Skip to main content
Journal cover image

Patterns of black and white hysterectomy incidence among reproductive aged women.

Publication ,  Journal Article
Gartner, DR; Delamater, PL; Hummer, RA; Lund, JL; Pence, BW; Robinson, WR
Published in: Health Serv Res
October 2021

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

October 2021

Volume

56

Issue

5

Start / End Page

847 / 853

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • United States
  • Spatial Analysis
  • Socioeconomic Factors
  • Hysterectomy
  • Humans
  • Health Policy & Services
  • Female
  • Black or African American
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gartner, D. R., Delamater, P. L., Hummer, R. A., Lund, J. L., Pence, B. W., & Robinson, W. R. (2021). Patterns of black and white hysterectomy incidence among reproductive aged women. Health Serv Res, 56(5), 847–853. https://doi.org/10.1111/1475-6773.13633
Gartner, Danielle R., Paul L. Delamater, Robert A. Hummer, Jennifer L. Lund, Brian W. Pence, and Whitney R. Robinson. “Patterns of black and white hysterectomy incidence among reproductive aged women.Health Serv Res 56, no. 5 (October 2021): 847–53. https://doi.org/10.1111/1475-6773.13633.
Gartner DR, Delamater PL, Hummer RA, Lund JL, Pence BW, Robinson WR. Patterns of black and white hysterectomy incidence among reproductive aged women. Health Serv Res. 2021 Oct;56(5):847–53.
Gartner, Danielle R., et al. “Patterns of black and white hysterectomy incidence among reproductive aged women.Health Serv Res, vol. 56, no. 5, Oct. 2021, pp. 847–53. Pubmed, doi:10.1111/1475-6773.13633.
Gartner DR, Delamater PL, Hummer RA, Lund JL, Pence BW, Robinson WR. Patterns of black and white hysterectomy incidence among reproductive aged women. Health Serv Res. 2021 Oct;56(5):847–853.
Journal cover image

Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

October 2021

Volume

56

Issue

5

Start / End Page

847 / 853

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • United States
  • Spatial Analysis
  • Socioeconomic Factors
  • Hysterectomy
  • Humans
  • Health Policy & Services
  • Female
  • Black or African American