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Race, insurance status, and desire for tubal sterilization reversal
Sonya B Borrero1, Matthew F Reeves, Eleanor B Schwarz
1Division of General Internal Medicine, VA Pittsburgh Healthcare System and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15240, USA.
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.
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