Evidence map›Paper›PMID 41425752›Full record

ArticleFrontiers in global women's health2025

Intersectionality and women's empowerment in hysterectomy decisions: an inquiry using data from a large cross-sectional sample survey in India.

Anuj Kumar Pandey, Dyah Anantalia Widyastari, Benson Thomas M, Sajna Panolan, Pattraporn Chuenglertsiri, Bhubate Samutachak

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Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Anuj Kumar PandeyInstitute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.
Dyah Anantalia WidyastariInstitute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.
Benson Thomas MSchool of Public Health, SRM Institute of Science and Technology, Chennai, India.
Sajna PanolanSchool of Public Health, SRM Institute of Science and Technology, Chennai, India.
Pattraporn ChuenglertsiriInstitute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.
Bhubate SamutachakInstitute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inspired by feminist theory and Durkheim's social perspective, this study used intersectionality to delve into the determinants of hysterectomy. Methods: Using data from the Demographic and Health Survey (DHS) of India, we examined the determinants of hysterectomy, focusing on three key themes: society, women's empowerment, and biological factors. Results: The overall hysterectomy rate in India increased from 31.5 per 1,000 women (age 15-49 years) during 2015-16 to 32.6 per 1,000 women during 2019-21. The results of bivariate and multivariate analyses echo the findings of the interaction analysis, indicating that, among women of the general caste, illiteracy and higher parity correlate with an increased likelihood of undergoing a hysterectomy. Illiterate women from the Other Backward Class also exhibited higher hysterectomy rates, regardless of parity. The second interaction result states that wealth influences hysterectomy, and illiteracy remains a significant risk factor across wealth statuses. The results of the third intersection indicate that higher education is a protective factor against hysterectomy, regardless of residence or parity. Conclusion: From the intersection of variables, the study observed that illiteracy, residing in rural areas, and high parity increase the likelihood of undergoing hysterectomy among women of reproductive age. There is a need to establish a mechanism for disseminating reproductive health knowledge to women in rural areas.

Indexed as

biological factorshysterectomyintersectionalitysocietywomen empowerment

Identifiers

PMID41425752
PMCPMC12711729

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