Structural Inequity and Pregnancy Desires in Emerging Adulthood.
Structural Inequity and Pregnancy Desires in Emerging Adulthood.
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DOI：
10.1007/s10508-020-01854-0
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发表时间：
2021-08
影响因子：
3.8
通讯作者：
Freihart B
中科院分区：
文献类型：
--
作者：
Gomez AM;Arteaga S;Freihart B
公共卫生话语经常声称推迟怀孕与社会和经济利益有关。然而，研究表明，对年轻人来说，结构性不平等对未来的结果影响最大，无论是否生育。我们对50名年轻女性（18-24岁）及其男性伴侣（n=100）进行了深入访谈，并调查了结构性不平等对怀孕意愿和计划的影响。出现了三个主题，按社会优势分层。在“以后的事情会不同”的主题中，社会上有远见的参与者设想，由于教育、职业和经济目标的实现，他们未来的生活肯定会不同;因此，他们的怀孕计划与他们的愿望一致，通常反映在使用高效避孕措施上。在“我没有我需要的一切”的主题中，参与者表示推迟想要的怀孕（主要是通过使用避孕套），直到他们能够应对结构性障碍。她们的怀孕计划因结构性不平等而改变，与她们的愿望不一致。在“我永远不会拥有我需要的一切”的主题下，社会弱势参与者对实现怀孕准备的理想环境表示严重怀疑;由于预防怀孕并不突出，这些参与者使用避孕套或不避孕。这一分析表明，结构性不平等限制了成年初期的生殖自决，造成了理想生育与实际生育之间的鸿沟，这反映在避孕决策中。强调预防怀孕对社会处境不利群体的重要性而不解决其生活中的结构性不平等现象的公共卫生叙述，与强调使用避孕药具以确保未来经济成功相比，使生殖压迫长期存在。
Public health discourses often claim that delaying pregnancy is associated with social and economic benefits. Yet research suggests that, for young people, structural inequity is most influential in future outcomes, regardless of childbearing. We conducted in-depth interviews with 50 young women (ages 18–24) and their male partners (n=100) and investigated the influence of structural inequity on pregnancy desires and plans. Three themes emerged, stratified by social advantage. In the “Things Will Be Different Later” theme, socially advantaged participants envisioned that their future lives would surely be different due to achievement of educational, professional, and economic goals; thus, their pregnancy plans aligned with their desires, often reflected in use of highly effective contraception. In the “I Don’t Have Everything I Need” theme, participants expressed delaying desired pregnancies (primarily through condom use) until they could contend with structural barriers. Their pregnancy plans, shifted by way of structural inequity, were not aligned with their desires. Under the “I’ll Never Have Everything I Need” theme, socially disadvantaged participants expressed significant doubt about ever realizing ideal circumstances for pregnancy preparedness; as pregnancy prevention was not salient, these participants used condoms or no contraception. This analysis indicates that structural inequities constrain reproductive self-determination in emerging adulthood, creating a chasm between desired and actual childbearing that was reflected in contraceptive decision-making. Public health narratives emphasizing the importance of pregnancy prevention for socially disadvantaged groups without addressing the manifestation of structural inequity in their lives perpetuate reproductive oppression vis-a-vis emphasis on contraceptive use to ensure future economic success.
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