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Analysis of the Relationship between Socioeconomic Status and Incidence of Hysterectomy Using Data of the Korean Genome and Epidemiology Study (KoGES)open access

Authors
Ouh, Yung-TaekMin, Kyung-JinLee, SanghoonHong, Jin-HwaSong, Jae YunLee, Jae-KwanLee, Nak Woo
Issue Date
Jun-2022
Publisher
MDPI AG
Keywords
hysterectomy; socioeconomic status; education; income
Citation
Healthcare, v.10, no.6
Indexed
SCIE
SSCI
SCOPUS
Journal Title
Healthcare
Volume
10
Number
6
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61196
DOI
10.3390/healthcare10060997
Abstract
Hysterectomy remains a frequent gynecologic surgery, although its rates have been decreasing. The aim of this study was to investigate whether socioeconomic status affected the risk of hysterectomy in Korean women. This prospective cohort study used epidemiologic data from 2001 to 2016, from the Korean Genomic and Epidemiology Study (KoGES). Multivariate logistic regression analyses were performed to estimate the association between household income or education level and hysterectomy. Among 5272 Korean women aged 40-69 years, 720 who had a hysterectomy and 4552 controls were selected. Variable factors were adjusted using logistic regression analysis (adjusted model). Adjusted odds ratios (aORs) for insurance type and hysterectomy were not statistically significant. The aOR was 1.479 (95% confidence interval (CI): 1.018-2.146, p < 0.05) for women with education of high school or lower compared to college or higher. Women whose monthly household income was <KRW 4,000,000 had a higher risk of undergoing hysterectomy than women whose monthly household income was >= KRW 4,000,000 (aOR: 2.193, 95% CI: 1.639-2.933, p < 0.001). Overall, the present study elucidated that lower socioeconomic status could increase the incidence of hysterectomy. Our results indicate that the implementation of stratified preventive strategies for uterine disease in those with low education and low income could be beneficial.
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Lee, Nak Woo
Ansan Hospital (Department of Obstetrics and Gynecology, Ansan Hospital)
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