Eeckhaut Mieke C W, Rendall Michael S, Jackson Heide M
Department of Sociology and Criminal Justice, University of Delaware, Newark, Delaware, USA.
Department of Sociology and Maryland Population Research Center, University of Maryland, College Park, Maryland, USA.
Perspect Sex Reprod Health. 2025 Jun;57(2):162-174. doi: 10.1111/psrh.70014. Epub 2025 Jun 18.
To investigate the pathways that may elevate risks of desire for sterilization reversal, specifically through nonuse of long-acting reversible contraception (LARC), viewing abortion as unacceptable for oneself, and being economically disadvantaged.
We used chi-squared tests and binary logistic models to analyze data on 3422 women, including 299 sterilized women, from a population-representative sample of Delaware women aged 18-44 in 2021. We estimated models for female sterilization use and for desire for sterilization reversal.
Among sterilized Delaware women aged 18-44, 28% report desiring sterilization reversal. In multivariate models, those who had never used LARC were more likely to have been sterilized (OR = 1.62; 95% CI = 1.09-2.40), although not more likely to desire sterilization reversal if sterilized. Women who viewed abortion as unacceptable for themselves were not more likely to be sterilized, but they were more likely to desire sterilization reversal if sterilized (OR = 2.42; 95% CI = 1.09-5.36). Economically disadvantaged women were both more likely to be sterilized (OR = 7.56; 95% CI = 4.51-12.68) and more likely, if sterilized, to desire sterilization reversal (OR = 3.88; 95% CI = 1.18-12.74).
We find varied pathways linking a woman's nonuse of LARC, her personal nonacceptability of abortion, and her economic disadvantage to increased risk of desiring sterilization reversal. Economic disadvantage is easily the greatest risk factor. We interpret these findings through a conceptual framework of constrained choice.
研究可能增加绝育后要求复通风险的途径，特别是通过未使用长效可逆避孕方法（LARC）、认为堕胎对自己不可接受以及经济处于不利地位等因素。
我们使用卡方检验和二元逻辑模型分析了2021年特拉华州18 - 44岁具有人口代表性样本中的3422名女性的数据，其中包括299名已绝育女性。我们估计了女性绝育使用情况和绝育后要求复通意愿的模型。
在特拉华州18 - 44岁的已绝育女性中，28%报告有绝育后要求复通的意愿。在多变量模型中，从未使用过LARC的女性更有可能接受绝育（比值比[OR]=1.62；95%置信区间[CI]=1.09 - 2.40），不过如果已绝育，她们要求复通的可能性并不更高。认为堕胎对自己不可接受的女性接受绝育的可能性并不更高，但如果已绝育，她们要求复通的可能性更高（OR = 2.42；95% CI = 1.09 - 5.36）。经济处于不利地位的女性接受绝育的可能性更大（OR = 7.56；95% CI = 4.51 - 12.68），并且如果已绝育，要求复通的可能性也更大（OR = 3.88；95% CI = 1.18 - 12.74）。
我们发现女性未使用LARC、个人对堕胎不可接受以及经济处于不利地位与绝育后要求复通风险增加之间存在多种关联途径。经济不利地位显然是最大的风险因素。我们通过受限选择的概念框架来解释这些发现。
