Relating Economic Conditions to Vasectomy and Vasectomy Reversal Frequencies: a Multi-Institutional Study
| Autor: | Robert E. Brannigan, James M. Dupree, Marc Goldstein, Eugene F. Fuchs, Brian Le, Sherwin Zargaroff, Jay I. Sandlow, Kunj R. Sheth, A. Scott Polackwich, Jason C. Hedges, Vidit Sharma |
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| Rok vydání: | 2014 |
| Předmět: |
Employment
Male medicine.medical_specialty Time Factors Referral Urology medicine.medical_treatment Personal income Economic indicator Vasectomy Per capita Humans Medicine Retrospective Studies Gynecology business.industry Vasovasostomy Vasectomy reversal United States Economic data Socioeconomic Factors Unemployment Costs and Cost Analysis Income Regression Analysis business Follow-Up Studies Demography |
| Zdroj: | Journal of Urology. 191:1835-1840 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2013.12.045 |
| Popis: | It was theorized that the use of permanent contraceptive methods may vary with economic conditions. We evaluated the relationship between vasectomy/vasectomy reversal frequencies at several large referral centers and national economic indicators during 2 recessions spanning 2001 to 2011.We performed an institutional review board approved, retrospective chart review to identify the number of vasectomies/vasectomy reversals per month at several large referral centers from January 2001 to July 2011. The rates of these procedures were pooled, correlated with national economic data and analyzed in a multivariate linear regression model.A total of 4,599 vasectomies and 1,549 vasectomy reversals were performed at our institutions during the study period. The number of vasectomies per month positively correlated with the unemployment rate (r=0.556, p0.001) and personal income per capita (r=0.276, p=0.002). The number of reversals per month negatively correlated with the unemployment rate (r=-0.399, p0.001) and personal income per capita (r=-0.305, p0.001). Neither vasectomy nor vasectomy reversal frequency significantly correlated with the inflation rate or the SP 500®. Regression models confirmed that the unemployment rate explained more of the variance in vasectomy/vasectomy reversal frequencies than other indicators.We noted a correlation between the number of vasectomies/vasectomy reversals performed at our institutions and national economic indicators. The strongest association was with the unemployment rate. This points to the importance of financial pressure on family planning decisions. |
| Databáze: | OpenAIRE |
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