title: Hysterectomy and disability among U.S. women.
abstract: BACKGROUND
  Hysterectomies are the second most common surgery performed on women in the United States, and most are done for elective reasons. Although women with disabilities appear to have an increased risk of undergoing the procedure, little research has evaluated the relationship between disability and hysterectomy.
  
  
  METHODS
  Data on 42,842 women aged 18 or older from the 2000, 2005 and 2010 National Health Interview Surveys were used to evaluate the relationship between disability and the risk of having a hysterectomy over the life course. Piecewise exponential event history models were estimated to identify associations between timing of disability onset, type of disability, and the occurrence and timing of hysterectomy.
  
  
  RESULTS
  Women with multiple disabilities experienced a higher risk of undergoing a hysterectomy than women with no disability (hazard ratio, 1.3), and this heightened risk was concentrated at younger ages. During their 20s, 30s and early 40s, women who had multiple disabilities were more likely to have had a hysterectomy than were their same-age counterparts with no or one disability (1.3-2.4). Women with a single type of disability, as well as most women who had multiple disabilities and were aged 46 or older, were not at increased risk of having had a hysterectomy.
  
  
  CONCLUSIONS
  Additional research is needed to investigate why young women with multiple disabilities appear to face an increased risk of having a hysterectomy, especially because it is major surgery that can carry significant health risks.
authors.affiliation: Julia A. Rivera Drew is research associate, Minnesota Population Center, University of Minnesota, Twin Cities, Minneapolis.
authors.forename: Julia A
authors.initials: JA
authors.lastname: Rivera Drew
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D015994:Incidence; D008875:Middle Aged; D018570:Risk Assessment; D014481:United States / Q000453:epidemiology; D016387:Women's Health; D055815:Young Adult
references.citation: Am J Public Health. 2000 Jun;90(6):955-61
references.pmid: 10846515
references.citation: Obstet Gynecol. 2007 Jul;110(1):217-20
references.pmid: 17601925
references.citation: Am J Public Health. 1997 Sep;87(9):1507-14
references.pmid: 9314805
references.citation: MMWR CDC Surveill Summ. 1997 Aug 8;46(4):1-15
references.pmid: 9259214
references.citation: Am J Public Health. 2003 Feb;93(2):307-12
references.pmid: 12554591
references.citation: Obstet Gynecol. 2000 Feb;95(2):199-205
references.pmid: 10674580
references.citation: Milbank Q. 2002;80(2):261-301
references.pmid: 12101873
references.citation: J Womens Health. 1997 Jun;6(3):309-16
references.pmid: 9201665
references.citation: Arch Pediatr Adolesc Med. 2006 Oct;160(10):1013-7
references.pmid: 17018459
references.citation: Am J Obstet Gynecol. 2008 Jan;198(1):34.e1-7
references.pmid: 17981254
references.citation: Soc Sci Med. 1994 Jan;38(1):1-14
references.pmid: 8146699
references.citation: Vital Health Stat 13. 1987 Dec;(92):1-32
references.pmid: 3433673
references.citation: Lancet. 2000 Aug 12;356(9229):535-9
references.pmid: 10950229
references.citation: Am J Public Health. 2005 Nov;95(11):1883
references.pmid: 16254229
references.citation: Time. 2007 Jan 22;169(4):56-7
references.pmid: 17260523
references.citation: Am J Public Health. 1993 Jan;83(1):106-8
references.pmid: 8417592