ArticleWomen's health (London, England)
Hysterectomy in India: Spatial and multilevel analysis.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Correlates of hysterectomy in low- and middle-income countries: a systematic review.Journal of global health · 2026Pooled it
- Socioeconomic differentials in the association between hysterectomy and hypertension among women in Maharashtra.Frontiers in reproductive health · 2026Article
- Prevalence of depression & anxiety in post-hysterectomy women & their association with quality of life: A cross-sectional hospital-based study.The Indian journal of medical research · 2025Article
- A Study to Evaluate the Effect of Back Muscle Strengthening Exercises on Pain Among Post-Hysterectomy Women Admitted in Tertiary Care Hospitals.Journal of pharmacy & bioallied sciences · 2025Article
- Female sterilization paradoxical association with premature menopause in Bihar.Scientific reports · 2025Article
- Article
- Intersectionality and women's empowerment in hysterectomy decisions: an inquiry using data from a large cross-sectional sample survey in India.Frontiers in global women's health · 2025Article
- District-level monitoring of universal health coverage, India.Bulletin of the World Health Organization · 2024Article
- Rising premature menopause and variations by education level in India.Scientific reports · 2024Article
- Designing a core data set for benign hysterectomy registration system and its implementation in a referral teaching hospital in Northwest Iran.BMC pregnancy and childbirth · 2024Article
- Prevalence of hysterectomy and associated factors in Brazilian women aged 50 and older: findings from the Brazilian Longitudinal Study of Ageing (ELSI-Brazil).BMC public health · 2024Article
- Key drivers of hysterectomy among women of reproductive age in three states in India: comparative evidence from NFHS-4 and NFHS-5.BMC women's health · 2024Article
- Review
- Effect of Integrated Yoga Program Along With Pilates in Abdominal Hysterectomy Patients: A Case Report.Cureus · 2023Article
- Prevalence and determinants of hysterectomy in India.Scientific reports · 2023Observational
- An audit of hysterectomy in a teaching hospital in India: Story of a decade.Journal of the Chinese Medical Association : JCMA · 2023Article
- Hysterectomy and women's health in India: evidence from a nationally representative, cross-sectional survey of older women.Women's midlife health · 2023Article
- Prevalence, socio-demographic determinants, and self-reported reasons for hysterectomy and choice of hospitalization in India.BMC women's health · 2022Article
- Incidence and determinants of hysterectomy among North Indian women: An 8-year follow-up study.Frontiers in public health · 2022Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUsing the unit-level data of women aged 15-49 years from National Family Health Survey-IV (2015-2016), the article maps the prevalence of hysterectomy across districts in India and examines its determinants.
methodsDescriptive statistics, multivariate techniques, Moran's Index and Local indicators of Spatial Association were used to understand the objectives. The data were analysed in STATA 14.2, Geo-Da and Arc-GIS.
resultsIn India, the prevalence of hysterectomy operation was 3.2%, the highest in Andhra Pradesh (8.9%) and the lowest in Assam (0.9%). Rural India had higher a prevalence than urban India. The majority of women underwent the operation in private hospitals. Hysterectomy prevalence ranged between 3% and 5% in 126 districts, 5% and 7% in 47 districts and more than 7% in 26 districts. Moran's Index (0.58) indicated the positive autocorrelation for the prevalence of hysterectomy among districts; a total of 202 districts had significant neighbourhood association. Variation in the prevalence of hysterectomy was attributed to the factors at the primary sampling unit, district and state level. Age, parity, wealth and insurance were positively associated with the prevalence of hysterectomy, whereas education and sterilization was negatively associated.
conclusionHysterectomy operation in India presented the geographical, socio-economic, demographic and medical phenomenon. The high prevalence of hysterectomy in many parts of the country suggested conducting in-depth studies, considering the life cycle approach and providing counselling and education to women about their reproductive rights and informed choice. Surveillance and medical audits and promoting the judicial use of health insurance can be of great help.
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