Vasectomy demographics and postvasectomy desire for future children results from a contemporary national survey

Capsule:
Various demographic factors were identified to influence vasectomy prevalence (6.6%), and 19.6% of vasectomized men desired future children, revealing a need for additional counseling on permanent contraceptive methods.

Authors:
Vidit Sharma, B.A., Brian V. Le, M.D., Kunj R. Sheth, M.D., Sherwin Zargaroff, M.D., James H. Dupree, M.D., Robert E. Brannigan, M.D.

Volume 99, Issue 7, Pages 1880-1885, June 2013

Abstract:

Objective:
To describe the longitudinal demographics and family planning attitudes of vasectomized men using the National Survey for Family Growth (NSFG).

Design:
Retrospective cohort analysis of the NSFG using descriptive statistics, national projections, and multivariable regressions.

Setting:
In-home survey.

Patients:
NSFG sampled 10,403 men aged 15-45 on family planning attitudes from 2006-2010.

Interventions:
None.

Main Outcome Measures:
Vasectomy and desire for children.

Results:
There were an estimated 3,646,339 (6.6%) vasectomized men aged 18-45 in the US. Upon multivariable regression the following factors increased the odds of having a vasectomy: currently married (Odds Ratio, OR, 5.011), non-immigrant status (OR 4.405), being an adoptive parent (OR 2.774), Caucasian (OR 2.380), atheistic (OR 2.123), graduate education (OR 1.441), and increased age (OR 1.096). The odds of having a vasectomy directly correlated with the number of children. Surprisingly, an estimated 714,682 (19.6%) vasectomized men in the US desire future children. The only significant risk factor for post-vasectomy regret was frequent attendance at religious gatherings (OR=16.6). 71,886 (2.0%) of vasectomized men reported having a vasectomy reversal.

Conclusions:
This study highlights the importance of preoperative counseling for permanency of vasectomy and reveals an opportunity to counsel couples about vasectomy vs. tubal ligation.

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