Vasectomy Knowledge and Interest Among U.S. Men Who Do Not Intend to Have More Children.
Vasectomy Knowledge and Interest Among U.S. Men Who Do Not Intend to Have More Children.
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DOI：
10.1177/15579883221098574
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发表时间：
2022-05
影响因子：
2.3
通讯作者：
Borrero, Sonya
中科院分区：
文献类型：
--
作者：
White, Kari;Ordenes, Macarena Martinez;Turok, David K.;Gipson, Jessica D.;Borrero, Sonya
输精管结扎术的使用频率低于女性绝育，并且许多不希望再生育的男性可能缺乏有关输精管结扎术的准确信息。2018年5月至6月期间，我们利用一个具有全国代表性的在线小组，对美国25至55岁不希望再生育的男性进行了有关输精管结扎术知识的调查。我们还询问了如果该手术免费或费用低廉，他们是否有兴趣接受手术，并探讨了一段针对常见误解的说明是否与兴趣相关。我们使用卡方检验和多变量调整的泊松回归评估了与输精管结扎术知识丰富（对关于输精管结扎术对性功能的影响和方法有效性的四个问题有≥3个准确回答）以及输精管结扎术兴趣相关的特征。在接受调查的620名男性中，564人有关于感兴趣的结果和协变量的完整数据。总体而言，51%的受访者表现出对输精管结扎术有丰富的知识。认识做过输精管结扎术的人的男性更有可能知识丰富（患病率比[PR]：1.50；95%置信区间[1.22, 1.85]）。三分之一的样本（35%）表示他们会考虑进行输精管结扎术。知识丰富（相较于知识中等/匮乏）的男性更有可能（PR：1.36；95%置信区间[1.04, 1.77]）考虑进行输精管结扎术。种族/族裔、收入水平以及是否收到信息说明与输精管结扎术的兴趣无关。更丰富的输精管结扎术知识会影响男性对该手术的兴趣。鉴于许多美国男性缺乏准确的知识，需要努力解决错误信息并提高对输精管结扎术的认识，以确保男性拥有实现生育目标或为生育目标做出贡献所需的信息。
Vasectomy is used less often than female sterilization, and many men who do not want more children may lack accurate information about vasectomy. Between May and June 2018, we used a nationally representative online panel to survey U.S. men between 25 and 55 years of age who did not want more children about their vasectomy knowledge. We also asked about interest in undergoing the procedure if it were free or low cost and explored whether a paragraph addressing common misperceptions was associated with interest. We assessed characteristics associated with high vasectomy knowledge (≥3 accurate responses to four questions about vasectomy’s effect on sexual functioning and method efficacy) and vasectomy interest, using chi-square tests and multivariable-adjusted Poisson regression. Of 620 men surveyed, 564 had complete data on the outcomes and covariates of interest. Overall, 51% of respondents demonstrated high vasectomy knowledge. Men who knew someone who had a vasectomy were more likely to have high knowledge (prevalence ratio [PR]: 1.50; 95% CI [1.22, 1.85]). One-third of the sample (35%) said they would consider getting a vasectomy. Men with high (vs. moderate/low) knowledge were more likely (PR: 1.36; 95% CI [1.04, 1.77]) to consider getting a vasectomy. Race/ethnicity, income level, and receiving the informational paragraph were not associated with vasectomy interest. Greater vasectomy knowledge affects men’s interest in the procedure. Given that many U.S. men lack accurate knowledge, efforts are needed to address misinformation and increase awareness about vasectomy to ensure men have the information they need to meet or contribute to reproductive goals.
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