Influence of education on risk of hysterectomy before age 45 years

Bernard L. Harlow, Robert L. Barbieri

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


In a population of 4,278 women aged 36-44 years identified from Massachusetts Town Books between 1995 and 1997, relative to more highly educated women, those who completed only their high school education were about four times more likely (95% confidence interval: 1.8, 10.8) to have undergone hysterectomy, regardless of smoking status, body mass index, or medical indications for the hysterectomy. Possible explanations are that less educated women may delay seeking health services for gynecologic problems resulting in hysterectomy as the last treatment option or may be offered hysterectomy as the primary treatment option by their physicians. Future studies should assess diagnoses that lead to hysterectomy and the interval between onset of the condition and delivery of medical care.

Original languageEnglish (US)
Pages (from-to)843-847
Number of pages5
JournalAmerican journal of epidemiology
Issue number8
StatePublished - Oct 15 1999
Externally publishedYes

Bibliographical note

Funding Information:
Supported by Public Health Service grant MH50013 from the National Institute of Mental Health. The authors thank Dr. Lisa B. Signorello for her helpful comments on this paper.


  • Education
  • Hysterectomy


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