Demographics of Vasectomy—USA and International

Autor: John M. Pile, Mark A. Barone
Rok vydání: 2009
Předmět:
Zdroj: Urologic Clinics of North America. 36:295-305
ISSN: 0094-0143
DOI: 10.1016/j.ucl.2009.05.006
Popis: Vasectomy is safer simpler less expensive and equally as effective as female sterilization-yet it remains one of the least known and least used methods of contraception. Worldwide an estimated 33 million of married women aged 15 to 49 (less than 3%) rely on their partners vasectomy for contraception (Table 1). Female sterilization is approximately twice as common as vasectomy in the developed world 8 times more common in Asia and 15 times more common in Latin America and the Caribbean. The gap is likely greater in sub-Saharan Africa; however rates are too low for accurate comparison. Vasectomy is more common than female sterilization in only five countries-Bhutan Canada the Netherlands New Zealand and the Great Britain. In Bhutan vasectomy is 8 times more common than female sterilization; in Great Britain nearly 3 times as common; in Canada and the Netherlands twice as common; and in New Zealand approximately one third more common. The use of vasectomy in the world varies significantly by region and country. In developed countries overall fewer than 5% of couples rely on vasectomy. In developing countries the overall prevalence of vasectomy is 2.5%. Prevalence exceeds 10% in eight countries-Australia Bhutan Canada the Netherlands New Zealand the Republic of Korea Great Britain and the United States (Table 2).Bhutan has approximately 40% of contracepting couples relying on vasectomy the highest proportion in the world followed by New Zealand with approximately 25% then Canada the United Kingdom and the United States at approximately 20% each and Australia and the Republic of Korea with 12.5% each. Asia with a prevalence of 3% accounts for approximately three fourths of the 32 million couples worldwide who use vasectomy-China and India alone account for 20 million users. In Latin America and the Caribbean the prevalence of vasectomy is only 2%. Puerto Rico has the highest rate in the region 5.3%. In sub-Saharan Africa less than one tenth of 1% of married women rely on a partners vasectomy for contraception.
Databáze: OpenAIRE