Department of Urology, University of California-San Francisco, San Francisco, California, USA.
J Urol. 2010 Nov;184(5):2068-72. doi: 10.1016/j.juro.2010.06.117. Epub 2010 Sep 20.
While hospital discharge and ambulatory surgery registries provide accurate estimates of female sterilization procedures, current estimates of male sterilization rates are lacking since these procedures are done in many settings. Population based data are used to estimate annual sterilization numbers.
We analyzed data on 4,928 men and 7,643 women from the 2002 National Survey of Family Growth. We determined the year of vasectomy in men and the year of tubal ligation in women who reported a history of surgical sterilization. After accounting for the complex survey design of the National Survey of Family Growth we calculated the estimated number of individuals who underwent surgical sterilization in the United States.
A total of 141 men reported vasectomy, representing an overall 6% prevalence in National Survey of Family Growth survey population, while 1,173 women (16%) reported tubal ligation. Using National Survey of Family Growth data an estimated 175,000 to 354,000 vasectomies were done yearly from 1998 to 2002. In the same period the National Survey of Family Growth estimated that 546,000 to 789,000 tubal ligations were done annually in the United States. This compares closely to the 596,000 to 687,000 tubal ligations calculated using ambulatory surgery and hospital discharge data from a similar period.
The estimated annual number of tubal ligations from the National Survey of Family Growth is in line with the current literature using hospital discharge and ambulatory surgery registries, suggesting the accuracy of the method of estimating surgical sterilization numbers. This suggests that the National Survey of Family Growth may be used to provide an estimate of vasectomy use in the United States.
虽然医院出院和门诊手术登记处提供了女性绝育手术的准确估计，但由于这些手术在许多场所进行，目前缺乏男性绝育率的估计。使用基于人群的数据来估计每年的绝育人数。
我们分析了 2002 年全国家庭增长调查中 4928 名男性和 7643 名女性的数据。我们确定了报告有手术绝育史的男性输精管切除术和女性输卵管结扎术的年份。在考虑到全国家庭增长调查的复杂调查设计后，我们计算了美国接受手术绝育的人数估计数。
共有 141 名男性报告了输精管切除术，这在全国家庭增长调查人群中占总体的 6%，而 1173 名女性（16%）报告了输卵管结扎术。根据全国家庭增长调查数据，1998 年至 2002 年期间，每年估计有 175000 至 354000 例输精管切除术。在同一时期，全国家庭增长调查估计每年在美国有 546000 至 789000 例输卵管结扎术。这与使用类似时期的门诊手术和医院出院数据计算的 596000 至 687000 例输卵管结扎术非常接近。
全国家庭增长调查估计的每年输卵管结扎术数量与使用医院出院和门诊手术登记处的当前文献一致，表明估计手术绝育数量的方法的准确性。这表明全国家庭增长调查可能用于提供美国输精管切除术使用的估计数。
