ArticleBMC women's health2014
Educational level, prevalence of hysterectomy, and age at amenorrhoea: a cross-sectional analysis of 9536 women from six population-based cohort studies in Germany.
Article in BMC women's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Pooled it
- Risk factors for mild depression in older women with overactive bladder syndrome-A cross sectional study.PloS one · 2020Trial
- Long-term efficacy of a rural community-based integrated intervention for prevention and management of chronic obstructive pulmonary disease: a cluster randomized controlled trial in China's rural areas.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2015Trial
- Effect of education on endometriosis and mediating effects: a mendelian randomization study.AJOG global reports · 2025Article
- Prevalence of hysterectomy and its determinants in northern Iran: enrollment results of the Tabari cohort study.BMC women's health · 2024Article
- An age-period-cohort analysis of hysterectomy incidence trends in Germany from 2005 to 2019.Scientific reports · 2024Article
- Changes in the probability of hysterectomy in the city of Mainz and Mainz-Bingen region, Germany.BMC public health · 2023Article
- Endometriosis and menopausal hormone therapy impact the hysterectomy-ovarian cancer association.Gynecologic oncology · 2022Article
- Using geographically weighted Poisson regression to examine the association between socioeconomic factors and hysterectomy incidence in Wallonia, Belgium.BMC women's health · 2021Article
- Preferences for home- and community-based long-term care services in Germany: a discrete choice experiment.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- The epidemiological profile of hysterectomy in rural Chinese women: a population-based study.BMJ open · 2017Article
- Menopausal Age and Chronic Diseases in Elderly Women: A Cross-Sectional Study in Northeast China.International journal of environmental research and public health · 2016Article
- Depression Following Hysterectomy and the Influencing Factors.Iranian Red Crescent medical journal · 2016Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHysterectomy prevalence has been shown to vary by education level. Hysterectomy influences age at amenorrhoea. The aim of this study was to examine these associations in Germany within population-based data sets.
methodsBaseline assessments in six population-based cohorts took place from 1997 through 2006 and included 9,548 women aged 20-84 years. All studies assessed hysterectomy history, school and professional degrees. Degrees were categorized into three levels each. Adjusted prevalence ratios and 95% confidence intervals (95% CI) were estimated.
resultsPrevalences were higher in West Germany than East Germany, increased by age, and leveled off starting at 55-64 years. The age- and study-adjusted prevalence ratio (lowest versus highest school level) was 2.61 (95% CI: 1.28-5.30), 1.48 (95% CI: 1.21-1.81), and 1.01 (95% CI: 0.80-1.28) for women aged 20-45, 45-64, and 65 and more years respectively. The estimated adjusted prevalence ratios per one unit decrement of the educational qualification score (range 1 = lowest, 8 = highest) were 1.29 (95% CI: 1.02-1.64), 1.08 (95% CI: 1.04-1.12), and 0.98 (95% CI: 0.93-1.03) for women aged 20-44, 45-64, and 65-84 years respectively. Age at amenorrhoea was on average 6.2 years lower (43.5 years versus 49.7 years) among women with a history of hysterectomy than those without.
conclusionsLower educational level was associated with a higher hysterectomy prevalence among women aged 20-64 years. Several mediators associated with educational level and hysterectomy including women's disease risk, women's treatment preference, and women's access to uterus-preserving treatment may explain this association. At population level, hysterectomy decreases the age of amenorrhoea on average by 6.2 years.
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