Obstetrics & Gynecology Email Alerts
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 2007;109:94-100
© 2007 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Borrero, S.
Right arrow Articles by Ibrahim, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Borrero, S.
Right arrow Articles by Ibrahim, S. A.

ORIGINAL RESEARCH

Race, Insurance Status, and Tubal Sterilization

Sonya Borrero, MD1, Eleanor B. Schwarz, MD, MS2,3, Matthew F. Reeves, MD, MPH2, James E. Bost, PhD4, Mitchell D. Creinin, MD2,5 and Said A. Ibrahim, MD, MPH6

From the 1Divison of General Internal Medicine, VA Pittsburgh Healthcare System and University of Pittsburgh School of Medicine; 2Department of Obstetrics, Gynecology and Reproductive Sciences, University of, Pittsburgh School of Medicine and Magee Womens Research Institute; 3Division of General Internal Medicine, Center for Research on Health Care, University, of Pittsburgh School of Medicine; 4Institute for Clinical Research Education, University of Pittsburgh School of Medicine; 5Department of Epidemiology, University of Pittsburgh Graduate School of Public Health; and 6Center for Health Equity and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.

OBJECTIVE: To examine the independent effects of race or ethnicity and insurance status on use of tubal sterilization rates.

METHODS: This study used cross-sectional data collected by the 2002 National Survey of Family Growth. The survey is designed to represent women and men aged 15–44 years in the household population of the United States. Our main outcome measure was tubal sterilization at any time before interview. A multivariable logistic regression model was used to estimate the effects of race or ethnicity and insurance status on rates of tubal sterilization after adjusting for important confounders.

RESULTS: The sample consisted of 7,643 women: 66% were white, 15% were Hispanic, and 14% were African American; 68% had private insurance and 32% had public or no insurance. After adjusting for age, insurance status, parity, income, education, marital status, and religion, African-American women were more likely than white women to undergo tubal sterilization (adjusted odds ratio 1.43, 95% confidence interval 1.08–1.88). After adjusting for age, race or ethnicity, parity, income, education, marital status, and religion, women with public or no insurance were more likely to undergo sterilization compared with women with private insurance (adjusted odds ratio 1.38, 95% confidence interval 1.09–1.74).

CONCLUSION: African-American women and women with no or public insurance were more likely to have undergone tubal sterilization compared with white women and women with private insurance, respectively. Additional research to identify factors that influence women's decision to undergo sterilization is warranted.

LEVEL OF EVIDENCE: II






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American College of Obstetricians and Gynecologists.