Residence in mining districts associated with higher hospitalization rates for uterine and ovarian pathologies among gynecological inpatients
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Key Takeaway
Note higher hospitalization rates for gynecological pathologies in mining districts; implications for targeted nursing interventions.
This retrospective cross-sectional study analyzed data from 4,935 gynecological inpatients treated at Jixi Jikuang Hospital in Heilongjiang Province, China. The population included patients with various uterine and ovarian diseases. The primary exposure was residence in mining-intensive districts compared to non-mining areas, with national averages serving as a comparator for disease proportions.
The majority of patients (60.7%) were aged 40–59 years, with the peak prevalence observed in the 40–49 age group (33.8%). The mean age was 47.2 ± 12.8 years. Uterine pathologies dominated the disease composition at 57.6%, while endometrial polyps accounted for 18.9% of cases, significantly higher than the national average of 14.5% (P < 0.05).
Hospitalization rates in mining-intensive districts ranged from 518.9 to 914.3 per 100,000, compared to 178.2 to 207.8 per 100,000 in non-mining areas. Most hospitalizations lasted 3–8 days, representing 66.2% of cases. No specific adverse events or discontinuations were reported in the safety data provided.
As a retrospective cross-sectional study, this research cannot establish causality. The findings imply implications for targeted nursing interventions but must be interpreted with caution regarding environmental exposures. Further research is needed to confirm these associations.
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View Original Abstract ↓
PurposeThis study analyzed the epidemiological characteristics and distribution patterns of gynecological diseases among hospitalized patients in a tertiary hospital serving China's northeastern mining region, compared disease profiles with national averages, and discussed implications for targeted nursing interventions.MethodsA retrospective cross-sectional study was conducted using electronic medical records from 4,935 gynecological inpatients at Jixi Jikuang Hospital, Heilongjiang Province (January 2021–December 2025). Data collected included age, primary diagnosis (ICD-10 classification), residential district, insurance type, and length of stay. Regional hospitalization rates were calculated using Seventh National Census population data. Chi-square tests compared disease proportions with published national averages.ResultsAnalysis of 4,935 patients revealed distinct epidemiological patterns. The majority (60.7%) were aged 40–59 years, with peak prevalence observed in the 40–49 age group (33.8%; mean age 47.2 ± 12.8 years). Uterine pathologies dominated disease composition (57.6%), primarily endometrial polyps (18.9%) and uterine fibroids (18.6%), followed by ovarian diseases (15.9%) and cervical pathologies (13.5%). Geospatial analysis identified that hospitalization rates in mining-intensive districts (518.9–914.3 per 100,000) were higher compared with non-mining areas (178.2–207.8 per 100,000). Most hospitalizations lasted 3–8 days (66.2% of cases). Compared with national averages, significantly higher proportions were observed for endometrial polyps (18.9% vs. 14.5%, P
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