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. 2023 Apr 20;13(4):e070830.
doi: 10.1136/bmjopen-2022-070830.

Association between hysterectomy and hypertension among Indian middle-aged and older women: a cross-sectional study

Akif Mustafa  1
Affiliations

Association between hysterectomy and hypertension among Indian middle-aged and older women: a cross-sectional study

Akif Mustafa. BMJ Open. .

Erratum in

Abstract

Objective: To examine the association between hysterectomy and hypertension among middle-aged and older women in India, as well as to determine if the association differs across different age groups.

Design: A cross-sectional exploratory study.

Setting and participants: Nationally representative population-based data of the Longitudinal Ageing Study in India (2017-2018) were used in this study. The sample included 32 460 women aged 45 years and above.

Outcome measures: Self-reported hypertension was the outcome variable. The variable was a binary variable, with 1 representing hypertensive and 0 representing not hypertensive.

Methods: Entropy balance method, along with logistic regression analysis, was used to meet the objectives.

Results: 31.3% of the women with hysterectomy and 42.5% of the women without hysterectomy were hypertensive. A perfect covariate balance was achieved between the treatment and control groups using the entropy balance method. Women with hysterectomy had 36% (OR 1.36; 95% CI 1.26 to 1.48) higher odds of hypertension than women without hysterectomy. The OR was 1.23 (95% CI 1.03 to 1.47) for the age group 45-49, whereas, for the age group 80+, it was 1.87 (95% CI 1.18 to 2.97), showing that the magnitude of the association between hysterectomy and hypertension varied with age.

Conclusion: The findings of this study suggest that hysterectomy and hypertension have a significant association in middle-aged as well as older women in India.

Keywords: Epidemiology; Hypertension; Public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow chart of the study sample selection. LASI, Longitudinal Ageing Study in India.
Figure 2
Figure 2
Predicted probabilities of hypertension by hysterectomy status in different age groups. Predicted probabilities are calculated using postestimation of the interaction term in the logistic regression analysis (online supplemental tables S1 and S2).
See this image and copyright information in PMC

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