Taylor P J, Freedman B, Wonnacott T, Brown S
Clin Reprod Fertil. 1986 Jun;4(3):207-15.
Demographic socio-economic and decision-making aspects of sterilization and reversal of sterilization were compared in a group of 103 women requesting reversal (RR) and 117 women about to undergo sterilization (S), to determine the practicality of identifying in advance the woman likely to request reversal. The willingness of patients to pay for these procedures and the ethical implications of these decisions were also examined. RR were younger at the first relationship, birth of first child and birth of last child. There were no differences (RR vs S) between the number of full-term pregnancies, living children and therapeutic abortions. The timing of sterilization (puerperal versus interval) did not influence the decision to be reversed. The level of education, partner's level of education and mean family income were lower in the group requesting reversal. Multiple regression analysis revealed three characteristics which were most discriminatory: youth at first birth; lack of spousal support; and failure to choose 'family complete' as a reason for sterilization. The predictability was not strong enough to provide an accurate assessment of the individual woman. RR were of significantly lower socio-economic standing but were more likely to be prepared to pay a large sum of money for the reversal. The ethical implications of this finding are discussed.
对103名要求输卵管复通术（RR）的女性和117名即将接受绝育术（S）的女性在绝育及输卵管复通术的人口统计学、社会经济和决策方面进行了比较，以确定提前识别可能要求复通术的女性的可行性。还研究了患者为这些手术付费的意愿以及这些决策的伦理意义。要求输卵管复通术的女性在首次恋爱、生育第一个孩子和生育最后一个孩子时年龄更小。足月妊娠数、存活子女数和治疗性流产数（RR组与S组之间）没有差异。绝育时间（产后与非产后）不影响复通术的决策。要求输卵管复通术的女性群体的教育水平、伴侣的教育水平和平均家庭收入较低。多元回归分析揭示了三个最具区分性的特征：初育时年轻；缺乏配偶支持；以及未选择“家庭完整”作为绝育的理由。预测能力不足以对个体女性进行准确评估。要求输卵管复通术的女性社会经济地位显著较低，但更有可能准备为复通术支付一大笔钱。讨论了这一发现的伦理意义。
