Research Center for Prevention and Health, Capital Region of Denmark, Glostrup University Hospital, Glostrup, Denmark; Department of Gynecology and Obstetrics, Juliane Marie Center, Rigshospitalet University Hospital, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Acta Obstet Gynecol Scand. 2014 Sep;93(9):926-34. doi: 10.1111/aogs.12444. Epub 2014 Jul 23.
To investigate the association between socioeconomic position (assessed by education, employment and income) and complications following hysterectomy and assess the role of lifestyle, co-morbidity and clinical conditions on the relationship.
Register-based cohort study.
The study included nearly all Danish women (n = 22 150) registered with a benign elective hysterectomy in the Danish Hysterectomy Database in 2004-2008.
Data were analyzed using logistic regression models estimating the odds ratio with 95% confidence intervals.
Complications following hysterectomy.
Seventeen percent of the women experienced complications in relation to the hysterectomy. Women with less than high school education and unemployed women had higher odds of infection, complications and readmission than women with more than high school education and employed women. Furthermore, unemployed women had higher odds of hospitalization >4 days than women in employment. Lifestyle factors (smoking and body mass index) and co-morbidity status seemed to explain most of the social differences. However, an association between women with less than high school education and all complications remained unexplained. Furthermore, differences in lifestyle and co-morbidity status only partially explained the higher odds of infection, complications and hospitalization >4 days for unemployed than employed women.
Women with a low socioeconomic position have significantly higher odds of complications following hysterectomy compared with women with a high socioeconomic position. Unhealthy lifestyle and presence of co-morbidity in women with low socioeconomic position partially explains the differences in complications.
探讨社会经济地位（通过教育、就业和收入评估）与子宫切除术相关并发症之间的关联，并评估生活方式、合并症和临床状况在这种关系中的作用。
基于登记的队列研究。
该研究纳入了 2004 年至 2008 年在丹麦子宫切除术数据库中登记的几乎所有接受良性择期子宫切除术的丹麦女性（n=22150）。
使用逻辑回归模型分析数据，估计比值比及其 95%置信区间。
子宫切除术相关并发症。
17%的女性在子宫切除术后出现并发症。与接受过高中以上教育和有工作的女性相比，未接受过高中教育和失业的女性感染、并发症和再入院的几率更高。此外，失业女性住院时间超过 4 天的几率高于有工作的女性。生活方式因素（吸烟和体重指数）和合并症状况似乎解释了大部分社会差异。然而，受教育程度较低的女性与所有并发症之间的关联仍无法解释。此外，与有工作的女性相比，失业女性感染、并发症和住院时间超过 4 天的几率较高，这主要是由于生活方式和合并症状况的差异造成的。
与社会经济地位较高的女性相比，社会经济地位较低的女性在子宫切除术后发生并发症的几率显著更高。生活方式不健康且患有合并症的低社会经济地位女性，其并发症差异部分得到了解释。
Zotero 插件