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American Journal of Epidemiology Vol. 150, No. 8: 843-847
Copyright © 1999 by The Johns Hopkins University School of Hygiene and Public Health

other

Influence of Education on Risk of Hysterectomy before Age 45 Years

Bernard L. Harlow1, and Robert L. Barbieri2

1Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital Boston, MA
2Department of Obstetrics and Gynecology, Brigham and Women's Hospital Boston, MA

Reprint requests to Dr. Bernard L. Harlow, Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115.

In a population of 4,278 women aged 36–44 years identified from Massachusetts Town Books between 1995 and 1997, relative to more highly educated women, those who completed only their high school education were about four times more likely (95% confidence interval: 1.8, 10.8) to have undergone hysterectomy, regardless of smoking status, body mass index, or medical indications for the hysterectomy. Possible explanations are that less educated women may delay seeking health services for gynecologic problems resulting in hysterectomy as the last treatment option or may be offered hysterectomy as the primary treatment option by their physicians. Future studies should assess diagnoses that lead to hysterectomy and the interval between onset of the condition and delivery of medical care. Am J Epidemiol 1999;150:843–7.

education; hysterectomy


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 Am. J. Public HealthHome page
K. M. Brett and J. A. Higgins
Hysterectomy Prevalence by Hispanic Ethnicity: Evidence From a National Survey
Am J Public Health, February 1, 2003; 93(2): 307 - 312.
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