Lassner K J, Janowitz B, Rodrigues C M
Stud Fam Plann. 1986 Jul-Aug;17(4):188-98.
The purpose of this study was to examine the factors that affect approval for and completion of sterilization in Rio de Janeiro. Of 2,186 new female family planning clients, 1,256 requested sterilization and 925 were approved for surgery. Among the approved women, 639 scheduled surgery and, of these, 595 were sterilized within three months of approval. While approval is dependent mainly on demographic variables, especially age and parity, follow-through by a woman is related to her education and income. The steps that a woman must complete to obtain a sterilization also affect whether she ultimately undergoes surgery. Almost no women were scheduled for sterilization during their initial clinic visit. Women who were not scheduled because they lacked certain documentation were more likely to follow through than women who, in addition to lacking documentation, were asked to switch from an inefficient contraceptive method (or no method) to a more modern one. The lessons to be learned from this study provide useful information to programs in other countries that are concerned about maintaining high standards but do not want to discourage women in their efforts to be sterilized.
本研究的目的是调查影响里约热内卢绝育手术获批及完成情况的因素。在2186名新的女性计划生育服务对象中，1256人申请绝育手术，其中925人获批手术。在获批的女性中，639人安排了手术，其中595人在获批后的三个月内接受了绝育手术。虽然获批主要取决于人口统计学变量，尤其是年龄和胎次，但女性的后续行动与其教育程度和收入有关。女性为获得绝育手术必须完成的步骤也会影响她最终是否接受手术。几乎没有女性在首次门诊时就被安排绝育手术。因缺少某些文件而未被安排手术的女性比那些不仅缺少文件，还被要求从不高效的避孕方法（或未采取避孕措施）改用更现代方法的女性更有可能坚持完成手术。从这项研究中吸取的经验教训为其他国家的相关项目提供了有用信息，这些项目既关注维持高标准，又不想打击女性寻求绝育的积极性。
