Does vasectomy explain the difference in tubal sterilization rates between black and white women?

Fertil Steril. 2009 May;91(5):1642-5. doi: 10.1016/j.fertnstert.2008.01.103. Epub 2008 Apr 3.

Abstract

Objective: To examine whether the observed difference in tubal sterilization rates between black and white women is dependent on racial/ethnic differences in vasectomy rates.

Design: Secondary analysis of national, cross-sectional survey.

Setting: 2002 National Survey of Family Growth.

Patient(s): Women 15 to 44 years old with a current partner who were able to provide information about their partner's vasectomy status.

Intervention(s): None.

Main outcome measure(s): The primary outcome was tubal sterilization. Among women with a current partner who had not undergone vasectomy, a multivariable logistic regression model was used to estimate the effects of race/ethnicity on tubal sterilization after adjusting for potential confounders.

Result(s): Of the 3,391 women in the sample, 14% of white women had a current partner who had undergone vasectomy compared with 5% of Hispanic women and 4% of black women. Among the 3,064 women whose partners had not undergone vasectomy, black women were more likely to undergo tubal sterilization (odds ratio: 1.6; 95% confidence interval: 1.1, 2.2) on the basis of adjusted multivariable analysis.

Conclusion(s): After controlling for partner vasectomy status, black women were still more likely to undergo tubal sterilization than white women.

MeSH terms

  • Adolescent
  • Adult
  • Black People / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Sterilization, Tubal / statistics & numerical data*
  • Vasectomy*
  • White People / statistics & numerical data*