The psychosocial impact of uterine fibroids on black women in Sub-Saharan Africa: A scoping review

Abstract

Background: Uterine fibroids (UFs) are a prevalent reproductive health issue globally, disproportionately affecting black women, particularly in Sub-Saharan Africa (SSA). These women face unique cultural, social, and economic challenges that may worsen the psychosocial impact of UFs. This research aims to address this knowledge gap through a scoping review, synthesising existing literature on the psychological and social impacts of UFs on women in SSA, and identifying research gaps to inform culturally sensitive interventions tailored to the needs of black African women. 

Methods: A comprehensive search was conducted on PubMed, APA, PsycInfo, Scopus, and the grey literature, focusing on English-language studies. Additionally, reference and citation lists were examined. Titles and abstracts were screened, followed by full text screening. Studies were chosen based on predetermined inclusion and exclusion criteria, with a focus on the psychosocial aspects of UFs among black women in SSA. 

Results: The initial search (n=772) yielded eight selected studies, including cross- sectional descriptive, mixed methods, and qualitative study designs. Thematic analysis revealed four key themes: psychological distress, social consequences (economic and cultural), effects on quality of life, and negative body image and sexuality, providing a nuanced understanding of UFs’ effects on black African women. 

Conclusion: The four themes elucidate the profound implications of UFs on black African women, encompassing anxiety, financial hardship, social isolation, and strained sexual relationships. Integrating psychosocial support and patient-centred care, developing culturally sensitive interventions and support groups, and addressing financial barriers to healthcare are indications for future research. Culturally sensitive interventions should be developed with local stakeholders and women with lived experience, incorporating family, spirituality, and community considerations. Addressing these gaps is crucial to improve outcomes, reduce disparities, and promote equity for black women with UFs.