Family planning and contraceptive decision-making by economically disadvantaged, African-American women.

Family planning and contraceptive decision-making by economically disadvantaged, African-American women.
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DOI:
10.1016/j.contraception.2012.10.011
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发表时间:
2013-08
期刊:
影响因子:
2.9
通讯作者:
Fraenkel, Liana
Fraenkel, Liana
中科院分区:
医学3区
文献类型:
--
作者:
Hodgson, Eric J.;Collier, Charlene;Hayes, Laura;Curry, Leslie A.;Fraenkel, Liana

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Significant racial disparities exist in the US unplanned pregnancy rate. We conducted a qualitative study using the theory of planned behavior as a framework to describe how low-income, African-American women approach family planning. Structured focus groups were held with adult, low-income, non-pregnant, African-American women in Connecticut. Data were collected using a standardized discussion guide, and audio-taped and transcribed. Four, independent researchers coded the transcripts using the constant comparative method. Codes were organized into over-arching themes. Contraceptive knowledge was limited with formal education often occurring after sexual debut. Attitudes about contraception were overtly negative with method effectiveness being judged by the experience of side effects. Family and friends strongly influence contraceptive decisions while male partners are primarily seen as a barrier. Contraceptive pills are perceived as readily accessible although compliance is considered a barrier. Contraception education should occur before sexual debut, should involve trusted family and community members, and should positively frame issues in terms of achieving life goals.
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