Racial differences in low-income Men's fertility intentions and behavior

项目摘要/摘要 意外怀孕在美国是一个严重的问题，给女性带来了不利的后果， 他们的孩子和社会。意外怀孕在低收入和少数群体中尤其普遍。 人口，而这种差距助长了弱势群体经历的不利循环 人口。我们正在进行的工作是研究社会文化因素如何导致避孕效果不佳 低收入、非裔美国人和白人女性的行为表明，促怀孕和 男性伴侣的强迫行为可能是导致意外怀孕率高的重要原因。 在这些人群中观察到。国家和国际计划生育倡导者和指导方针呼吁 让男性更积极地参与避孕决策，但缺乏关于男性避孕决策的文献 对避孕措施的使用和怀孕的态度以及态度可能因种族而异限制了 制定与文化相关的干预措施。因此，了解男性与生育相关的 态度和行为是关键的下一步。 我们建议利用对60名低收入、成年AA和 匹兹堡的白人男性将深入了解男性在美国人口中的生育意图和行为 意外怀孕的高风险。这项研究的一个特别重点将是检查人们的态度和社会 将生殖胁迫作为男性生育行为的一个潜在终点的规范。我们会 还要密切关注似乎是两个种族群体各自独有的主题。具体目标 这项研究的目的是：1)描述低收入男性的生育意向和生育行为；2) 探索男性生育意愿和行为之间的关系；以及3)了解文化和 结构性因素塑造了男性的生育意图和行为。 由于男性伴侣似乎在怀孕决定和结局中发挥着重要作用，因此有必要 更好地理解他们在避孕、怀孕和为人父母方面的背景观点。本研究 将补充我们正在进行的关于妇女的定性工作，以提供对这些因素的更全面的了解 影响计划生育，并使我们能够找出导致贫困的具体背景因素 年低收入、再生障碍性贫血和白人人群的避孕行为和意外怀孕风险 宾夕法尼亚州匹兹堡这项研究的最终目标是赋予女性和男性权力，不分种族或性别 社会经济地位，以作出有效的生育决定，并减少意外和/或单方面- 想要的怀孕。

Project Summary/ Abstract Unintended pregnancy is a substantial problem in the United States, with adverse consequences for women, their children, and society. Unintended pregnancy is especially prevalent among low-income and minority populations, and such disparities contribute to the cycle of disadvantage experienced by vulnerable populations. Our ongoing work examining how socio-cultural factors contribute to poor contraceptive behaviors among low-income, African-American and white women has revealed that pregnancy-promoting and coercive behavior by their male partners may play a significant role in the high unintended pregnancy rates observed in these populations. National and international family planning advocates and guidelines are calling for engaging men more actively in contraceptive decision making, yet the dearth of literature on men's attitudes towards contraceptive use and pregnancy and how attitudes may vary by race curtails the development of culturally-relevant interventions. Therefore, gaining insight into men's fertility-related attitudes and behaviors is a critical next step. We propose to conduct a qualitative study utilizing in-depth interviews with 60 low-income, adult AA and white men in Pittsburgh to gain insight about men's fertility intentions and behavior in a population that is at high risk of unintended pregnancy. A particular focus of this study will be to examine attitudes and social norms regarding reproductive coercion as one potential end of the spectrum of male fertility behavior. We will also pay close attention to themes that appear to be unique to each of the two racial groups. The specific aims of the study are to: 1) describe the spectrum of fertility intentions and behaviors among low-income men, 2) explore the relationship between men's fertility intentions and behaviors; and 3) understand how cultural and structural factors shape men's fertility intentions and behaviors. As male partners appear to play a significant role in pregnancy decisions and outcomes, there is a need to better understand their contextualized perspectives on contraception, pregnancy, and parenthood. This study will complement our ongoing qualitative work with women to provide a more complete picture of the factors that influence family planning and allow us to pinpoint specific contextual factors that contribute to poor contraceptive behaviors and risk for unintended pregnancy among low-income, AA and white populations in Pittsburgh, PA. The ultimate goal of this research is to empower women and men, regardless of race or socioeconomic status, to make effective reproductive decisions and reduce unintended and/or unilaterally- desired pregnancies.