Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey
Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey
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DOI：
10.1016/j.fertnstert.2013.02.032
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发表时间：
2013-06-01
影响因子：
6.7
通讯作者：
Brannigan, Robert E.
中科院分区：
文献类型：
--
作者：
Sharma, Vidit;Le, Brian V.;Brannigan, Robert E.
目的：利用国家家庭成长调查 (NSFG) 描述接受输精管结扎的男性的纵向人口统计数据和计划生育态度。设计：利用国家预测和多变量回归对 NSFG 进行回顾性队列分析。背景：家庭调查。患者：NSFG 从 2006 年至 2010 年对 10,403 名 15-45 岁男性进行了计划生育抽样调查态度。干预措施：无。主要结果指标：输精管结扎术和对孩子的渴望。结果：美国有 3,646,339 名 18-45 岁的男性接受了输精管结扎术（6.6%）。在多变量回归中，以下因素增加了进行输精管结扎术的几率：当前已婚（比值比 [OR] 7.814）、以前已婚（OR 5.865），以及年龄（OR 1.122）和收入（OR 1.003）的增加。进行输精管结扎术的几率随着孩子数量的增加而增加。以下因素降低了进行输精管结扎术的几率：移民身份（OR 0.186）、非裔美国人（OR 0.226）、西班牙裔（OR 0.543）、天主教徒（OR 0.549）和其他非新教宗教（OR 0.109）。令人惊讶的是，美国估计有 714,682 名（19.6%）接受输精管结扎的男性希望未来有孩子。信奉宗教的男性（OR 8.575-15.843）比无神论者更有可能在输精管结扎术后想要孩子。 71,886 (2.0%) 接受输精管结扎的男性报告进行了输精管结扎术。结论：这项研究强调了术前咨询对于输精管结扎术永久性的重要性，并揭示了向夫妇提供输精管结扎术与输卵管结扎术咨询的机会。 (C)2013 年，美国生殖医学会。
Objective: To describe the longitudinal demographics and family planning attitudes of vasectomized men with the use of the National Survey for Family Growth (NSFG).Design: Retrospective cohort analysis of the NSFG with the use of national projections and multivariable regressions.Setting: In-home survey.Patient(s): The NSFG sampled 10,403 men aged 15-45 years from 2006 to 2010 regarding family planning attitudes.Intervention(s): None.Main Outcome Measure(s): Vasectomy and desire for children.Result(s): 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.Conclusion(s): This study highlights the importance of preoperative counseling for permanency of vasectomy and reveals an opportunity to counsel couples about vasectomy versus tubal ligation. (C)2013 by American Society for Reproductive Medicine.