当代育龄妇女子宫切除率的地理差异及社会人口学相关因素
Contemporary Geographic Variation and Sociodemographic Correlates of Hysterectomy Rates Among Reproductive-Age Women.
作者信息
Gartner Danielle R, Doll Kemi M, Hummer Robert A, Robinson Whitney R
机构信息
From the Carolina Population Center, and the Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill.
出版信息
South Med J. 2018 Oct;111(10):585-590. doi: 10.14423/SMJ.0000000000000870.
Abstract
OBJECTIVE
For decades hysterectomy rates have famously demonstrated unexplained geographic variation. The aim of this study was to identify county-level correlates of hysterectomy rates among reproductive-age women.
METHODS
Using county-level data from multiple sources, linked with claims-based surveillance data of every hysterectomy performed among women ages 20 to 44 in North Carolina from 2011 to 2013 (N = 7180), we explored social, economic, and healthcare factors associated with county-level rates.
RESULTS
After accounting for spatial autocorrelation, county-level hysterectomy rates were negatively associated with county-level median household income, positively associated with the proportion married, and not associated with measures of healthcare capacity or access.
CONCLUSIONS
This analysis provides preliminary evidence that contemporary hysterectomy use in North Carolina occurs along socioeconomic lines.
摘要
目的
几十年来，子宫切除术的发生率一直存在着无法解释的地区差异。本研究旨在确定育龄妇女子宫切除术发生率在县级层面的相关因素。
方法
利用多个来源的县级数据，并与2011年至2013年北卡罗来纳州20至44岁女性进行的每例子宫切除术的索赔监测数据相链接（N = 7180），我们探讨了与县级发生率相关的社会、经济和医疗因素。
结果
在考虑空间自相关性后，县级子宫切除术发生率与县级家庭收入中位数呈负相关，与已婚比例呈正相关，与医疗服务能力或可及性指标无关。
结论
该分析提供了初步证据，表明北卡罗来纳州当代子宫切除术的使用情况与社会经济状况有关。
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