Race, insurance status, and tubal sterilization

Sonya Borrero, Eleanor Schwarz, Matthew F. Reeves, James E. Bost, Mitchell D Creinin, Said A. Ibrahim

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)94-100
Number of pages7
JournalObstetrics and Gynecology
Volume109
Issue number1
DOIs
StatePublished - Jan 2007
Externally publishedYes

Fingerprint

Tubal Sterilization
Insurance Coverage
Insurance
African Americans
Marital Status
Religion
Parity
Logistic Models
Odds Ratio
Confidence Intervals
Education
Hispanic Americans
Cross-Sectional Studies
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Race, insurance status, and tubal sterilization. / Borrero, Sonya; Schwarz, Eleanor; Reeves, Matthew F.; Bost, James E.; Creinin, Mitchell D; Ibrahim, Said A.

In: Obstetrics and Gynecology, Vol. 109, No. 1, 01.2007, p. 94-100.

Research output: Contribution to journalArticle

Borrero, Sonya ; Schwarz, Eleanor ; Reeves, Matthew F. ; Bost, James E. ; Creinin, Mitchell D ; Ibrahim, Said A. / Race, insurance status, and tubal sterilization. In: Obstetrics and Gynecology. 2007 ; Vol. 109, No. 1. pp. 94-100.
@article{5236b0403a73488ba9b59741f9b8492b,
title = "Race, insurance status, and tubal sterilization",
abstract = "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.",
author = "Sonya Borrero and Eleanor Schwarz and Reeves, {Matthew F.} and Bost, {James E.} and Creinin, {Mitchell D} and Ibrahim, {Said A.}",
year = "2007",
month = "1",
doi = "10.1097/01.AOG.0000249604.78234.d3",
language = "English (US)",
volume = "109",
pages = "94--100",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Race, insurance status, and tubal sterilization

AU - Borrero, Sonya

AU - Schwarz, Eleanor

AU - Reeves, Matthew F.

AU - Bost, James E.

AU - Creinin, Mitchell D

AU - Ibrahim, Said A.

PY - 2007/1

Y1 - 2007/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=33845942922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33845942922&partnerID=8YFLogxK

U2 - 10.1097/01.AOG.0000249604.78234.d3

DO - 10.1097/01.AOG.0000249604.78234.d3

M3 - Article

C2 - 17197593

AN - SCOPUS:33845942922

VL - 109

SP - 94

EP - 100

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 1

ER -