title: The association between occupational characteristics and hysterectomies for treating uterine fibroids in Taiwan.
abstract: This study examined the relationship between the occupational characteristics of women with uterine fibroids (UFs) and the decision to have a hysterectomy. Data from the Longitudinal Taiwan Health Insurance Database (LTHID) from 2000 to 2009 were analyzed to investigate the association between occupation and hysterectomies. Multivariable logistic regression analysis showed that, compared with white-collar UF patients, the odds ratio (OR) for hysterectomy surgery was 1.21 (95% confidence interval (CI) = 1.11-1.32) for blue-collar UF patients. Moreover, non-government employees with UFs also had significantly increased odds of having a hysterectomy compared to government employees with UFs (OR = 1.19, 95% CI = 1.04-1.36). This study provides information regarding the extent to which differences in occupation and decision-making processes might affect the marked variations in the use of hysterectomies for UFs.
authors.affiliation: a Department of Business Administration , Asia University , Taichung , Taiwan.
authors.forename: Ya-Lee
authors.initials: YL
authors.lastname: Ho
authors.forename: Chih-Jen
authors.initials: CJ
authors.lastname: Hung
authors.forename: Che-Chen
authors.initials: CC
authors.lastname: Lin
authors.forename: Chwen-Chi
authors.initials: CC
authors.lastname: Liu
authors.forename: Chu-Shiu
authors.initials: CS
authors.lastname: Li
authors.forename: Chia-Hung
authors.initials: CH
authors.lastname: Kao
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D007889:Leiomyoma / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011159:Population Surveillance; D012044:Regression Analysis; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*
keywords: hysterectomy; income; occupational characteristics; uterine fibroid