Erekson Elisabeth A, Weitzen Sherry, Sung Vivian W, Raker Christina A, Myers Deborah L
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Community Health, Warren Alpert Medical School at Brown University, Women and Infants Hospital of Rhode Island, Providence, RI 02903, USA.
J Reprod Med. 2009 Sep;54(9):553-8.
To examine the association between socioeconomic indicators and hysterectomy.
We performed a cross-sectional analysis of the 2004 Behavioral Risk Factor Surveillance Survey database. The effect of multiple socioeconomic exposures (education level, annual income and employment status) on hysterectomy status was evaluated. Logistic regression was used to estimate ORs between the multiple exposures and the outcome of hysterectomy status.
Our analytic sample included 180,982 women. Prior hysterectomy was reported by 26.4%. After adjusting for confounders, women who had not graduated from high school had 1.75 times higher odds (95% CI 1.68-1.83) of having a hysterectomy as compared to women who were college graduates, and women with an annual household income of < $15,000 had 1.06 times higher odds (95% CI 1.02 to 1.10) of having a hysterectomy as compared to women who reported an income of > $50,000/year. Women who were unemployed did not have higher odds of having a hysterectomy than women who were employed.
Socioeconomic indicators of education level and income are associated with hysterectomy status; however, employment status is not.
研究社会经济指标与子宫切除术之间的关联。
我们对2004年行为危险因素监测调查数据库进行了横断面分析。评估了多种社会经济因素(教育水平、年收入和就业状况)对子宫切除术状态的影响。采用逻辑回归来估计多种因素与子宫切除术状态结果之间的比值比(OR)。
我们的分析样本包括180,982名女性。报告曾接受子宫切除术的比例为26.4%。在对混杂因素进行调整后,未高中毕业的女性接受子宫切除术的几率是大学毕业女性的1.75倍(95%置信区间1.68 - 1.83),家庭年收入低于15,000美元的女性接受子宫切除术的几率是年收入超过50,000美元/年女性的1.06倍(95%置信区间1.02至1.10)。失业女性接受子宫切除术的几率并不高于就业女性。
教育水平和收入的社会经济指标与子宫切除术状态相关;然而,就业状况并非如此。