Reconsidering racial/ethnic differences in sterilization in the United States.
Reconsidering racial/ethnic differences in sterilization in the United States.
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DOI：
10.1016/j.contraception.2013.11.019
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发表时间：
2014-06
期刊：
影响因子：
2.9
通讯作者：
Potter, Joseph E.
中科院分区：
文献类型：
--
作者：
White, Kari;Potter, Joseph E.
关键词：
横断面研究发现，与高收入和白人女性相比，低收入和种族/少数民族女性更有可能使用女性绝育手术，而不太可能依赖伴侣的输精管结扎术。然而，对孕妇和产后妇女的研究报告称，少数族裔，特别是低收入少数族裔妇女，比白人和收入较高的妇女在获得绝育手术方面面临更大的障碍。在这篇论文中，我们通过检查妇女在每次分娩后接受绝育的可能性来解决这一明显的矛盾，这从比较中消除了她经历过的生育数量的任何差异。利用2006-2010年全国家庭成长调查，我们拟合经多变量调整的Logistic和Cox回归模型，根据种族/民族和保险状况，分别估计产后绝育或间隔绝育的优势比和风险比。妇女接受绝育手术的机会因种族/族裔和保险而异。在接受医疗补助的女性中，白人比非裔美国人和拉丁裔更有可能使用女性绝育。与非裔美国人和拉丁裔美国人相比，私人保险的白人更有可能依赖输精管结扎术，但在接受医疗补助付费分娩的女性中，所有种族/民族对输精管结扎术的依赖程度都很低。与低收入白人和类似产次的私人保险妇女相比，低收入种族/少数民族妇女在分娩后接受绝育的可能性较小。这可能是由于获得永久避孕措施的独特障碍造成的，并可能使妇女面临未来意外怀孕的风险。
Cross-sectional studies have found that low-income and racial/ethnic minority women are more likely to use female sterilization and less likely to rely on a partner’s vasectomy than women with higher incomes and whites. However, studies of pregnant and postpartum women report that racial/ethnic minorities, particularly low-income minority women, face greater barriers in obtaining a sterilization than do whites and those with higher incomes. In this paper, we address this apparent contradiction by examining the likelihood a woman gets a sterilization following each delivery, which removes from the comparison any difference in the number of births she has experienced. Using the 2006–2010 National Survey of Family Growth, we fit multivariable-adjusted logistic and Cox regression models to estimate odds ratios and hazard ratios for getting a postpartum or interval sterilization, respectively, according to race/ethnicity and insurance status. Women’s chances of obtaining a sterilization varied by both race/ethnicity and insurance. Among women with Medicaid, whites were more likely to use female sterilization than African Americans and Latinas. Privately insured whites were more likely to rely on vasectomy than African Americans and Latinas, but among women with Medicaid-paid deliveries reliance on vasectomy was low for all racial/ethnic groups. Low-income racial/ethnic minority women are less likely to undergo sterilization following delivery compared to low-income whites and privately insured women of similar parities. This could result from unique barriers to obtaining permanent contraception and could expose women to the risk of future unintended pregnancies.
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影响因子：
2.9
作者：
Zite, N;Wuellner, S;Gilliam, M
通讯作者：
Gilliam, M
影响因子：
7.2
作者：
Borrero, Sonya;Schwarz, Eleanor B.;Ibrahim, Said A.
通讯作者：
Ibrahim, Said A.
影响因子：
5.7
作者：
Borrero, Sonya;Nikolajski, Cara;Ibrahim, Said A.
通讯作者：
Ibrahim, Said A.
影响因子：
2.9
作者：
Gilliam, Melissa;Davis, Shawna D.;Zite, Nikki B.
通讯作者：
Zite, Nikki B.
影响因子：
2.1
作者：
MUMFORD, SD
通讯作者：
MUMFORD, SD