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Prevalence of Prior Hysterectomy in the Seattle- Tacoma Area

Bibliographic Data

ID11027684
AuthorsThomas D Koepsell, Noel S Weiss (0000-0002-3987-5184), Donovan J Thompson, Diane P Martins (0000-0002-4809-5040), Diane P Martin
Year1980
Volume70
Issue1
Pages40-47
Publication date1980-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.70.1.40
PMID6965339
OpenAlexW2093006077
LanguageEN
Citations received8
References cited16

Hysterectomy is the most common major surgical procedure performed in the United States. The frequency of hysterectomy among women in the general population is of interest because it affects the population at risk for uterine diseases and because the procedure itself carries significant personal and socioeconomic consequences. We studied factors related to the occurrence of hysterectomy by interviewing a representative sample of women ages 35-74 (n= 1087) in two urban Washington counties during 1976-1977. One-third of the women studied had had a hysterectomy. Later birth cohorts were at higher risk. The ageadjusted prevalence of prior hysterectomy was negatively associated with education and age at first childbirth; it was positively associated with parity, history of irregular menses, and history of a variety of other health conditions. Contrary to expectation, income was negatively associated with hysterectomy rates in one county and showed no association in the other. Part of the income effect was due to confounding by age at first childbirth, which was a surprisingly strong predictive factor. We conclude that: 1) despite economic predictions based on the discretionary nature of the procedure, hysterectomies are not necessarily more common among high-income women; 2) age at first childbirth may be a more important risk factor for uterine disease than previously thought; and 3) estimates of hysterectomy frequency based on clinic populations may be misleading. (Am J Public Health 70:40-47, 1980.)

Childbirth · Confounding · Environmental health · Gynecology · Hysterectomy · Obstetrics · Population · Pregnancy · Public health · Risk factor · Socioeconomic status · Demography · Maternal and fetal healthcare · Medicine · Nursing · Surgery · Uterine Myomas and Treatments · Gerontology

  • Teenage Pregnancy and Public Policy

    Lewayne D Gilchrist, Steven Paul Schinke•Social Service Review•1983

  • Psychosexual Perspectives of the Husbands of Women Treated With an Elective Hysterectomy

    Luiza Akiko Komura Hoga, Aline Baraldi Higashi et al.•Health Care For Women International•2012

  • Ethnic differences in past hysterectomy for benign conditions

    Open Access•Lynda H Powell, Peter Meyer et al.•Women s Health Issues•2005

  • A Case-Control Investigation of Adenomyosis

    Open Access•Britton Trabert, Noel S Weiss et al.•Women s Health Issues•2011

  • Socioeconomic variations in hysterectomy

    Riitta Luoto, Ilmo Keskimäki et al.•Journal of Epidemiology and…•1997

  • Hysterectomy and socioeconomic position in Rome, Italy

    Enrico Materia, L Rossi et al.•Journal of Epidemiology and…•2002

  • Hysterectomy use

    Kate M Brett, J H Madans•American Journal of Public Health•1994

  • Correlates of hysterectomy in Australia

    Open Access•Gigi Santow, Michael Bracher•Social Science & Medicine•1992

  • Small Area Variations in Health Care Delivery

    Open Access•John E Wennberg, John Wennberg et al.•Science•1973

  • Rates of Surgical Care in Prepaid Group Practices and the Independent Setting What Are the Reasons for the Differences

    James P Logerfo, ROBERT A EFIRD et al.•Medical Care•1979

Unique citing works8
Citations per year0,19
Citation span1983 - 2012 (30)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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