伊朗北部子宫切除术的流行情况及其决定因素：塔巴里队列研究的入组结果。

Prevalence of hysterectomy and its determinants in northern Iran: enrollment results of the Tabari cohort study.

机构信息

Gastrointestitional Cancer Research Center, Non- Communicable Disease Institute, Mazandaran University of Medical Sciences, Sari, P.O.BOX: 4816117949, Iran.

Epidemiology Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

BMC Womens Health. 2024 Sep 11;24(1):502. doi: 10.1186/s12905-024-03338-y.

DOI:10.1186/s12905-024-03338-y

PMID:39261840

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11389442/

Abstract

BACKGROUND

To the best of our knowledge, no population-based studies have provided insights into the prevalence of hysterectomy and its risk factors among northern Iranian females. Thus, the present study aimed to investigate the prevalence and sociodemographic determinants of hysterectomy in a large cohort of northern Iranian females.

METHODS

This cross-sectional study included data from the enrollment phase of the Tabari cohort study (TCS). The TCS consists of 10,255 adults (4,149 males and 6,106 females) aged 35-70 years who reside in Sari, Mazandaran, Iran, of which 6103 females were included in the study. Multiple logistic regression analysis was used to search for hysterectomy determinants.

RESULTS

Our results revealed that the prevalence of hysterectomy among northern Iranian females was 9.7% (595/6103). Additionally, 50-59 (OR: 4.63, 95% CI: 3.57-6.01) and 60-70 (OR: 5.83, 95% CI: 4.28-7.95) age groups, higher socioeconomic levels (OR: 1.66, 95% CI: 1.13-2.42), a history of tubectomy (OR: 1.27, 95% CI: 1.05-1.53), and more gravida (OR: 5.35, 95% CI: 1.62-17.63) were found to increase the odds of hysterectomy, whereas living in mountainous areas (OR: 0.57, 95% CI: 0.43-2.75) and having a job (OR: 0.62, 95% CI: 0.45-0.86) were found to decrease the odds of hysterectomy.

CONCLUSION

Older age groups, living in urban areas, higher socioeconomic levels, not having a job, a history of tubectomy, and more gravida were found to increase the odds of hysterectomy.

摘要

背景

据我们所知，尚无基于人群的研究深入探讨过伊朗北部女性人群中子宫切除术的流行情况及其危险因素。因此，本研究旨在对伊朗北部的大量女性人群进行调查，以了解子宫切除术的流行情况及其社会人口学决定因素。

方法

这是一项横断面研究，数据来自塔巴里队列研究（TCS）的入组阶段。TCS 共纳入了 10255 名年龄在 35-70 岁之间的成年人（4149 名男性和 6106 名女性），他们居住在伊朗马赞达兰省的萨里市，其中 6103 名女性被纳入本研究。采用多因素逻辑回归分析来寻找子宫切除术的决定因素。

结果

我们的研究结果表明，伊朗北部女性人群的子宫切除术患病率为 9.7%（595/6103）。此外，50-59 岁（OR：4.63，95%CI：3.57-6.01）和 60-70 岁（OR：5.83，95%CI：4.28-7.95）年龄组、较高的社会经济水平（OR：1.66，95%CI：1.13-2.42）、输卵管结扎史（OR：1.27，95%CI：1.05-1.53）和较多的妊娠次数（OR：5.35，95%CI：1.62-17.63）会增加子宫切除术的发生几率，而居住在山区（OR：0.57，95%CI：0.43-2.75）和有工作（OR：0.62，95%CI：0.45-0.86）则会降低子宫切除术的发生几率。