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dc.contributor.authorJama-Alol, K.
dc.contributor.authorBremner, A.
dc.contributor.authorPereira, Gavin
dc.contributor.authorStewart, Louise
dc.contributor.authorMalacova, Eva
dc.contributor.authorMoorin, Rachael
dc.contributor.authorPreen, D.
dc.date.accessioned2017-12-10T12:40:05Z
dc.date.available2017-12-10T12:40:05Z
dc.date.created2017-12-10T12:20:12Z
dc.date.issued2017
dc.identifier.citationJama-Alol, K. and Bremner, A. and Pereira, G. and Stewart, L. and Malacova, E. and Moorin, R. and Preen, D. 2017. Declining rates of sterilisation reversal procedures in western Australian women from 1990 to 2008: The relationship with age, hospital type and government policy changes. BMC Women's Health. 17 (1): Article ID 117.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/59368
dc.identifier.doi10.1186/s12905-017-0470-3
dc.description.abstract

Background: Female sterilisation is usually performed on an elective basis at perceived family completion, however, around 1-3% of women who have undergone sterilisation elect to undergo sterilisation reversal (SR) at a later stage. The trends in SR rates in Western Australia (WA), proportions of SR procedures between hospital types (public and private), and the effects of Federal Government policies on these trends are unknown. Methods: Using records from statutory state-wide data collections of hospital separations and births, we conducted a retrospective descriptive study of all women aged 15-49 years who underwent a SR procedure during the period 1st January 1990 to 31st December 2008 (n = 1868 procedures). Results: From 1991 to 2007 the annual incidence rate of SR procedures per 10,000 women declined from 47.0 to 3.6. Logistic regression modelling showed that from 1997 to 2001 the odds of women undergoing SR in a private hospital as opposed to all other hospitals were 1.39 times higher (95% CI 1.07-1.81) and 7.51 times higher (95% CI 5.46-10.31) from 2002 to 2008. There were significant decreases in SR rates overall and among different age groups after the Federal Government interventions. Conclusion: Rates of SR procedures in WA have declined from 1990 to 2008, particularly following policy changes such as the introduction of private health insurance (PHI) policies. This suggests decisions to undergo SR may be influenced by Federal Government interventions.

dc.publisherBiomed Central Ltd.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleDeclining rates of sterilisation reversal procedures in western Australian women from 1990 to 2008: The relationship with age, hospital type and government policy changes
dc.typeJournal Article
dcterms.source.volume17
dcterms.source.number1
dcterms.source.issn1472-6874
dcterms.source.titleBMC Women's Health
curtin.accessStatusOpen access


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