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).

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.

Written by:
Sharma V, Le BV, Sheth KR, Zargaroff S, Dupree JM, Cashy J, Brannigan RE.   Are you the author?
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Reference: Fertil Steril. 2013 Mar 28. pii: S0015-0282(13)00323-3.
doi: 10.1016/j.fertnstert.2013.02.032


PubMed Abstract
PMID: 23541407

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