Race, insurance status, and tubal sterilization
Race, insurance status, and tubal sterilization
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DOI：
10.1097/01.aog.0000249604.78234.d3
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发表时间：
2007-01-01
影响因子：
7.2
通讯作者：
Ibrahim, Said A.
中科院分区：
文献类型：
--
作者：
Borrero, Sonya;Schwarz, Eleanor B.;Ibrahim, Said A.
目的：为了研究种族或民族和保险状况对输卵管绝育率的独立影响，本研究采用了2002年全国家庭增长调查收集的横截面数据。这项调查旨在代表美国家庭人口中15-44岁的妇女和男子。我们的主要结果措施是在采访前的任何时候输卵管绝育。多变量logistic回归模型被用来估计种族或民族和保险状态的影响率输卵管sterilization调整后的重要confusioners.Results：样本包括7,643名妇女：66%是白色，15%是西班牙裔，14%是非洲裔美国人，68%有私人保险和32%有公共或无保险。在调整了年龄、保险状况、产次、收入、教育、婚姻状况和宗教信仰后，非洲裔美国妇女比白色妇女更容易接受输卵管绝育术（调整后的比值比为1.43，95%置信区间为1.08-1.88）。在调整年龄，种族或民族，奇偶性，收入，教育，婚姻状况和宗教，公共或没有保险的妇女更有可能接受绝育与私人保险的妇女相比（调整后的比值比1.38，95%置信区间1.09-1.74）。结论：非洲裔美国妇女和妇女没有或公共保险更有可能经历！分别与白色妇女和有私人保险的妇女相比。有必要进行更多的研究，以确定影响妇女决定绝育的因素。
OBJECTIVE: To examine the independent effects of race or ethnicity and insurance status on use of tubal sterilization rates.METHODS: This study used cross-sectional data collected by the 2002 National Survey of Family Growth. The survey is designed to represent women and men aged 15-44 years in the household population of the United States. Our main outcome measure was tubal sterilization at any time before interview. A multivariable logistic regression model was used to estimate the effects of race or ethnicity and insurance status on rates of tubal sterilization after adjusting for important confounders.RESULTS: The sample consisted of 7,643 women: 66% were white, 15% were Hispanic, and 14% were African American; 68% had private insurance and 32% had public or no insurance. After adjusting for age, insurance status, parity, income, education, marital status, and religion, African-American women were more likely than white women to undergo tubal sterilization (adjusted odds ratio 1.43, 95% confidence interval 1.08-1.88). After adjusting for age, race or ethnicity, parity, income, education, marital status, and religion, women with public or no insurance were more likely to undergo sterilization compared with women with private insurance (adjusted odds ratio 1.38, 95% confidence interval 1.09-1.74).CONCLUSION: African-American women and women with no or public insurance were more likely to have undergone! tubal sterilization compared with white women and women with private insurance, respectively. Additional research to identify factors that influence women's decision to undergo sterilization is warranted.