Knowledge, Attitude and Associated Factors Towards Vasectomy Among Married Men in Arba Minch Town, Southern Ethiopia, 2021; A Cross-Sectional Study

Wolde, Yesuneh Dejene; Ali, Momina; Gebremeskel, Feleke; Ukke, Gebresilasea Gendisha; Gebreselassie, Rediet; Demelash, Minychil; Kebede, Abebaw; Hailu, Mickiale

doi:10.2147/oajc.s387836

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…(8) Other studies have shown vasectomy rates to be associated with multiple individual factors including knowledge of procedure, cultural and religious norms, insurance coverage status, and other socioeconomic indicators. (9,10) In 2009, the reported prevalence of vasectomy in men aged 30-45 years was 11.4%. (10) In 2002, the reported incidence of vasectomy in in the US was 10.2 per 1 000 men aged 25-49.…”

Section: Introductionmentioning

confidence: 99%

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Pierson,

Banaag,

Janvrin

et al. 2024

Preprint

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Dobbs v. Jackson Women’s Health Organization has already had profound impact on reproductive health care in the United States. Some studies have reported increased incidence of vasectomy after the Dobbs decision. The Military Health System (MHS) provides a unique opportunity to evaluate this relationship in a universally insured, geographically representative population. We conducted a retrospective cross-sectional study of vasectomies among all male beneficiaries in the MHS, ages 18 to 64, from 2018 to 2022. Analyses included descriptive statistics on patient demographics, rate change, time analysis, logistic regressions for the odds of a vasectomy after the Dobbs decision, and state-level analysis. Our analysis indicated a 19.7% increase in vasectomy utilization in 2022 compared to the average from 2018–2021. Analysis by state showed that the relative increase in vasectomy after the Dobbs decision was greater in a state immediately implementing a restriction on abortion access (Texas, 29.3%) compared to a state with no such restriction (Virginia, 10.6%). Our findings highlight the impact of the Dobbs decision on reproductive health care utilization outside of abortion.

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Section: Introductionmentioning

confidence: 99%

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Pierson,

Banaag,

Janvrin

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Vasectomy incidence in the military health system after the reversal of Roe v. Wade

Pierson,

Banaag,

Janvrin

et al. 2024

Int J Impot Res

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Dobbs v. Jackson Women’s Health Organization (Dobbs decision) has already had profound impact on reproductive health care in the United States. Some studies have reported increased incidence of vasectomy after the Dobbs decision. The Military Health System (MHS) provides a unique opportunity to evaluate this relationship in a universally insured, geographically representative population. We conducted a retrospective cross-sectional study of vasectomies among all male beneficiaries in the MHS, ages 18 to 64, from 2018 to 2022. Beneficiaries receiving a vasectomy were identified via billing data extraction from the MHS Data Repository (MDR). Descriptive statistics of demographic factors of all those receiving a vasectomy in the study period were evaluated. Crude and multivariate logistic regression models were used to evaluate for differences in demographic variables in those receiving a vasectomy pre-Dobb’s decision as compared to after the Dobb’s decision. The total number of men receiving a vasectomy each month over the study period was analyzed, as were the numbers in a state immediately implementing abortion access restrictions (Texas), and one without any restrictions on abortion access (Virginia). Our analysis found that men receiving a vasectomy post-Dobbs decision were more likely to be younger, unmarried, and of junior military rank than prior to the Dobbs decision. In the months following the Dobbs decision in 2022 (June-December), there was a 22.1% increase in vasectomy utilization as compared to the averages of those months in 2018–2021. Further, it was found that the relative increase in vasectomy after the Dobbs decision was greater in Texas (29.3%) compared to Virginia (10.6%). Our findings highlight the impact of the Dobbs decision on reproductive health care utilization outside of abortion.

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Characteristics and outcomes of no-scalpel vasectomy acceptors in a tertiary national maternity hospital: A retrospective single-cohort study

Sanedrin,

Panay-Olalia

2024

Philippine Journal of Obstetrics and Gynecology

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INTRODUCTION: No-scalpel vasectomy is an emerging family planning method that enables the male partner to get more involved. The procedure was first introduced in our institution in 2008 with an average of 7 clients per year (i.e., 86 patients from 2008 to 2019). There were no data when the pandemic started, but starting in March 2022, acceptance for the procedure started to increase. This coincides with the timeline of the study. At present, there are limited studies regarding no-scalpel vasectomy, especially local studies. A better understanding of the characteristics and outcomes of those who underwent no-scalpel vasectomy would aid our institution in formulating and implementing policies and family planning programs. OBJECTIVES: The study determined the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Characteristics included the sociodemographic, medical, reproductive, and duration from inquiry until semen analysis. The outcomes included the absence or presence of complications after the procedure and result of semen analysis. METHODS: The study utilized a retrospective, descriptive, single, cohort design. Total enumeration was done to get the 36 charts of clients who underwent no-scalpel vasectomy at the Comprehensive Family Planning Center of Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Patient charts were retrieved, and data abstraction was done. Tables and figures were used to display the frequency distribution of data collected. RESULTS: The study had a cohort of 36 individuals who underwent no-scalpel vasectomy, which accounted for 116% of the intended sample size. The characteristics of our clients were mostly urban residents, 30–39 years old, with partner, educated, middle class, employed, Roman Catholic, and having 1–2 children with the age of youngest below 3 years old. Different forms of family planning were used prior to the procedure. Teleconsultation effectively increases our clients for vasectomy. Clients were able to follow up after the procedure, but there was only a decrease in the number of clients who had their semen analysis done and were lost to follow-up. DISCUSSION: There is an increasing awareness in no-scalpel vasectomy procedure as seen in the increase in acceptors. It is an effective, safe, cost-effective, and permanent male contraceptive procedure, with very minimal manageable complications. However, there is a need for better protocol regarding follow-up with semen analysis result. CONCLUSION: By determining the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023, the findings of the study hope to aid the health-care providers gain a better insight about the characteristics and outcomes of our male clients who decided to undergo no-scalpel vasectomy as their family planning method of choice. There is a need study in further improving of the formulation and implementation of policies and family planning programs to further reach the male population.

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Knowledge, Attitude and Associated Factors Towards Vasectomy Among Married Men in Arba Minch Town, Southern Ethiopia, 2021; A Cross-Sectional Study

Cited by 3 publications

References 10 publications

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Vasectomy incidence in the military health system after the reversal of Roe v. Wade

Characteristics and outcomes of no-scalpel vasectomy acceptors in a tertiary national maternity hospital: A retrospective single-cohort study

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