Family planning and female sterilization in the United States

Shapiro, Thomas M.; Fisher, William H.; Diana, Augusto

doi:10.1016/0277-9536(83)90161-2

Cited by 24 publications

(27 citation statements)

References 9 publications

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“…Another important consideration is that the level of mistrust toward the health-care system that has been noted in minority communities 26 may be particularly heightened for reproductive issues because of the disturbing historical relationship between coercive family planning practices and minority populations. 8,[27][28][29] In fact, studies have shown that minority women often perceive race-based discrimination when receiving family planning services and also rate their family planning experiences less positively compared to white women. 22,30 More research is needed to understand how contraceptive attitudes and patient-provider communication may vary by race/ethnicity, and how these factors as well as perceptions of family planning experiences impact contraceptive behavior across populations.…”

Section: Discussionmentioning

confidence: 99%

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Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

Borrero

Moore

et al. 2009

J GEN INTERN MED

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BACKGROUND: Minority women are more likely than white women to choose tubal sterilization as a contraceptive method. Disparities in rates of unintended pregnancy may help explain observed racial/ethnic differences in sterilization, but this association has not been investigated. OBJECTIVE:To examine the associations among race/ ethnicity, unintended pregnancy, and tubal sterilization. DESIGN AND PARTICIPANTS:Cross-sectional analysis of data from a nationally representative sample of women aged 15-44 years [65.7% white, 14.8% Hispanic, and 13.9% African American (AA)] who participated in the 2002 National Survey of Family Growth. MAIN MEASURES:Race/ethnicity, history of unintended pregnancy, and tubal sterilization. A logistic regression model was used to estimate the effect of race/ ethnicity on unintended pregnancy while adjusting for socio-demographic variables. A series of logistic regression models was then used to examine the role of unintended pregnancy as a confounder for the relationship between race/ethnicity and sterilization.KEY RESULTS: Overall, 40% of white, 48% of Hispanic, and 59% of AA women reported a history of unintended pregnancy. After adjusting for socio-demographic variables, AA women were more likely (OR: 2.0; 95% CI: 1.6-2.4) and Hispanic women as likely (OR: 1.0; 95% CI: 0.80-1.2) as white women to report unintended pregnancy. Sterilization was reported by 29% of women who had ever had an unintended pregnancy compared to 7% of women who reported never having an unintended pregnancy. In unadjusted analysis, AA and Hispanic women had significantly higher odds of undergoing sterilization (OR: 1.5; 95% CI: 1.3-1.9 and OR: 1.4; 95% CI: 1.2-1.7, respectively). After adjusting for unintended pregnancy, this relationship was attenuated and no longer significant (OR: 1.2; 95% CI: 0.95-1.4for AA women and OR: 1.3; 95% CI: 1.0-1.6 for Hispanic women).CONCLUSION: Minority women, who more frequently experience unintended pregnancy, may choose tubal sterilization in response to prior experiences with an unintended pregnancy.KEY WORDS: unintended pregnancy; minority women; tubal sterilization.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] The reasons for this observed racial/ethnic difference in sterilization rates, which persists across socioeconomic levels, is unclear. Several studies indicate that patient preference, rather than provider or health system factors, play a significant role in sterilization decision making.…”

Section: Introductionmentioning

confidence: 99%

Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

Borrero

Moore

et al. 2009

J GEN INTERN MED

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“…[1][2][3][4][5][6][7][8] According to the most recent National Survey of Family Growth, which provides nationally representative data of women aged 15-44 years, 22% of black women have been sterilized compared to 15% of white women. 7 Tubal sterilization is the leading contraceptive method for black women, while the birth control pill is the method most often used by white women.…”

Section: Introductionmentioning

confidence: 99%

“…While tubal sterilization is a highly effective method of contraception, the prevalence of regret has been reported to be as high as 26% 9,10 and is experienced more often by minority women. 2,[10][11][12][13][14] The history of involuntary sterilization of poor and minority women in the US during the 1960s and 1970s 6,[15][16][17] further underscores the importance of examining why differences in tubal sterilization rates exist between minority and non-minority women today. Qualitative methodology is a useful approach to begin understanding what factors influence a woman's decision-making process in an effort to ensure that the decision to undergo sterilization is a woman's own, well-informed choice.…”

Section: Introductionmentioning

confidence: 99%

“Everything I Know I Learned from My Mother...or Not”: Perspectives of African-American and White Women on Decisions About Tubal Sterilization

et al. 2008

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BACKGROUND: African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES:The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process. DESIGN:We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method. PARTICIPANTS:The participants of the study were 24 African-American women and 14 white women.APPROACH: Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups. RESULTS:Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure.CONCLUSION: Socio-cultural differences may help explain why black and white women choose different contraceptive methods.

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“…Although tubal ligation is a less hazardous procedure than hysterectomy, it has been criticized for the possible consequent complications which in many cases lead to subsequent hysterectomy (Savage, 1982;Shapiro, Fisher & Diana, 1983).…”

Section: Introductionmentioning

confidence: 99%

Incidence of hysterectomy and tubal ligation in public hospitals in South Australia, 1980–82

Yusuf

Briggs

1988

J. Biosoc. Sci.

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This paper presents information on the incidence of hysterectomy and tubal ligation in South Australia in the period 1980-82, and on the age, marital status and ethnicity of women undergoing these procedures in public hospitals during the period. A typical woman undergoing one of these procedures was married or previously married and in her mid-40s for hysterectomy or mid-30s for tubal ligation. South Australian women had a lifetime chance of one in six of undergoing hysterectomy and of one in five of undergoing tubal ligation. The findings are consonant with the suggestion that increasing numbers of women are choosing forms of sterilization as means of contraception.

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Family planning and female sterilization in the United States

Cited by 24 publications

References 9 publications

Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

“Everything I Know I Learned from My Mother...or Not”: Perspectives of African-American and White Women on Decisions About Tubal Sterilization

Incidence of hysterectomy and tubal ligation in public hospitals in South Australia, 1980–82

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