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11% of women aged 45 and over surveyed as part of an aging study reported having had a hysterectomy News from India


NEW DELHI: Nearly 11% of the 41,494 women aged 45 and over surveyed as part of Wave -1 of the Longitudinal Study of Aging of India (LASI) reported having undergone a hysterectomy, the surgical removal of the uterus. The proportion is higher among women aged 45 to 59 years (13% of 25,198) compared to women aged 60 years or older (10% of 16,296).
The data on hysterectomies are part of a section of the study on women’s health with special emphasis on reproductive health problems. The findings are important given that, despite the fact that hysterectomy is the second most frequently performed non-obstetric surgery after caesarean section in many parts of the world, knowledge of the data in India has been limited, in partly due to lack of information from large-scale national studies. representative surveys.
The study also highlights an important fact that the proportion of women 45 years and older who have undergone a hysterectomy is higher in urban areas (15%) than in rural areas (10%), and is found to be increasing with the educational level as well as with the Quintile of the MPCE (Monthly per capita expenditure). It turns out that among the MPCE quintiles, the percentage of women aged 45 years or older who had undergone a hysterectomy is more than double in the richest quintile (18%) than in the poorest MPCE quintile (8%).
The Union state and territory data is even more revealing, showing that in Daman & Diu (24%), Andhra Pradesh (23%) and Punjab (21%), at least one in five women out of 45 years or more reported having had a hysterectomy. The proportion of older women who had undergone hysterectomy is lower in the northeastern states of Assam (3%), Arunachal Pradesh (3%), Nagaland (2%) and Meghalaya (0.9%).
LASI, is cited as the world’s largest and the first national representative of India in progress (first two waves 2016-2021 and the long-term goal of continuing the survey for 25 years) covering health, economic determinants and and the consequences of an aging population in India. LASI Wave-1 (2017-19) covered 72,250 adults 45 years and older. The Ministry of Family Health and Welfare released the Wave-1 results earlier this month.
Citing various research reports, LASI highlights that as the prevalence of hysterectomy, premature menopause and cervical cancer is increasing in India, female participants (aged 45-59 years) were asked about their conditions reproductive health, including menstrual, menopausal or gynecological health. concerns.
During survey interviews conducted in 2017-18, the study found that around 16% of women (45-59 years old) reported having at least one reproductive health problem in the past 12 months. Women (45-59 years) in rural areas (17%) reported a higher prevalence of any reproductive health problem than older women in urban areas (14%). The data also shows that currently married women (17%) and those living with a spouse and children (17%) have a higher prevalence of reproductive health problems. The study also shows that despite the increase in cancer cases, women who undergo early detection tests are still small: only 2% of women aged 45 years and over report having undergone a test Pap smear for cervical cancer and only 1.6% had a mammogram to screen for breast cancer.

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