title: Factors related to hysterectomy in women with physical and mobility disabilities.
abstract: This paper aims to identify self-report data for hysterectomy prevalence and to explore its correlated factors among women with physical and mobility disabilities in Taiwan. This paper was part of a larger study, "Survey on Preventive Health Utilizations of People with Physical and Mobility Disability in Taiwan", which is a cross-sectional survey conducted in 2009. We recruited 502 women aged ≧15 years who were officially registered as having physical and mobility disabilities. The results show that 11.3% of women with physical and mobility disabilities accepted hysterectomy surgery and that hysterectomy prevalence was increasing by age: 7% (45-49 years), 9.7% (50-54 years), 26.3% (55-59 years), 31% (60-64 years) and 17.6% (≧65 years). Multilevel logistic regression analyses revealed that being ≧50 years or older (OR=4.65, 95% CI=1.79-12.064), having had cervical cancer (OR=17.2, 95% CI=3.5-84.47) and not having a Pap smear test within the last 3 years (OR=2.79, 95% CI=1.194-6.561) were more likely to accept a hysterectomy operation than their counterparts. This study suggests that future studies should analyze hospital data and assesses long-term changes to understand an area's hysterectomy profile and correlated factors for these types of vulnerable populations.
authors.affiliation: School of Public Health, National Defense Medical Center, 161, Min-Chun E Rd, Sec. 6, Nei-Hu, Taipei, Taiwan.
authors.forename: Lan-Ping
authors.initials: LP
authors.lastname: Lin
authors.forename: Molly
authors.initials: M
authors.lastname: Hsieh
authors.forename: Si-Fan
authors.initials: SF
authors.lastname: Chen
authors.forename: Chia-Ling
authors.initials: CL
authors.lastname: Wu
authors.forename: Shang-Wei
authors.initials: SW
authors.lastname: Hsu
authors.forename: Jin-Ding
authors.initials: JD
authors.lastname: Lin
mesh_terms: D017677:Age Distribution; D044466:Asian People / Q000706:statistics & numerical data*; D003469:Culture; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D008875:Middle Aged; D019957:Motor Skills Disorders / Q000208:ethnology*; D065006:Papanicolaou Test; D015995:Prevalence; D057566:Self Report; D013624:Taiwan / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000601:surgery*; D014626:Vaginal Smears / Q000706:statistics & numerical data; D035862:Vulnerable Populations / Q000208:ethnology / Q000706:statistics & numerical data