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Published on: October 18, 2024
Does vasectomy explain the difference in tubal sterilization rates between black and white women?
Sonya Borrero1, Eleanor B Schwarz, Matthew F Reeves
1Divison of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. borrerosp@upmc.edu
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.
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