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

项目概要/摘要 在美国，意外怀孕是一个严重的问题，对妇女有不良后果， 他们的孩子和社会。意外怀孕在低收入和少数民族中特别普遍 这种差距助长了弱势群体所经历的不利处境的循环， 人口数量。我们正在进行的工作，研究社会文化因素如何导致避孕措施不佳 低收入，非洲裔美国人和白色妇女的行为表明， 男性伴侣的强迫行为可能在高意外怀孕率中起着重要作用 观察这些人群。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， 对避孕药具使用和怀孕的态度以及态度如何因种族而异， 制定与文化相关的干预措施。因此，深入了解男性的生育能力 态度和行为是关键的下一步。 我们建议进行一项定性研究，利用深入访谈60低收入，成人AA和 在匹兹堡的白色男性中， 意外怀孕的高风险。这项研究的一个特别重点将是审查态度和社会 关于生殖胁迫作为男性生育行为光谱的一个潜在末端的规范。我们将 也要密切关注两个种族群体各自独有的主题。具体目标 该研究的主要目的是：1）描述低收入男性的生育意愿和行为谱，2） 探索男性生育意愿和行为之间的关系; 3）了解文化和行为如何影响男性生育意愿和行为 结构性因素影响男性的生育意愿和行为。 由于男性伴侣似乎在怀孕决定和结果中发挥着重要作用，因此有必要 更好地了解他们对避孕、怀孕和为人父母的背景观点。本研究 将补充我们正在进行的妇女定性工作，以提供更完整的因素 这些因素影响计划生育，并使我们能够查明造成贫穷的具体背景因素， 低收入、AA和白色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妇女和男子权力，无论种族或性别。 社会经济地位，作出有效的生殖决定，减少意外和/或单方面的- 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.