Biosocial determinants of hysterectomy in New Zealand
Biosocial determinants of hysterectomy in New Zealand
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DOI：
10.2105/ajph.90.9.1455
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发表时间：
2000-09-01
影响因子：
12.7
通讯作者：
Dickson, J
中科院分区：
文献类型：
--
作者：
Dharmalingam, A;Pool, I;Dickson, J
目标.本研究调查了直肠癌切除术的患病率和生物社会相关性。数据来自1995年对20至59岁妇女的全国调查。我们将分段非参数指数风险模型应用于25 - 59岁的子样本，以估计生物社会相关因素对子宫切除可能性的影响。1991年至1995年子宫切除术的风险低于1981年以前。受过大学教育和职业妇女不太可能接受子宫切除术。较高的产次和宫内节育器副作用增加了风险。这项研究证实了国际上的结果，特别是关于教育和职业的结果，但也指出了种族的中介作用。文化程度和职业与子宫切除独立相关。对时间方差和周期性的分析表明，自1981年以来，可能性有所下降。
Objectives. This study examined the prevalence and biosocial correlates of hysterectomy.Methods. Data were from a 1995 national survey of women aged 20 to 59 years. We applied piecewise nonparametric exponential hazards models to a subsample aged 25 to 59 to estimate the effects of biosocial correlates on hysterectomy likelihood.Results. Risks of hysterectomy for 1991 through 1995 were lower than those before 1981. University-educated and professional women were less likely to undergo hysterectomy. Higher parity and intrauterine device side effects increased the risk.Conclusions. This study confirms international results, especially those on education and occupation, but also points to ethnicity's mediating role. Education and occupation covary independently with hysterectomy. Analysis of time variance and periodicity showed declines in likelihood from 1981.