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Female sterilization is more common among women with physical and/or sensory disabilities than women without disabilities in the United States.

Abstract：

BACKGROUND:Female sterilization accounts for 50% of all contraceptive use in the U.S. The extent to which U.S. women with physical and/or sensory disabilities have undergone female sterilization is unknown. OBJECTIVE:Our primary objective was to determine the prevalence of sterilization for women with physical/sensory disabilities, and compare this to the prevalence for women without disabilities. We also compared use of long-acting reversible contraceptive (LARC) methods between women with and without disabilities. METHODS:We conducted a secondary analysis of data from the National Survey of Family Growth 2011-2013, a population-based survey of U.S. women aged 15-44. Bivariate comparisons between women with and without disabilities by female sterilization and LARC use were conducted using chi-square tests. Using logistic regression, we estimated the odds of female sterilization based upon disability status. RESULTS:Women with physical/sensory disabilities accounted for 9.3% of the total sample (N = 4966). Among women with disabilities only, 28.2% had undergone female sterilization, representing 1.2 million women nationally. LARC use was lower among women with disabilities than those without disabilities (5.4%, 9.3%, respectively, p < 0.01). After adjusting for age, race/ethnicity, education, insurance, marital status, parity, and self-reported health, women with disabilities had higher odds of sterilization (OR 1.36, 95% CI 1.03, 1.79). CONCLUSIONS:The odds of female sterilization is higher among women with physical/sensory disabilities than those without disabilities. Future research is necessary to understand factors contributing to this finding, including possible underutilization of LARC methods.

journal_name

Disabil Health J

journal_title

Disability and health journal

authors

Wu JP,McKee MM,Mckee KS,Meade MA,Plegue M,Sen A

doi

10.1016/j.dhjo.2016.12.020

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

400-405

issue

eissn

1936-6574

issn

1876-7583

pii

S1936-6574(16)30195-9

journal_volume

pub_type

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Female sterilization is more common among women with physical and/or sensory disabilities than women without disabilities in the United States.