title: Low rates of vasectomy among minorities: a result of differential receipt of counseling?
abstract: 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.
authors.affiliation: University of Pittsburgh School of Medicine, Pennsylvania 15213, USA. borrerosp@upmc.edu
authors.forename: Sonya
authors.initials: S
authors.lastname: Borrero
authors.forename: Charity G
authors.initials: CG
authors.lastname: Moore
authors.forename: Mitchell D
authors.initials: MD
authors.lastname: Creinin
authors.forename: Said A
authors.initials: SA
authors.lastname: Ibrahim
mesh_terms: 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
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