A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests

Gilliam, Melissa; Davis, Shawna; Berlin, Amy; Zite, Nikki B.

doi:10.1016/j.contraception.2007.09.011

Cited by 60 publications

(59 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Brazil, Carvalho and colleagues (2004) also found that women tended to opt for TL on the basis of information they received from family and friends, not from their doctors, while in the US it was found that doctors behaved as gate-keepers for TL and had a large degree of influence over women's decisions regarding the procedure (Gilliam et al, 2008). We have no information about who the women in our study talked to about TL, but tentatively suggest that the people women talked to about menopause may reflect in general the people they would talk to about other reproductive and health issues, including TL.…”

Section: Adjusted Resultsmentioning

confidence: 99%

“…Interviews included questions about characteristics found in other studies to be related to a woman's decision to undergo TL (Adesiyun, 2007;Carvalho et al, 2004;Chen et al, 2008;Gilliam et al, 2008;Landry, 1990;Leite et al, 2004;Martin and Wu, 2000;Westhoff and Davis, 2000). Demographic questions included age, marital status, years of education, and occupation.…”

Section: Measures Usedmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of Tubal Ligation in Puebla, Mexico

2011

View full text Add to dashboard Cite

Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details.

show abstract

Section: Adjusted Resultsmentioning

confidence: 99%

Section: Measures Usedmentioning

confidence: 99%

Determinants of Tubal Ligation in Puebla, Mexico

2011

View full text Add to dashboard Cite

show abstract

“…This finding is consistent with prior studies that have examined barriers to obtaining postpartum sterilization. 23,24 Because our study suggests that patient-level factors dominate the decision-making process, further exploration of differences in socio-cultural variables that might lead AfricanAmerican women to choose sterilization over contraceptive methods is warranted. While it is tempting to disregard racial differences in health-care utilization that stem from patient preferences, it is important to understand the reasons for a given preference to ensure that it is not based on unequal access to information or culturally based health myths.…”

Section: Discussionmentioning

confidence: 99%

“…African-American women have higher rates of unintended pregnancy and more out-of-wedlock births compared to white women. 22,23 It is possible that prior unwanted pregnancies and/or unstable relationships motivated women to seek out a highly effective birth control method. Another factor may be that African-American women have children at younger ages.…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…Female sterilization, a permanent form of contraception, is one strategy that women report using to manage their fertility and improve their socio-emotional circumstances (Gilliam, Davis, Berlin, & Zite, 2008;Leyser-Whalen & Berenson, 2013;Lopez, 1993). Female sterilization can be surgical (tubal ligation or hysterectomy) or non-surgical (tubal occlusion) and is used by 17% of women in the United States (as common as the birth control pill) (Jones, Mosher, Daniels, 2012;Mosher & Jones, 2010).…”

Section: Introductionmentioning

confidence: 99%

Female Sterilization and Poor Mental Health: Rates and Relatedness among American Indian and Alaska Native Women

Cackler

Shapiro

Lahiff

2016

Women's Health Issues

View full text Add to dashboard Cite

Objective: To describe the reproductive and mental health of American Indian and Alaska Native (AI/AN) women -an understudied population.Methods: Data from the 2004 Behavioral Risk Factor Surveillance System survey were analyzed to determine (1) the prevalence of female sterilization among a nationally representative sample of reproductive age AI/AN women and (2) the association of female sterilization and poor mental health among AI/AN women compared with non-Hispanic White, non-Hispanic Black, and Hispanic women.Results: Nearly 25% of AI/AN women reported female sterilization, a prevalence higher than the comparison racial/ethnic groups (P<0.005). Adjusting for socio-demographic characteristics, AI/AN women reporting female sterilization had nearly 2.5 times the odds of poor mental health compared to AI/AN women not reporting female sterilization (P=0.001). The same magnitude of relationship between female sterilization and poor mental health was not found for non-Hispanic White, non-Hispanic Black, and Hispanic women.Conclusions: AI/AN women reporting female sterilization have significantly higher odds of reporting poor mental health. Common cultural experiences, such as a shared ancestral history of forced sterilizations, may be relevant, and could be considered when providing health and mental health services to AI/AN women.

show abstract

A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests

Cited by 60 publications

References 11 publications

Determinants of Tubal Ligation in Puebla, Mexico

Determinants of Tubal Ligation in Puebla, Mexico

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

Female Sterilization and Poor Mental Health: Rates and Relatedness among American Indian and Alaska Native Women

Contact Info

Product

Resources

About