Abstracting and Indexing

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Introduction: Hysterectomy is a common surgical procedure among women, particularly in middle and older age groups. Emerging evidence suggests an association between hysterectomy and increased cardiovascular risks, including hypertension. However, this relationship remains underexplored in the Indian context. This study aims to assess the association between hysterectomy and hypertension among middle-aged and older Indian women.

Methods: With a focus on 160 women 45 years of age and older, a cross-sectional study was carried out using data from the Longitudinal Ageing Study in India (LASI). The prevalence of hypertension in various socioeconomic and demographic categories was estimated using bivariate analysis. Age, place of residence, BMI, and socioeconomic level were among the confounding variables that were taken into account using entropy-balancing logistic regression models.

Results: Compared to women who had not had a hysterectomy (39.1%), those who had undergone a hysterectomy (57.1%) had a considerably higher prevalence of hypertension. Women who had previously had a hysterectomy had a 78% increased risk of getting hypertension after controlling for covariates (OR = 1.78, 95% CI: 1.10–2.88, p = 0.016). Significant predictors of hypertension included age, living in an urban area, having a higher socioeconomic position, and having a higher body mass index.

Conclusion: This study indicates a strong association between hysterectomy and hypertension among Indian women aged 45 and older. The findings highlight the need for increased cardiovascular monitoring in women post-hysterectomy, particularly those with additional risk factors such as higher BMI or older age.

Keywords: Hysterectomy, Hypertension, Cardiovascular Risk, Middle-Aged Women, Longitudinal Ageing Study in India (LASI)