. T., Pike M. C., Mack T., Rosario I., Duke A. The epidemiology of endometrial cancer in young women. Br J Cancer. 1983 Jun;47(6):749–756. doi: 10.1038/bjc.1983.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lesko S. M., Rosenberg L., Kaufman D. W., Helmrich S. P., Miller D. R., Strom B., Schottenfeld D., Rosenshein N. B., Knapp R. C., Lewis J. Cigarette smoking and the risk of endometrial cancer. N Engl J Med. 1985 Sep 5;313(10):593–596. doi: 10.1056/NEJM198509053131001. [DOI] [PubMed] [Google Scholar]
  10. MacMahon B., Trichopoulos D., Cole P., Brown J. Cigarette smoking and urinary estrogens. N Engl J Med. 1982 Oct 21;307(17):1062–1065. doi: 10.1056/NEJM198210213071707. [DOI] [PubMed] [Google Scholar]
  11. Nezhat C., Bess O., Admon D., Nezhat C. H., Nezhat F. Hospital cost comparison between abdominal, vaginal, and laparoscopy-assisted vaginal hysterectomies. Obstet Gynecol. 1994 May;83(5 Pt 1):713–716. [PubMed] [Google Scholar]
  12. O'Donnell Michael. One man's burden: Br Med J (Clin Res Ed) 1986 Jul 5;293(6538):59–59. [PMC free article] [PubMed] [Google Scholar]
  13. Parazzini F., La Vecchia C., Negri E., Cecchetti G., Fedele L. Epidemiologic characteristics of women with uterine fibroids: a case-control study. Obstet Gynecol. 1988 Dec;72(6):853–857. doi: 10.1097/00006250-198812000-00008. [DOI] [PubMed] [Google Scholar]
  14. Pokras R., Hufnagel V. G. Hysterectomy in the United States, 1965-84. Am J Public Health. 1988 Jul;78(7):852–853. doi: 10.2105/ajph.78.7.852. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Schlesselman J. J. Oral contraceptives and neoplasia of the uterine corpus. Contraception. 1991 Jun;43(6):557–579. doi: 10.1016/0010-7824(91)90004-y. [DOI] [PubMed] [Google Scholar]
  16. Stadel B. V., Rubin G. L., Webster L. A., Schlesselman J. J., Wingo P. A. Oral contraceptives and breast cancer in young women. Lancet. 1985 Nov 2;2(8462):970–973. doi: 10.1016/s0140-6736(85)90524-0. [DOI] [PubMed] [Google Scholar]
  17. Vollenhoven B. J., Lawrence A. S., Healy D. L. Uterine fibroids: a clinical review. Br J Obstet Gynaecol. 1990 Apr;97(4):285–298. doi: 10.1111/j.1471-0528.1990.tb01804.x. [DOI] [PubMed] [Google Scholar]
  18. Yelin E. H., Kramer J. S., Epstein W. V. Is health care use equivalent across social groups? A diagnosis-based study. Am J Public Health. 1983 May;73(5):563–571. doi: 10.2105/ajph.73.5.563. [DOI] [PMC free article] [PubMed] [Google Scholar]

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