Temporal trend of vasectomies in Brazil and its regions by age group and race/skin color: a temporal analysis from 2013 to 2022.

IF 2.5 Q1 Multidisciplinary

Epidemiologia e Servicos de Saude Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v34e20240209.en

Alessandro Vidal de Oliveira, Ana Luiza Nepomuceno Sampaio, Rui Wanderley Mascarenhas Júnior

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Abstract

Objective: To analyze the temporal trend of vasectomies in Brazil and its regions by age group and race/skin color from 2013 to 2022.

Methods: This is a time series analysis study based on Hospital Information System data. Average annual percentage change (AAPC) and 95% confidence intervals (95%CI) of vasectomy coefficients were estimated using Joinpoint regression. Trends were compared using parallel testing and coincidence testing.

Results: In the period, there were 309,047 vasectomies in Brazil and their trend was stationary (AAPC 5.57; 95%CI -1.08; 12.66), although there was a rising trend in the Northern region (AAPC 11.53; 95%CI 2.30; 21.59) and in the Northeast region (AAPC 8.90; 95%CI 1.94; 16.34). All races/skin colors showed rising trends. Men who were 50-54 years old (AAPC 8.69; 95%CI 1.14; 16.81) and 55-59 years old (AAPC 8.71; 95%CI 0.92; 17.10) had the highest AAPC as well as rising trends. There were differences in trends, especially between age groups.

Conclusion: Vasectomy trends varied across Brazil, highlighting regional, age and racial disparities related to this procedure.

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2013年至2022年巴西及其地区按年龄组和种族/肤色划分的输精管结扎的时间趋势

目的：分析2013 - 2022年巴西及其地区按年龄和种族/肤色划分的输精管切除术的时间趋势。方法：采用基于医院信息系统数据的时间序列分析研究。使用关节点回归估计输精管切除术系数的平均年百分比变化（AAPC）和95%置信区间（95% ci）。采用平行检验和符合检验比较趋势。结果：同期巴西输精管结扎手术309047例，趋势平稳(AAPC 5.57；95%可信区间-1.08;12.66)，但北部地区有上升趋势(AAPC 11.53；95%可信区间2.30;21.59)，东北地区(AAPC 8.90；95%可信区间1.94;16.34)。所有种族/肤色都呈现上升趋势。50-54岁男性(AAPC 8.69；95%可信区间1.14;16.81)和55-59岁(AAPC 8.71；95%可信区间0.92;17.10)的AAPC最高，且呈上升趋势。在趋势上存在差异，尤其是在不同年龄组之间。结论：输精管切除术的趋势在巴西各地有所不同，突出了与该手术相关的地区、年龄和种族差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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