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  • Title: Physician attitudes and practices studied in Sao Paulo, Brazil.
    Journal: Netw Res Triangle Park N C; 1985; 6(3):4-5. PubMed ID: 12280132.
    Abstract:
    A study of physician attitudes and practices was conducted in Sao Paulo, Brazil, in an attempt to determine the impact the physician has on the acceptance of family planning, especially surgical methods. Data from a contraceptive prevalence survey conducted in Sao Paulo in 1978 showed that the use of vasectomy was virtually nonexistent. Since that survey was concluded, a program was instituted to provide vasectomy services. The number of vasectomies has increased steadily since then, from 621 procedures in the February 1981-82 period to 1423 procedures in the March 1982-February 1983 period. Although the prevalence of vasectomy is increasing in Sao Paulo, it remains low, and substantially lower than tubal ligation. 660 physicians were interviewed in April and May 1984 at 7 major hospitals in Sao Paulo for the study of physician attitudes and practices. At each hospital, approximately 100 physicians, independent of specialty, were chosen randomly from alphabetized lists of all physicians on the staff. The survey results indicate that the physicians have positive attitudes about vasectomy. 38% of male physicians or their partners have been sterilized. Of these, over 30% chose vasectomies are performed by all urologists and by over 20% of obstetricians/gynecologists and surgeons. While doctors who perform vasecrtomy are most ready to recommend it, other physicians are often more ready to recommend vasectomy than to recommend tubal ligation. Both vasectomy and tubal ligation are often recommended for older couples with 3 or more children. When either partner has a health or contraceptive related problem, sterilization for the person reporting the problem is most often recommended. Results of this study conducted in Sao Paulo should not be extrapolated to other ares of Brazil, since significant state and regional differences exist throughout the country.
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