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Predictors of no-scalpel vasectomy acceptance in Karimnagar district, Andhra Pradesh.
MedLine Citation:
PMID:  23204657     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Karimnagar District has consistently achieved highest rates of no-scalpel vasectomy (NSV) in the past decade when compared to state and national rates. This study was conducted to elucidate the underlying causes for higher acceptance of NSV in the district.
MATERIALS AND METHODS: A community-based, case control study was conducted. Sampling techniques used were purposive and simple random sampling. A semi-structured questionnaire was used to evaluate the socio-demographic, family characteristics, contraceptive history and predictors of contraceptive choice in 116 NSV acceptors and 120 other contraceptive users (OCUs). Postoperative complications and experiences were ascertained in NSV acceptors.
RESULTS: Age (χ(2)=11.79, P value = 0.008), literacy (χ(2)=17.95, P value = 0.03), duration of marriage (χ(2)=14.23, P value = 0.008) and number of children (χ(2)=10.45, P value = 0.01) were significant for acceptance of NSV. Among the predictors, method suggested by peer/ health worker (OR = 1.5, P value = 0.01), method does not require regular intervention (OR = 1.3, P value = 0.004) and permanence of the method (OR = 1.2, P value = 0.031) were significant. Acceptors were most satisfied with the shorter duration required to return to work and the most common complication was persistent postoperative pain among 12 (10.34%) of the acceptors.
CONCLUSION: Advocating and implementing family planning is of high significance in view of the population growth in India and drawing from the demographic profile, predictors, pool of trainers and experiences in Karimnagar District, a similar achievement of higher rates of this simple procedure with few complications can be replicated.
Authors:
Sameer Valsangkar; Surendranath K Sai; Samir D Bele; Trupti N Bodhare
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of urology : IJU : journal of the Urological Society of India     Volume:  28     ISSN:  1998-3824     ISO Abbreviation:  Indian J Urol     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-12-03     Completed Date:  2012-12-04     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  8510441     Medline TA:  Indian J Urol     Country:  India    
Other Details:
Languages:  eng     Pagination:  292-6     Citation Subset:  -    
Affiliation:
Department of Community Medicine, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh, India.
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