Shain R N, Miller W B, Holden A E
Fertil Steril. 1985 Feb;43(2):234-44.
Multivariate analyses of data from 248 married women scheduled for tubal sterilization and 165 wives of men scheduled for vasectomy indicated that male and female sterilization methods were selected for different reasons and under different circumstances. More specifically, the woman who underwent tubal sterilization was more likely to have perceived that she had greater influence than her husband over the sterilization decision, to have had cesarean section or vaginal delivery in association with sterilization, to have chosen tubal ligation because her spouse refused to undergo the alternative procedure or because it was convenient to combine it with delivery or other surgery, and to have had a spouse who was unwilling to be sterilized because of possible side effects associated with vasectomy. The woman whose husband underwent vasectomy was more likely to have been very fearful of surgery in general or especially fearful of reproductive surgery, to have known many men who already had had a vasectomy, to have perceived that her husband was more strongly motivated than herself to terminate childbearing, to have had a spouse who participated in birth control, and to have chosen vasectomy because it was easier or less expensive or because her physician advised against tubal sterilization.
对248名计划进行输卵管绝育术的已婚女性和165名计划进行输精管切除术男性的妻子的数据进行多变量分析表明，选择男性和女性绝育方法的原因和情况不同。更具体地说，接受输卵管绝育术的女性更有可能认为自己在绝育决定上比丈夫有更大影响力，绝育时曾进行剖宫产或阴道分娩，因配偶拒绝接受替代手术或因便于与分娩或其他手术同时进行而选择输卵管结扎，且配偶因输精管切除术可能的副作用而不愿绝育。丈夫接受输精管切除术的女性更有可能总体上非常害怕手术，或特别害怕生殖手术，认识许多已做过输精管切除术的男性，认为丈夫比自己更强烈地希望终止生育，配偶参与节育，且因输精管切除术更容易或成本更低或因医生建议不要进行输卵管绝育术而选择输精管切除术。
