ArticleJournal of epidemiology and community health2002
Hysterectomy and socioeconomic position in Rome, Italy.
Article in Journal of epidemiology and community health, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The effect of preoperative oral magnesium oxide on the severity of postoperative pain among women undergoing hysterectomy.Irish journal of medical science · 2022Trial
- Article
- Education level is associated with the occurrence and timing of hysterectomy: A cohort study of Canadian women.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Hysterectomy: Let's Step Up the Ladder of Evidence to Look Over the Horizon.Journal of clinical medicine · 2022Article
- Using geographically weighted Poisson regression to examine the association between socioeconomic factors and hysterectomy incidence in Wallonia, Belgium.BMC women's health · 2021Article
- Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India.Health policy and planning · 2017Article
- Educational level, prevalence of hysterectomy, and age at amenorrhoea: a cross-sectional analysis of 9536 women from six population-based cohort studies in Germany.BMC women's health · 2014Article
- Article
- Negative attitudes and affect do not predict elective hysterectomy: a prospective analysis from the Study of Women's Health Across the Nation.Menopause (New York, N.Y.) · 2011Article
- Temporal and geographic heterogeneity of the association between socioeconomic position and hospitalisation in Italy: an income based indicator.International journal for equity in health · 2009Article
- Socioeconomic position and hysterectomy: a cross-cohort comparison of women in Australia and Great Britain.Journal of epidemiology and community health · 2008Article
- Prevalence of severe pelvic organ prolapse in relation to job description and socioeconomic status: a multicenter cross-sectional study.International urogynecology journal and pelvic floor dysfunction · 2006Article
- Hysterectomy in India: Spatial and multilevel analysis.Women's health (London, England)Article
- Laparoscopic total hysterectomy still not routinely chosen Operative description and available instruments.Journal of medicine and lifeArticle
- Early Emergency Visits After Laparoscopic Hysterectomy: Risk Factors and Prevention.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic supracervical hysterectomy compared to total hysterectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveThere exists conflicting evidence regarding the higher risk of hysterectomy among women of a lower educational and economic level. This study aims to assess whether in Italy socioeconomic level is related to hysterectomy undertaken for different medical reasons.
designAn area based index was used to assign socieconomic status (SES; four levels defined) to 3141 women (aged 35 years or older) who underwent a hysterectomy in 1997 and were residing in Rome. Data were taken from hospital discharge records. Direct age standardised hospitalisation rates by SES level were calculated for overall hysterectomies and for those performed for either malignant or non-malignant causes. Statistical differences were detected using the ratios of standardised rates and the test for linear trend. MAIN
resultsThe hysterectomy rate was 36.7 per 10 000 women aged 35 years or more. Hysterectomy for uterine leiomyoma accounted for 41% of all operations and was more frequent among women aged 35-49 years than for those aged 50 years or more (crude rates: 28.6 and 7.7 per 10 000, respectively). The risk of hysterectomy was 35% higher for the lowest SES group, compared with the highest group. No association was found between SES and hysterectomy rates for malignant causes, although less affluent women in age group 35-49 years had 87% higher risk of hysterectomy compared with most affluent women. The inverse association between SES and hysterectomy rates attributable to non-malignant causes was statistically significant for women aged 35-49 years but not for those aged 50 years or more.
conclusionsThe inverse relation between hysterectomy and SES is largely attributable to benign disorders of the uterus, namely leiomyoma and prolapse. More affluent women may have a greater uptake of less invasive techniques for removing uterine leiomyoma compared with less affluent women, who are more likely to undergo unnecessary hysterectomies irrespective of their reproductive age.
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