302058
Incidence of Male and Female Sterilization Following a Recent Live Birth: Estimates from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2007-2010
![142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual](images/banner.jpg)
Although contraceptive use is recommended following a live birth, little is known about use of non-reversible contraception during this period.
Methods
Data were analyzed from 15 states and New York City who participated in Pregnancy Risk Assessment Monitoring System (PRAMS) 2007-2010. PRAMS is an ongoing, population-based surveillance system of women surveyed 2-6 months following a live birth. Among women using contraception following delivery, we used polytomous logistic regression to assess predictors of tubal ligation and partner vasectomy compared with reversible methods.
Results
Among 48,519 women who recently delivered, 11.1%(95% CI:10.6-11.5%) had a tubal ligation (range:6.6% in Utah to 20.8% in Mississippi) while 3.4% (3.2-3.7%) reported their partner had a vasectomy (range:1.2% in New York City to 4.9% in Missouri). Incidence ratio of tubal ligation to vasectomy exceeded 1 in all reporting areas (range:<2 in Utah [tubal ligation: 6.6%; vasectomy: 3.5%] to >10 in Mississippi [tubal ligation: 20.8%; vasectomy: 2.0%]. Multivariable modeling revealed vasectomy was associated with being married[aOR=2.1 (95% CI=1.4-3.0)], having >1 prior birth, increased maternal age [>35 vs 20-24, aOR=2.7(1.8-4.0)], and increased maternal/paternal education [college vs high school, aOR=1.3(1.0-1.8) and aOR=1.3(1.0-1.7)]. Tubal ligation was positively associated with having >1 prior birth [aOR=32.9(24.7-43.8)] and maternal age [>35 vs 20-24, aOR=4.2(3.4-5.2)], but inversely associated with maternal/paternal education [aOR=0.7(0.6-0.8) and aOR=0.6(0.5-0.7)] and being married [aOR=0.8(0.7-0.9)].
Conclusions
Although female sterilization was more common than male sterilization, nearly one in four women using non-reversible methods reported their partners had a vasectomy. PRAMS data suggest significant variation by state in female versus male sterilization and differences in education and marital status for users of these methods.
Learning Areas:
Public health or related public policyLearning Objectives:
Compare the incidence of male and female sterilization following a recent live birth
Keyword(s): Contraception, Men’s Health
Qualified on the content I am responsible for because: i am a nationally recognized researcher in family planning, including measurement of contraceptive used and effectiveness
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.