title: Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey.
abstract: OBJECTIVE
  To describe the longitudinal demographics and family planning attitudes of vasectomized men with the use of the National Survey for Family Growth (NSFG).
  
  
  METHODS
  Retrospective cohort analysis of the NSFG with the use of national projections and multivariable regressions.
  
  
  METHODS
  In-home survey.
  
  
  METHODS
  The NSFG sampled 10,403 men aged 15-45 years from 2006 to 2010 regarding family planning attitudes.
  
  
  METHODS
  None.
  
  
  METHODS
  Vasectomy and desire for children.
  
  
  RESULTS
  There were 3,646,339 (6.6%) vasectomized men aged 18-45 years in the U.S. On multivariable regression the following factors increased the odds of having a vasectomy: currently married (odds ratio [OR] 7.814), previously married (OR 5.865), and increased age (OR 1.122) and income (OR 1.003). The odds of having a vasectomy increased with number of children. The following factors decreased the odds of having a vasectomy: immigrant status (OR 0.186), African American (OR 0.226), Hispanic (OR 0.543), Catholic (OR 0.549), and other non-Protestant religion (OR 0.109). Surprisingly, an estimated 714,682 (19.6%) vasectomized men in the U.S. desire future children. Men practicing a religion (OR 8.575-15.843) were more likely than atheists to desire children after vasectomy. 71,886 (2.0%) vasectomized men reported having a vasectomy reversal.
  
  
  CONCLUSIONS
  This study highlights the importance of preoperative counseling for permanency of vasectomy and reveals an opportunity to counsel couples about vasectomy versus tubal ligation.
authors.affiliation: Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
authors.forename: Vidit
authors.initials: V
authors.lastname: Sharma
authors.forename: Brian V
authors.initials: BV
authors.lastname: Le
authors.forename: Kunj R
authors.initials: KR
authors.lastname: Sheth
authors.forename: Sherwin
authors.initials: S
authors.lastname: Zargaroff
authors.forename: James M
authors.initials: JM
authors.lastname: Dupree
authors.forename: John
authors.initials: J
authors.lastname: Cashy
authors.forename: Robert E
authors.initials: RE
authors.lastname: Brannigan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002755:Choice Behavior; D003376:Counseling; D005191:Family Characteristics; D005193:Family Planning Services / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014481:United States; D014659:Vasectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D014669:Vasovasostomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D055815:Young Adult