Black–White Differences in Hysterectomy Prevalence

The Cardia Study

Bibliographic Data

ID11038259
AuthorsJulie K Bower (Julie K. Bower and Pamela J. Schreiner are with the Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis. Barbara Sternfeld is with the Division of Research, Kaiser Permanente, Oakland, CA. Cora E. Lewis is with the Division of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham.), Pamela J Schreiner (0000-0002-9920-6257, Julie K. Bower and Pamela J. Schreiner are with the Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis. Barbara Sternfeld is with the Division of Research, Kaiser Permanente, Oakland, CA. Cora E. Lewis is with the Division of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham.), Barbara Sternfeld (Julie K. Bower and Pamela J. Schreiner are with the Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis. Barbara Sternfeld is with the Division of Research, Kaiser Permanente, Oakland, CA. Cora E. Lewis is with the Division of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham.), Cora E Lewis (0000-0002-2301-5796, Julie K. Bower and Pamela J. Schreiner are with the Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis. Barbara Sternfeld is with the Division of Research, Kaiser Permanente, Oakland, CA. Cora E. Lewis is with the Division of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham.)
Year2009
Volume99
Issue2
Pages300-307
Publication date2009-02-01
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.2008.133702
PMID19059854
PMCIDPMC2622766
OpenAlexW2058897821
LanguageEN
Citations received13
References cited16

Objectives. We evaluated the cross-sectional association between race and hysterectomy prevalence in a population-based cohort of US women and investigated participant characteristics associated with racial differences. Methods. The cohort consisted of 1863 Black and White women in the Coronary Artery Risk Development in Young Adults (CARDIA) study from 2000 to 2002 (years 15 and 16 after baseline). We used logistic regression to examine unadjusted and multivariable adjusted odds ratios. Results. Black women demonstrated greater odds of hysterectomy compared with White women (odds ratio [OR] = 3.52; 95% confidence interval [CI] = 2.52, 4.90). Adjustment for age, educational attainment, perceived barriers to accessing medical care, body mass index, polycystic ovarian syndrome, tubal ligation, depressive symptoms, age at menarche, and geographic location minimally altered the association (OR = 3.70; 95% CI = 2.44, 5.61). In a subset of the study population, those with directly imaged fibroids, the association was minimally attenuated (OR = 3.47; 95% CI = 2.23, 5.40). Conclusions. In both unadjusted and multivariable adjusted models, Black women, compared with White women, had increased odds of hysterectomy that persisted despite adjustment for participant characteristics. The increased odds are possibly related to decisions to undergo hysterectomy

Body mass index · Cohort · Confidence interval · Environmental health · Gynecology · Hysterectomy · Logistic regression · Menarche · Obstetrics · Odds · Odds ratio · Population · Demography · Internal Medicine · Maternal and fetal healthcare · Medicine · Menopause: Health Impacts and Treatments · Surgery · Uterine Myomas and Treatments

Tools

Open DOISci-HubOpen Access