Date on Master's Thesis/Doctoral Dissertation

8-2021

Document Type

Master's Thesis

Degree Name

M.S.

Department

Epidemiology and Population Health

Degree Program

Epidemiology, MSE

Committee Chair

Wallis, Anne

Committee Co-Chair (if applicable)

Taylor, Kira

Committee Member

Taylor, Kira

Committee Member

Harris, Muriel

Author's Keywords

hysterectomy; uterine leiomyomas; fibroids; Kentucky; disparity

Abstract

Hysterectomy is the most common treatment for benign uterine conditions in the United States. Data suggest that one in nine women will have the procedure in their lifetime (1). Previous studies indicate that abdominal hysterectomy rates for non-malignancies are declining as alternative methods are increasing for decades; however, those trends do not apply for all women in the country (2-5). In this cross-sectional study, hysterectomy procedures completed between 2017-2020 are described in Kentucky Cabinet for Health and Family Services data. Multivariable logistic regression is used to assess the odds of abdominal hysterectomy for benign indications in Kentucky. Conclusion: Rates of abdominal hysterectomy in Kentucky are declining; however, the odds of an abdominal hysterectomy among women diagnosed with uterine fibroids are 2.42 times higher (95% CI, 2.01-2.88) among black women compared to white women over the study period. Further research is suggested to investigate the factors contributing to the disparity of treatment for uterine fibroids between black and white women in Kentucky.

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