A model of the determinants in married women of sterilization method choice

A model for predicting sterilization method selection is constructed on the basis of hypotheses about 1. the relationship between the fertility termination, sterilization, and method selection decisions and 2. the influence of substantive, processual, and contextual factors in those decisions. The model is found to have an acceptably good fit to data from almost five hundred women in married couples selecting either tubal ligation or vasectomy. A number of interesting dynamic pathways leading to method selection are observed. Some weaknesses in the model are discussed. It is desirable that further confirmation and elaboration of the model using longitudinal and husband-wife data be undertaken.This paper is based on a study funded by the National Institutes of Child Health and Human Development, Center for Population Research, Grant Number 13459.