Race, socioeconomic status, and response to methotrexate treatment of ectopic pregnancy in an urban population

被引:12
作者
Butts, Samantha F. [1 ,2 ]
Gibson, Erika
Sammel, Mary D. [2 ]
Shaunik, Alka
Rudick, Brianna [3 ]
Barnhart, Kurt [2 ]
机构
[1] Univ Penn, Dept Obstet & Gynecol, Med Ctr, Philadelphia, PA 19104 USA
[2] Ctr Clin Epidemiol & Biostat, Philadelphia, PA USA
[3] Univ So Calif, Keck Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90033 USA
关键词
Ectopic pregnancy; methotrexate; diagnosis; race; health disparity; socioeconomic status; SEXUALLY-TRANSMITTED-DISEASES; UNITED-STATES; HEALTH-CARE; DISPARITIES; INFERTILITY; PREDICTOR;
D O I
10.1016/j.fertnstert.2010.06.062
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
On the basis of the documented racial disparities in ectopic pregnancy incidence and mortality we hypothesized that African-American women with ectopic pregnancy would be more likely than white women to have treatment failure with methotrexate. In this retrospective cohort study, a racial disparity in methotrexate effectiveness was not found, but a significant relationship between low socioeconomic status and methotrexate failure was demonstrated. (Fertil Steril (R) 2010;94:2789-92. (C) 2010 by American Society for Reproductive Medicine.)
引用
收藏
页码:2789 / 2792
页数:4
相关论文
共 30 条
[11]   Ectopic pregnancy risk with assisted reproductive technology procedures [J].
Clayton, Heather B. ;
Schieve, Laura A. ;
Peterson, Herbert B. ;
Jamieson, Denise J. ;
Reynolds, Meredith A. ;
Wright, Victoria C. .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (03) :595-604
[12]   Gonorrhea and Chlamydia in the United States among Persons 14 to 39 Years of Age, 1999 to 2002 [J].
Datta, S. Deblina ;
Sternberg, Maya ;
Johnson, Robert E. ;
Berman, Stuart ;
Papp, John R. ;
McQuillan, Geraldine ;
Weinstock, Hillard .
ANNALS OF INTERNAL MEDICINE, 2007, 147 (02) :89-96
[13]   Optimal indicators of socioeconomic status for health research [J].
Duncan, GJ ;
Daly, MC ;
McDonough, P ;
Williams, DR .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (07) :1151-1157
[14]   Asymptomatic sexually transmitted diseases: the case for screening [J].
Farley, TA ;
Cohen, DA ;
Elkins, W .
PREVENTIVE MEDICINE, 2003, 36 (04) :502-509
[15]   Racial and ethnic disparities in assisted reproductive technology outcomes in the United States [J].
Fujimoto, Victor Y. ;
Luke, Barbara ;
Brown, Morton B. ;
Jain, Tarun ;
Armstrong, Alicia ;
Grainger, David A. ;
Hornstein, Mark D. .
FERTILITY AND STERILITY, 2010, 93 (02) :382-390
[16]  
Goldner T E, 1993, MMWR CDC Surveill Summ, V42, P73
[17]  
Kelley E, 2005, MED CARE, V43, P1
[18]   Previous ectopic pregnancy as a predictor of methotrexate failure [J].
Laibl, V ;
Takacs, P ;
Kang, J .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2004, 85 (02) :177-178
[19]   Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: A network explanation [J].
Laumann, EO ;
Youm, Y .
SEXUALLY TRANSMITTED DISEASES, 1999, 26 (05) :250-261
[20]  
Lewis C, 2005, J REPROD MED, V50, P8