Black–White Differences in Hysterectomy Prevalence: The CARDIA Study
- 1 February 2009
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 99 (2), 300-307
- https://doi.org/10.2105/ajph.2008.133702
Abstract
Objectives. We evaluated the cross-sectional association between race and hysterectomy prevalence in a population-based cohort of US women and investigated participant characteristics associated with racial differences. Methods. The cohort consisted of 1863 Black and White women in the Coronary Artery Risk Development in Young Adults (CARDIA) study from 2000 to 2002 (years 15 and 16 after baseline). We used logistic regression to examine unadjusted and multivariable adjusted odds ratios. Results. Black women demonstrated greater odds of hysterectomy compared with White women (odds ratio [OR] = 3.52; 95% confidence interval [CI] = 2.52, 4.90). Adjustment for age, educational attainment, perceived barriers to accessing medical care, body mass index, polycystic ovarian syndrome, tubal ligation, depressive symptoms, age at menarche, and geographic location minimally altered the association (OR = 3.70; 95% CI = 2.44, 5.61). In a subset of the study population, those with directly imaged fibroids, the association was minimally attenuated (OR = 3.47; 95% CI = 2.23, 5.40). Conclusions. In both unadjusted and multivariable adjusted models, Black women, compared with White women, had increased odds of hysterectomy that persisted despite adjustment for participant characteristics. The increased odds are possibly related to decisions to undergo hysterectomy.Keywords
This publication has 19 references indexed in Scilit:
- Ethnic differences in past hysterectomy for benign conditionsWomen's Health Issues, 2005
- The integration of a woman's perspective in hysterectomy decisionsJournal of Psychosomatic Obstetrics & Gynecology, 2005
- Beliefs and perceptions of African American women who have had hysterectomy.Journal of Transcultural Nursing, 2002
- Biosocial determinants of hysterectomy in New ZealandAmerican Journal of Public Health, 2000
- Menopause and African-American women: Clinical and research issuesExperimental Gerontology, 1994
- The socioeconomic correlates of hysterectomies in the United States.American Journal of Public Health, 1993
- Validity and Reliability of Short Physical Activity HistoryJournal of Cardiopulmonary Rehabilitation, 1989
- Cardia: study design, recruitment, and some characteristics of the examined subjectsJournal of Clinical Epidemiology, 1988
- The CES-D ScaleApplied Psychological Measurement, 1977
- Testosterone-Binding Levels in the Serum of Women During the Normal Menstrual Cycle, Pregnancy, and the Post-partum PeriodJournal of Clinical Endocrinology & Metabolism, 1967