Date on Master's Thesis/Doctoral Dissertation
Epidemiology and Population Health
Committee Co-Chair (if applicable)
hysterectomy; uterine leiomyomas; fibroids; Kentucky; disparity
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.
Pugh, Felicia A., "Trends in hysterectomy in hospital and ambulatory settings in Kentucky 2017-2020." (2021). Electronic Theses and Dissertations. Paper 3696.