Patterns of Black and White Hysterectomy Incidence among Reproductive Aged Women

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Citation

Gartner, Danielle R.; Delamater, Paul L.; Hummer, Robert A.; Lund, Jennifer L.; Pence, Brian W.; & Robinson, Whitney R. (2021). Patterns of Black and White Hysterectomy Incidence among Reproductive Aged Women. Health Services Research, 56(5), 847-853. PMCID: PMC8522563

Abstract

OBJECTIVE: To investigate the intersection of race and economic context in treatment with hysterectomy among reproductive aged women with noncancerous gynecologic conditions.
DATA SOURCES: We combined administrative billing records of inpatient and outpatient hysterectomy procedures (N = 28 301) occurring in North Carolina between 2011 and 2014 with census data to calculate county-level hysterectomy rates.
STUDY DESIGN: Spatial analysis techniques examined the distribution of black and white hysterectomy rates across counties, and county-level black and white rate differences were compared across economic contexts.
DATA COLLECTION/EXTRACTION: We restricted to those of premenopausal age identifying as non-Hispanic black or white, undergoing hysterectomy for nonemergent causes (N = 28 301 procedures).
PRINCIPAL FINDINGS: County-level hysterectomy rates were spatially patterned (Moran's I, P < .05) and similarly so for black and white women (LISA, P < .005). The black-white difference in hysterectomy rates was the largest in the high economic tier counties (22/10 000 person-years [PY], P < .05) and smallest in the mid and low economic tier counties (11/10 000 PY, P > .05 and 10/10 000 PY, P > .05, respectively).
CONCLUSION: Socioeconomic context is important to understand, particularly for black-white disparities in hysterectomy. Efforts should be made to understand the causes of higher rates of hysterectomy among blacks than whites, especially in counties in the highest economic tier.

URL

http://dx.doi.org/10.1111/1475-6773.13633

Reference Type

Journal Article

Year Published

2021

Journal Title

Health Services Research

Author(s)

Gartner, Danielle R.
Delamater, Paul L.
Hummer, Robert A.
Lund, Jennifer L.
Pence, Brian W.
Robinson, Whitney R.

Article Type

Regular

PMCID

PMC8522563

Continent/Country

United States of America

State

Nonspecific

Race/Ethnicity

Black
White

Sex/Gender

Women

ORCiD

Delamater - 0000-0003-3627-9739
Hummer - 0000-0003-3058-6383