Danielle R Gartner1, Kemi M Doll1, Robert A Hummer1, Whitney R Robinson1. 1. 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.
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.
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.
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