256307 Knowledge and practice patterns regarding vasectomy among Family PACT providers

Tuesday, October 30, 2012 : 1:10 PM - 1:30 PM

Grace Shih, MD , Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA
Kate Dube , Family and Community Medicine, University of California, San Francisco, San Francisco, CA
Christine Dehlendorf, MD MAS , Family and Community Medicine, University of California, San Francisco, CA
Heike Thiel de Bocanegra, PhD, MPH , Academic Coordinator and Director, UCSF Family PACT Evaluation, University of California, San Francisco, Sacramento, CA
Vasectomy is the most effective and only long-acting form of contraception for men in the United States. Although vasectomy has low failure rates, is safe and is cost effective, it only accounts for 6% of contraceptive use. The goal of our study is to examine provider and system level barriers to male sterilization including provider knowledge and attitudes towards vasectomy and perceived barriers to vasectomy services. We distributed 1,467 surveys to all Family PACT health care sites that served at least one male adult contraceptive patient in 2007/08 and achieved a response rate of 61% (895). Family PACT is a California program that provides comprehensive family planning for eligible males and females, including sterilization. Most providers considered vasectomy services to be safe (93%) and effective (94%). However, only 48% reported regularly providing counseling on vasectomy among patients seeking permanent contraception. Significant reasons reported for not regularly counseling on vasectomy, included that clients aren't interested in vasectomy (45%), they prefer female sterilization (32%), and clients are exclusively female (31%). Respondents also reported perceived barriers to vasectomy services including poor reimbursement (58%), lack of vasectomists (54%), and poor infrastructure/staffing (42%). Routine inclusion of vasectomy counseling for female clients with long-term male partners in addition to male clients seeking permanent contraception may be one way to increase utilization of this safe and highly-efficacious contraceptive method. Increased reimbursement and vasectomy training opportunities may also improve utilization.

Learning Areas:
Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Describe the efficacy and safety of no-scalpel vasectomy. 2. Discuss provider knowledge and attitudes regarding vasectomy. 3. Identify perceived barriers to vasectomy services.

Keywords: Male Reproductive Health, Male Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the primary investigator of this study overseeing the study design, implementation, and analysis. My research interests focus on the integration of men into family planning decisions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.