低收入和中等收入国家（LMICs），如印度，宫腔切除术的发病率增加已成为一个重要问题。基于特定群体或地区的报告显示宫腔切除术的流行趋势正在增加，但在该领域缺乏全国水平的数据。因此，迫切需要收集有关宫腔切除术发病率和影响因素的证据，以为未来的项目和政策铺平道路。我们旨在使用具有代表性的全国样本来估计宫腔切除术的发病率并评估其影响因素。使用2017-2018年印度长期老龄化研究（LASI）的数据进行观察性分析。共纳入了38,154名年龄大于18岁的妇女。采用多变量 logistic 回归分析，以调整后的优势比（AOR）和95％置信区间（CI）呈现，预测各种社会人口特征与宫腔切除术之间的关联。执行了单独的多变量 logistic 回归模型，以确定选定的非传染性疾病（NCDs）与宫腔切除术之间的关联。调查权重对复杂的研究设计进行了补偿。宫腔切除术的总体发病率约为11.35%。月经过多和子宫肌瘤是宫腔切除术的主要原因。宫腔切除术的各种影响因素包括城市居民 [AOR: 1.54 (1.21-1.96)]，其他后备阶级 [AOR: 2.19 (1.72-2.78)]，工作妇女 [AOR: 1.19 (1.00-1.42)] 和最富裕（富有）群体 [AOR: 2.06 (1.62-2.63)]。宫腔切除术与癌症 [AOR: 4.83 (2.51-9.29)]、糖尿病 [AOR: 1.79 (1.25-2.57)]、高血压 [AOR: 1.48 (1.27-1.71)] 和关节疾病 [AOR: 1.43 (1.09-1.88)] 相关。在印度，宫腔切除术的流行程度相当高，不容忽视。特别是在城市居民、富裕群体和BMI较高的人中，需要进行有关宫腔切除术及其影响的健康宣传。面向妇女的健康计划应采取终身健康和整体幸福为重点的生命周期方法，即使在生育年龄之后也应优先考虑妇女的健康。© 2023年 Springer Nature 有限公司。

Increase in the prevalence of hysterectomy among low-and middle-income countries (LMICs) such as India has become a significant concern. Reports based on either a particular group or region show an increasing trend in hysterectomy, but there is a dearth of national-level data in this domain. Hence, there seems to be an urgent need to garner evidence on the prevalence and determinants of hysterectomy, which could pave the way for future programs and policies. We aimed to estimate the prevalence of hysterectomy and assess its determinants using a nationally representative sample. An observational analysis was conducted using data from Longitudinal Aging Study in India (LASI), 2017-2018. 38,154 women aged > 18 years were included. A multivariable logistic regression, presented as an adjusted odds ratio (AOR) with a 95% confidence interval (CI), was used to predict the association between various socio-demographic characteristics and hysterectomy. A separate multivariable logistic regression model was executed to determine the association between selected non-communicable diseases (NCDs) and hysterectomy. Survey weights compensated the complex study design. The overall prevalence of hysterectomy was around 11.35%. Excessive menstrual bleeding followed by fibroids emerged as the leading causes of hysterectomy. The various determinants of hysterectomy were urban residents [AOR: 1.54 (1.21-1.96)], other backward class [AOR: 2.19 (1.72-2.78], working women [AOR: 1.19(1-1.42)] and the most affluent (rich) group [AOR: 2.06 (1.62-2.63)]. Hysterectomy was associated with cancer [AOR: 4.83 (2.51-9.29)], diabetes [AOR: 1.79 (1.25-2.57)], hypertension [AOR: 1.48 (1.27-1.71)] and joint diseases [AOR: 1.43 (1.09-1.88)]. Hysterectomy is considerably prevalent in India, which cannot be overlooked. Health promotion regarding hysterectomy and its implications is needed especially among urban residents, affluent groups and those with a higher body mass index. Health programmes aimed at women should follow a life course approach by prioritizing health and overall well-being even after reproductive years.© 2023. Springer Nature Limited.