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Socioeconomic differences in hysterectomy: the Wisconsin Longitudinal Study

N F Marks1, D S Shinberg

  • 1Department of Child and Family Studies, University of Wisconsin-Madison 53706, USA.

American Journal of Public Health
|October 7, 1997
PubMed
Summary

Higher socioeconomic status, indicated by occupational rank and family wealth, predicts a reduced likelihood of hysterectomy. Education

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Area of Science:

  • Sociology
  • Public Health
  • Medical Sociology

Background:

  • Socioeconomic status (SES) is a key determinant of health outcomes.
  • Previous research indicates SES influences healthcare utilization.
  • The specific SES indicators predicting hysterectomy risk require further elucidation.

Purpose of the Study:

  • To evaluate the predictive value of various socioeconomic status (SES) indicators on hysterectomy likelihood.
  • To differentiate between gross and net predictive power of SES factors.
  • To explore the role of education and occupational status in hysterectomy rates.

Main Methods:

  • Analysis of data from the Wisconsin Longitudinal Study (WLS) cohort.
  • Inclusion of 3326 women respondents with 35 years of follow-up.
  • Application of multivariate logistic regression models to assess predictors.

Main Results:

  • Higher occupational status and greater family net worth were significant net predictors of lower hysterectomy likelihood.
  • Women's education was a significant bivariate predictor.
  • Mental ability did not mediate the association between education and hysterectomy.

Conclusions:

  • The reduced hysterectomy rate among more-educated women is linked to employment opportunities and associated health benefits, not cognitive ability.
  • Occupational status is a crucial SES indicator for health disparities research.
  • Future health surveys should incorporate measures of women's occupational status.

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