Pd40-03 a Nationwide Assessment of Permanent Contraception Trends

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (PD40)1 May 2024PD40-03 A NATIONWIDE ASSESSMENT OF PERMANENT CONTRACEPTION TRENDS Jessica Schardein, Joemy Ramsay, Masaya Jimbo, Alexandra Woodcock, Jessica Sanders, Misha Pangasa, David Turok, Kelli Gross, and Jim Hotaling Jessica SchardeinJessica Schardein , Joemy RamsayJoemy Ramsay , Masaya JimboMasaya Jimbo , Alexandra WoodcockAlexandra Woodcock , Jessica SandersJessica Sanders , Misha PangasaMisha Pangasa , David TurokDavid Turok , Kelli GrossKelli Gross , and Jim HotalingJim Hotaling View All Author Informationhttps://doi.org/10.1097/01.JU.0001009356.04608.d5.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Understanding trends in permanent contraception and the relationship between state-level abortion laws is crucial to determine how to best allocate resources to ensure reproductive rights for all patients. Our objective was to investigate nationwide trends in permanent contraception utilization before and after the Dobbs v. Jackson ruling, which removed federal protection of abortions, and state specific trends in relation to legal climate. METHODS: We conducted a retrospective review of all individuals ≥18 years undergoing vasectomy or tubal sterilization before and after the Dobbs v. Jackson ruling in June 2022 using Epic Cosmos. We compared permanent contraception utilization from 7/2021-12/2021 (pre-Dobbs) to 7/2022-12/2022 (post-Dobbs). Procedure counts were obtained for demographic subgroups. States were categorized based on legal landscape by the Center for Reproductive Rights and state specific counts were used to describe utilization of permanent contraception by legal climate. The rate of permanent contraception use pre- and post-Dobbs was estimated using incidence rate ratios (IRRs). Stratified models were run for each demographic factor and by legal climate. RESULTS: Post-Dobbs, there was a significant increase in the rate of patients undergoing vasectomies who were single (IRR 1.13) or <30 years (IRR 1.59). The rate of vasectomies significantly increased post-Dobbs in non-hostile (IRR 1.43), hostile (IRR 1.46) and illegal (IRR 1.41) states. Relative to non-hostile states, the rate of vasectomies was consistently higher in the months pre- and post-Dobbs in hostile (IRR 1.63) and illegal (IRR 1.15) states. For tubals, there was a significant increase in the rate of patients who were <30 years (IRR 1.29) post-Dobbs. The rate significantly increased post-Dobbs in non-hostile (IRR 1.06) and illegal (IRR 1.12) states. Relative to non-hostile states, the rate of tubals was higher in the months post-Dobbs in illegal states (pre: IRR 1.76; post: IRR 1.85). A p-value of <0.001 is associated with all IRRs. CONCLUSIONS: There was a significant increase in patients <30 years pursuing permanent contraception post-Dobbs. The increased rate of vasectomies post-Dobbs was consistent among states regardless of the legal climate, while the increased rate of tubals post-Dobbs was significantly increased in states where abortion was illegal. Download PPT Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e820 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jessica Schardein More articles by this author Joemy Ramsay More articles by this author Masaya Jimbo More articles by this author Alexandra Woodcock More articles by this author Jessica Sanders More articles by this author Misha Pangasa More articles by this author David Turok More articles by this author Kelli Gross More articles by this author Jim Hotaling More articles by this author Expand All Advertisement PDF downloadLoading ...