The aim has been to assess the gynaecological characteristics of importance for hysterectomy performed for benign diseases.
In a prevalence study, 2301 Danish women aged 30,40,50, or 60 years, were selected at random in 1982, and self-report questionnaires were collected from 77%. Information about gynaecological and obstetric history, social background, weight and dieting history, and various lifestyles were recorded.
In an incidence study, the cohort was followed during 1982-1990 via central registers to assess the incidence of hysterectomy.
Logistic and Cox regression were used to analyse data.
In the prevalence study, 85% of the hysterectomies were performed for benign conditions.
Early menarche (¾11 years old) and short-term use of oral contraceptives (OC) (1-4 years) were independent correlates of these hysterectomies by multivariate analyses, whereas multiparity (=4 childbirths) was confounded by education and weight-related factors.
Long-term use of OC was associated with lower prevalence of hysterectomy.
In the incidence study, short-term use of OC and ever use of progestogen-only minipills were independent risk factors for hysterectomy performed recently for benign diseases in women under 50 in the multivariate analyses.
Abortions did not reach significance, and neither multiparity, long-term use of OC, nor early menarche were important.
Mots-clés Pascal : Hystérectomie, Appareil génital femelle pathologie, Bénin, Afrique, Niveau étude, Antécédent, Gynécologie, Epidémiologie, Facteur risque, Incidence, Prévalence, Femme, Homme, Danemark, Europe, Etude cohorte, Chirurgie
Mots-clés Pascal anglais : Hysterectomy, Female genital diseases, Benin, Africa, Education level, Antecedent, Gynecology, Epidemiology, Risk factor, Incidence, Prevalence, Woman, Human, Denmark, Europe, Cohort study, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0288420
Code Inist : 002B20C01. Création : 15/07/1997.