Neighborhood-Level Socioeconomic Vulnerability and Perioperative Complications in Hysterectomy for Benign Indications

We demonstrate that VVI, a measure of neighborhood-level social vulnerability, is associated with perioperative complications at the time of hysterectomy for benign indications independently of individual-level factors. Patients in the two most vulnerable quartiles experienced poorer outcomes compared with those in the least vulnerable quartile. Racial disparities, particularly affecting Black patients, persisted across VVI categories, reflecting the compounded influence of structural racism and neighborhood inequities.