Socioeconomic differences in hysterectomy: the Wisconsin Longitudinal Study

Am J Public Health. 1997 Sep;87(9):1507-14. doi: 10.2105/ajph.87.9.1507.


Objectives: This study evaluated the relative gross and net predictive value of multiple socioeconomic status indicators for the likelihood of undergoing hysterectomy.

Methods: Data from a sample of Wisconsin Longitudinal Study women respondents (n = 3326) followed for 35 years were analyzed by means of multivariate logistic regression.

Results: Women's own higher occupational status and greater family net worth were significant net predictors of a lower likelihood of hysterectomy. Women's own education was a significant bivariate predictor. Mental ability did not account for the education effect.

Conclusions: Higher education's association with a lower rate of hysterectomy is not due to ability, but to the opportunities that more-educated women have for higher-status employment and its health-related benefits. Measures of women's own occupational status should be included in future health surveys.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Educational Status
  • Female
  • Humans
  • Hysterectomy / statistics & numerical data*
  • Income
  • Logistic Models
  • Longitudinal Studies
  • Middle Aged
  • Occupations
  • Predictive Value of Tests
  • Social Class*
  • Surveys and Questionnaires
  • Wisconsin