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February 2003, Vol 93, No. 2 | American Journal of Public Health 307-312
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Hysterectomy Prevalence by Hispanic Ethnicity: Evidence From a National Survey

Kate M. Brett, PhD and Jenny A. Higgins

Kate M. Brett is with the Division of Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Md. At the time of the study, Jenny A. Higgins also was with the Division of Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention.

Correspondence: Requests for reprints should be sent to Kate M. Brett, PhD, National Center for Health Statistics, Division of Epidemiology, 6525 Belcrest Rd, Room 730, Hyattsville, MD 20782 (e-mail: kbrett{at}cdc.gov).

Objectives. We investigated hysterectomy prevalence among Hispanic women.

Methods. We obtained data from 4684 Hispanic women and 20 604 non-Hispanic White women from the 1998–1999 National Health Interview Survey. We calculated nationally representative odds ratios of previous hysterectomy, controlling for confounders.

Results. Compared with non-Hispanic White women, the odds ratio for hysterectomy was 0.36 (95% confidence interval [CI] = 0.30, 0.44) for Hispanic women with no high school diploma, 0.57 (95% CI = 0.44, 0.74) for high school graduates, and 0.67 (95% CI = 0.42, 0.87) for college attenders. Country of origin had little influence on hysterectomy prevalence. Hysterectomy was positively associated with acculturation.

Conclusions. Hispanic women undergo fewer hysterectomies than do non-Hispanic White women. The reasons for this, as well as information on ethnicity-specific appropriateness of hysterectomy, should be explored.




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