Low rates of vasectomy among minorities: a result of differential receipt of counseling?
Male sterilization is a highly effective contraceptive method that is underused especially among minorities. This analysis examined the association between race/ethnicity and receipt of sterilization counseling. This study used data collected by the 2002 National Survey of Family Growth. The analysis included men 15 to 44 years old who had not undergone sterilization. The outcome was receipt of sterilization counseling in the 12 months prior to interview, and the primary predictor was race/ethnicity. Sociodemographic characteristics, history of fathering an unintended birth, intention for more children, and access to health care were examined as confounders. Sixty-one (1.7%) men reported receiving sterilization counseling. Although counseling was reported more commonly by Black and Hispanic men compared with White men, the rates were not significantly different (odds ratio [OR] = 2.4, 95% confidence interval [CI] = 0.8-7.1 and OR = 1.9, 95% CI = 0.9-4.1, respectively). In this nationally representative sample of men aged 15 to 44 years, there were exceedingly low rates of sterilization counseling for all men regardless of race/ethnicity.
Borrero
Sonya
S
University of Pittsburgh School of Medicine, Pennsylvania 15213, USA. borrerosp@upmc.edu
Moore
Charity G
CG
Creinin
Mitchell D
MD
Ibrahim
Said A
SA
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D016001:Confidence Intervals; D037001:Directive Counseling / Q000706:statistics & numerical data*; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D016017:Odds Ratio; D014481:United States; D014659:Vasectomy / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
J Fam Plann Reprod Health Care. 2003 Oct;29(4):194-8
14662051
Perspect Sex Reprod Health. 2004 Jan-Feb;36(1):27-33
14982674
Contraception. 2008 Jul;78(1):42-51
18555817
Am Fam Physician. 2006 Dec 15;74(12):2069-74
17186713
Issues Brief (Alan Guttmacher Inst). 2008;(1):1-8
18561392
Am J Public Health. 1984 Jan;74(1):79-82
6689849
Perspect Sex Reprod Health. 2007 Jun;39(2):74-81
17565620
Fertil Steril. 2009 May;91(5):1642-5
18394618
Vital Health Stat 23. 2006 May;(26):1-142
16900800
Perspect Sex Reprod Health. 2006 Jun;38(2):90-6
16772190
Fertil Steril. 2000 May;73(5):937-46
10785218
Stud Fam Plann. 1985 Jan-Feb;16(1):1-29
3983979
Perspect Sex Reprod Health. 2003 Sep-Oct;35(5):208-14
14668023
J Fam Pract. 1987 May;24(5):493-6
3572319
Vital Health Stat 23. 2005 Dec;(25):1-160
16532609