新西兰子宫切除术的生物社会决定因素。
Biosocial determinants of hysterectomy in New Zealand.
作者信息
Dharmalingam A, Pool I, Dickson J
机构信息
Population Studies Centre, University of Waikato, Hamilton, New Zealand.
出版信息
Am J Public Health. 2000 Sep;90(9):1455-8. doi: 10.2105/ajph.90.9.1455.
OBJECTIVES
This study examined the prevalence and biosocial correlates of hysterectomy.
METHODS
Data were from a 1995 national survey of women aged 20 to 59 years. We applied piecewise nonparametric exponential hazards models to a subsample aged 25 to 59 to estimate the effects of biosocial correlates on hysterectomy likelihood.
RESULTS
Risks of hysterectomy for 1991 through 1995 were lower than those before 1981. University-educated and professional women were less likely to undergo hysterectomy. Higher parity and intrauterine device side effects increased the risk.
CONCLUSIONS
This study confirms international results, especially those on education and occupation, but also points to ethnicity's mediating role. Education and occupation covary independently with hysterectomy. Analysis of time variance and periodicity showed declines in likelihood from 1981.
目的
本研究调查了子宫切除术的患病率及其生物社会关联因素。
方法
数据来自1995年对20至59岁女性的全国性调查。我们对25至59岁的子样本应用分段非参数指数风险模型，以估计生物社会关联因素对子宫切除可能性的影响。
结果
1991年至1995年子宫切除术的风险低于1981年以前。受过大学教育的职业女性接受子宫切除术的可能性较小。较高的生育次数和宫内节育器副作用会增加风险。
结论
本研究证实了国际研究结果，特别是关于教育和职业的结果，但也指出了种族的中介作用。教育和职业与子宫切除术独立相关。对时间变化和周期性的分析表明，自1981年以来可能性有所下降。
Zotero 插件