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To investigate the intersection of race and economic context in treatment with hysterectomy among reproductive aged women with noncancerous gynecologic conditions. We combined administrative billing records of inpatient and outpatient hysterectomy procedures (N=28301) occurring in North Carolina between 2011 and 2014 with census data to calculate county-level hysterectomy rates. Spatial analysis techniques examined the distribution of black and white hysterectomy rates across counties, and county-level black and white rate differences w