Document Type

Capstone Experience

Graduation Date

12-2021

Degree Name

Master of Public Health

Department

Health Promotion

First Committee Member

Shannon Maloney

Second Committee Member

Melissa Tibbits

Third Committee Member

Shinobu Watanabe-Galloway

Abstract

Background: Depression is associated with estrogen hormonal changes. There are few comparisons studies on the population-level prevalence of depression in women at least a year post final menstruation with and without hysterectomy.

Objectives: 1) To determine the population-level prevalence of depression in women with at least a year post final menstruation with and without hysterectomy and 2) to calculate the summary statistics of women with at least a year post final menstruation with and without hysterectomy

Methods: A population-based cross-sectional design was used. Respondents were female participants of the U.S. National Health and Nutrition Examination Survey (NHANES) 2017-2018. Women at least a year post-final menstruation without a history of hysterectomy had a complete lack of menstruation for 12 months and selected menopause as the cause. Women with at least a year post-final menstruation following hysterectomy had a complete absence of menstruation for 12 months, and hysterectomy was chosen as the cause. Frequencies and percentages were used to analyze depression between the two categories.

Results: Total respondents (N=1,249): women without hysterectomy (n=767) and women with hysterectomy (n=482). The overall prevalence of depression in women with at least a year post final menstruation with or without hysterectomy was 133 per 1,000 population, higher in women with hysterectomy (74/482) than in women without hysterectomy (92/767). Compared to women without hysterectomy, women with hysterectomy had final menstruation at younger age below 44 years (63% vs. 17%) and used depression medication (23% vs. 13%).

Conclusion: Findings suggest depression is common and the differences in prevalence between women with and without hysterectomy are related to the timing of the final menstrual period.

Available for download on Friday, December 08, 2023

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