Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

Asia Pacific Family Medicine

Afsaneh Keramat²  Afsaneh Zarei¹  Masoumeh Arabi¹ 

[1] Student research committee, Shahroud University of Medical Sciences, Shahroud, Iran

[2] Reproductive Health Department, Shahroud University of Medical Sciences, Shahroud, Iran

关键词: permanent method;    family planning;    vasectomy;   

Others  :  790745
DOI  :  10.1186/1447-056X-10-5

 received in 2010-08-03, accepted in 2011-05-08,  发布年份 2011

【 摘 要 】

Background

In this study we aimed to find factors affecting vasectomy acceptability in Shahroud (north eastern Iran).

Methods

This study was carried out in three stages. The first stage was a survey of couples that had the vasectomy procedure during 2004-2007 in the Shahroud area. In the second stage of the study we compared characteristics of the cases (the couples who had the vasectomy procedure during the study period) and controls (including couples with at least one child that choose other contraceptive methods excluding a vasectomy) using χ² and T student tests. In the third stage of the study we aimed to assess the knowledge and attitudes of those who did not choose to have a vasectomy as there contraception method by filling out questionnaires in personal interviews.

Results

An increasing trend toward the vasectomy procedure was observed during 2005 to 2007. We found positive associations between male and female educational levels and choosing to have a vasectomy (p < 0.05). Majority of women (88.44%) thought that their husbands would prefer to have a tubectomy to a vasectomy.

Conclusion

The study results show a necessity for both couples to participate in educational programs about the vasectomy procedure.

【 授权许可】

   
2011 Keramat et al; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Dhar NB, Jones JS: Vasectomy: A simple snip? Indian J Urol 2007, 23(1):6-8.
• [2]Roy J, Pile JM: "Vasectomy: The Unfinished Agenda." ACQUIRE Project Working Paper. 2007. Web. 21 Nov. 2009
• [3]Pile JM, Barone MA: Demographics of vasectomy--USA and international. Urol Clin North Am 2009, 36(3):295-305.
• [4]Garcia Moreno J, Solano Sainos LM: Acceptance and rejection of vasectomy in rural males. Rev Med Inst Mex Seguro Soc 2005, 43(3):205-14.
• [5]Barone MA, Johnson CH, Luick MA, Teutonico DL, Magnani RJ: Characteristics of men receiving vasectomy in the United States, 1998-1999. Perspect Sex Reprod Health 2004, 36(1):27-33.
• [6]Corey L: Vasectomy use worldwide as of 2009 review. Rollins School of Public Health at Emory 2009.
• [7]Country report on the population and family planning program in the Islamic Republic of Iran Tehran: Ministry of Health and Medical Education; 2003.
• [8]Comparing Muslim Countries' Policies on Contraception and Abortion: Global Public Health through a Feminist Lens. [http://www.earth-policy.org/Updates/Update4ss.htm] webcite 2010. [Internet] [cited 2010 Dec 30]
• [9]Family Planning Worldwide: 2008 Data Sheet. Population Reference Bureau [http://www.prb.org/pdf08/fpds08.pdf] webcite 2008. [Internet] [cited 2010 Dec 30]
• [10]Parsons MA, Wood HA: Demographic and socio-economic characteristics of men choosing vasectomy. J Biosoc Sci 1978, 10:133-9.
• [11]Eisenberg ML, Henderson JT, Amory JK, Smith JF, Walsh TJ: Racial differences in vasectomy utilization in the United States: data from the national survey of family growth. Urology 2009, 74:1020-4.
• [12]Subba N: Demographic assessment on vasectomy clients of Sankhuwasabha Nepal. Nepal Med Coll J 2003, 5:98-9.
• [13]Barone Mark, John Pile: "Demographics of Vasectomy-USA and International.". EngenderHealth 2009. Web. 21 Nov. 2009
• [14]Finger WR: Attracting Men to Vasectomy". [http://www.fhi.org/en/rh/pubs/network/v18_3/nw182ch8.htm] webciteNetwork 18(3) Retrieved 2006-05-15
• [15]Smith GL, Taylor GP, Smith KF: Comparative risks and costs of male and female sterilization. American Journal of Public Health 75(4):370-374.
• [16]Schwingl PamelaJ, Guess HarryA: Safety and effectiveness of vasectomy. Fertility and Sterility 2000, 73(5):923-936.
• [17]Awsare NS, Krishnan J, Boustead GB, Hanbury DC, McNicholas TA: Complications of vasectomy. Ann R Coll Surg Engl 2005, 87:406-10.
• [18]Kamyabi Z: A survey of the reasons for vasectomy refusal in couples who have chosen tubectomy as their contraceptive method. Saudi Med J 2002, 23:752-4.
• [19]Dibaba A: Rural men and their attitude towards vasectomy as means of contraception in Ethiopia. Trop Doct 2001, 31:100-2.
• [20]Bunce A, Guest G, Searing H, Frajzyngier V, Riwa P, Kanama J, et al.: Factors affecting vasectomy acceptability in Tanzania. Int Fam Plan Perspect 2007, 13-21.
• [21]Arevalo JA, Wollitzer AO, Arana S: Vasectomy: views of Latinos and white men. J Fam Pract 1987, 24:493-6.
• [22]Marchi NM, de Alvarenga AT, Osis MJ, Bahamondes L: Contraceptive methods with male participation: a perspective of Brazilian couples. Int Nurs Rev 2008, 55(1):103-9.