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

Vidit Sharma, Brian V. Le, Kunj R. Sheth, Sherwin Zargaroff, James M. Dupree, John Cashy, Robert E. Brannigan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Objective: To describe the longitudinal demographics and family planning attitudes of vasectomized men with the use of the National Survey for Family Growth (NSFG). Design: Retrospective cohort analysis of the NSFG with the use of national projections and multivariable regressions. Setting: In-home survey. Patient(s): The NSFG sampled 10,403 men aged 15-45 years from 2006 to 2010 regarding family planning attitudes. Intervention(s): None. Main Outcome Measure(s): Vasectomy and desire for children. Result(s): There were 3,646,339 (6.6%) vasectomized men aged 18-45 years in the U.S. On multivariable regression the following factors increased the odds of having a vasectomy: currently married (odds ratio [OR] 7.814), previously married (OR 5.865), and increased age (OR 1.122) and income (OR 1.003). The odds of having a vasectomy increased with number of children. The following factors decreased the odds of having a vasectomy: immigrant status (OR 0.186), African American (OR 0.226), Hispanic (OR 0.543), Catholic (OR 0.549), and other non-Protestant religion (OR 0.109). Surprisingly, an estimated 714,682 (19.6%) vasectomized men in the U.S. desire future children. Men practicing a religion (OR 8.575-15.843) were more likely than atheists to desire children after vasectomy. 71,886 (2.0%) vasectomized men reported having a vasectomy reversal. Conclusion(s): This study highlights the importance of preoperative counseling for permanency of vasectomy and reveals an opportunity to counsel couples about vasectomy versus tubal ligation.

Original languageEnglish (US)
Pages (from-to)1880-1885
Number of pages6
JournalFertility and Sterility
Volume99
Issue number7
DOIs
StatePublished - Jun 2013

Keywords

  • Vasectomy
  • epidemiology
  • family planning
  • sterilization
  • vasectomy reversal

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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