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Hysterectomy and Bilateral Salpingo-Oophorectomy: Variations by History of Military Service and Birth Cohort
University of Massachusetts Medical School Faculty Publications
  • Lisa Callegari, University of Washington
  • Kristin M. Mattocks, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences
Date
2-1-2016
Document Type
Article
Abstract
INTRODUCTION: Little is known about hysterectomy and bilateral salpingo-oophorectomy (BSO), which are associated with both health risks and benefits, among women Veterans. PURPOSE OF THE STUDY: To compare the prevalence of hysterectomy with or without BSO, and early hysterectomy, between postmenopausal Veterans and non-Veterans. DESIGN AND METHODS: We used baseline data from the Women's Health Initiative Clinical Trial and Observational Study. Multinomial logistic regression models examined differences in the prevalence of hysterectomy (neither hysterectomy nor BSO, hysterectomy without BSO, and hysterectomy with BSO) between Veterans and non-Veterans. Generalized linear models were used to determine whether early hysterectomy (before age 40) differed between Veterans and non-Veterans. Analyses were stratified by birth cohort ( < 65, > /=65 years at enrollment). RESULTS: The unadjusted prevalence of hysterectomy without BSO was similar among Veterans and non-Veterans in both birth cohorts ( < 65: 22% vs 21%; > /=65: 22% vs 21%). The unadjusted prevalence of hysterectomy with BSO was equivalent among Veterans and non-Veterans in the > 65 cohort (21%), but higher among Veterans in the < 65 cohort (22% vs 19%). In adjusted analyses, although no differences were observed in the > 65 cohort, Veterans in the < 65 cohort had higher odds of hysterectomy without BSO (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.03, 1.36) and with BSO (OR 1.26, 95% CI 1.10, 1.45), as well as elevated risk of early hysterectomy (relative risk 1.32, 95% CI 1.19, 1.47), compared with non-Veterans. IMPLICATIONS: Aging women Veterans may have higher prevalence of hysterectomy and BSO than non-Veterans. This information contributes to understanding the health needs and risks of women Veterans and can inform clinical practice and policy for this population.
Rights and Permissions
Citation: Gerontologist. 2016 Feb;56 Suppl 1:S67-77. doi: 10.1093/geront/gnv666. Link to article on publisher's site
Comments

Full author list omitted for brevity. For full list of authors see article.

Related Resources
Link to Article in PubMed
Keywords
  • Bilateral salpingo-oophorectomy,
  • Hysterectomy,
  • Women Veterans
PubMed ID
26768393
Citation Information
Lisa Callegari and Kristin M. Mattocks. "Hysterectomy and Bilateral Salpingo-Oophorectomy: Variations by History of Military Service and Birth Cohort" Vol. 56 Suppl 1 (2016) ISSN: 0016-9013 (Linking)
Available at: http://works.bepress.com/kristin_mattocks/57/