Sharma Sarita K, Patil Gopal, Ghunkikar Prashant, Rathod Pragati G, Dhumal Komal
Community Medicine, Government Medical College (GMC) Nagpur, Nagpur, IND.
Leprosy, Maharashtra Public Health Services, Yavatmal, IND.
Cureus. 2024 Jan 31;16(1):e53311. doi: 10.7759/cureus.53311. eCollection 2024 Jan.
Background India, with a population exceeding 1.43 billion, faces significant demographic challenges, necessitating effective family planning measures. Non-scalpel vasectomy (NSV) is a less complex and cost-effective male contraceptive, yet its acceptance remains low, especially compared to female sterilization. Understanding the determinants of NSV acceptance is crucial for informed decisions on family planning methods. Methods This cross-sectional study investigated NSV acceptance among males who underwent non-scalpel vasectomy (acceptors of NSV) and spouses of women who underwent tubectomy (non-acceptors of NSV). The study was conducted among 116 NSV acceptors and 116 non-acceptors from rural Central India. Data were collected over six months, employing a pre-designed questionnaire covering socio-demographic details, reasons for acceptance/non-acceptance, and information sources for the same. Statistical analysis was done utilizing Epi Info 7.2.6 (Centers for Disease Control and Prevention [CDC], Atlanta, GA), employing descriptive statistics and tests of association. Results Significant associations were found between NSV acceptance (p<0.05) and the age and education of study subjects, age of wife, duration since marriage, and total number of children. Incentives also played a significant role (p=0.014). Opposition to NSV, mainly from wives, was a key factor for non-acceptance (38%). Reasons for acceptance included a previous cesarean section (40.52%), the simplicity of the NSV procedure (26.72%), and the wife's illness (23.28%). Non-acceptance reasons comprised family/friend opposition (38%), lack of awareness/ignorance (25.00%), and fear of surgery (23.28%). Study subjects perceived community reluctance to NSV as mainly due to misbeliefs (30.17%), fear of surgery (27.58%), and illiteracy (26.29%). Conclusion The study highlights socio-demographic factors influencing NSV acceptance and identifies key reasons for acceptance/non-acceptance. Community-based interventions, increased advertisement, and health provider counseling were suggested for enhancing acceptance. Despite challenges, participant satisfaction with NSV was high. These findings contribute to understanding the complex dynamics surrounding NSV acceptance in rural Central India, informing future family planning strategies.
印度人口超过14.3亿，面临重大的人口挑战，需要有效的计划生育措施。非手术刀输精管切除术（NSV）是一种复杂度较低且具有成本效益的男性避孕方法，但其接受度仍然很低，尤其是与女性绝育相比。了解NSV接受度的决定因素对于计划生育方法的明智决策至关重要。方法：这项横断面研究调查了接受非手术刀输精管切除术的男性（NSV接受者）和接受输卵管切除术的女性的配偶（NSV非接受者）对NSV的接受情况。该研究在印度中部农村地区的116名NSV接受者和116名非接受者中进行。数据收集历时六个月，采用预先设计的问卷，涵盖社会人口学细节、接受/不接受的原因以及相关信息来源。利用Epi Info 7.2.6（美国疾病控制与预防中心[CDC]，佐治亚州亚特兰大）进行统计分析，采用描述性统计和关联性检验。结果：发现NSV接受度（p<0.05）与研究对象的年龄和教育程度、妻子的年龄、结婚时长以及子女总数之间存在显著关联。激励措施也起到了重要作用（p=0.014）。对NSV的反对，主要来自妻子，是不接受的关键因素（38%）。接受的原因包括既往剖宫产史（40.52%）、NSV手术的简便性（26.72%）以及妻子患病（23.28%）。不接受的原因包括家人/朋友反对（38%）、缺乏认识/无知（25.00%）以及对手术的恐惧（23.28%）。研究对象认为社区对NSV的抵触主要是由于错误观念（30.17%）、对手术的恐惧（27.58%）和文盲（26.29%）。结论：该研究突出了影响NSV接受度的社会人口学因素，并确定了接受/不接受的关键原因。建议采取基于社区的干预措施、增加宣传以及卫生服务提供者进行咨询，以提高接受度。尽管存在挑战，但参与者对NSV的满意度很高。这些发现有助于理解印度中部农村地区围绕NSV接受度的复杂动态，为未来的计划生育策略提供参考。
