Race, insurance status, and desire for tubal sterilization reversal

Fertil Steril. 2008 Aug;90(2):272-7. doi: 10.1016/j.fertnstert.2007.06.041. Epub 2007 Sep 19.

Abstract

Objective: To examine the independent effects of race/ethnicity and insurance status on desire for tubal sterilization reversal.

Design: Secondary analysis of cross-sectional data collected by the 2002 National Survey of Family Growth (NSFG).

Setting: Interviews were conducted in person by a trained female interviewer in the participant's home.

Patient(s): The NSFG is designed to represent women and men 15-44 years of age in the U.S. household population. The sample consisted of 934 women who had undergone tubal sterilization at any time before being interviewed.

Intervention(s): None.

Main outcome measure(s): Desire for sterilization reversal.

Result(s): Among women older than 30 years at time of surgery, black women were significantly more likely to desire sterilization reversal compared with white women (adjusted odds ratio, 2.6; 95% confidence interval, 1.2, 5.8). In the total cohort and in the subset of women 30 years or younger, there were no significant racial/ethnic variations in desire for sterilization reversal.

Conclusion(s): Among women over age 30 at the time of tubal sterilization, black women were much more likely to express desire for reversal than white women.

MeSH terms

  • Adolescent
  • Adult
  • Black People / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Insurance Coverage*
  • Insurance, Health
  • Socioeconomic Factors
  • Sterilization Reversal* / psychology
  • Sterilization, Tubal / psychology
  • Sterilization, Tubal / statistics & numerical data*
  • White People / statistics & numerical data*