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

低收入男性生育意愿和行为的种族差异

• 批准号: 8638089
• 负责人: SONYA B. BORRERO
• 金额: $ 22.99万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-01 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8638089
• 关键词: Adult; Advocate; African American; Attention; Attitude; Behavior; Child; Coercion; Complement; Complex; Contraception Behavior; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Control Locus; Country; Couples; Data Analyses; Decision Making; Development; Disadvantaged; Family Planning; Fertility; Goals; Guidelines; International; Intervention; Interview; Literature; Low Income Population; Low income; Minority; Minority Groups; Outcome; Participant; Pattern; Play; Population; Pregnancy; Pregnancy Rate; Race; Research; Risk; Role; Services; Sex Behavior; Sexuality; Shapes; Societies; Socioeconomic Status; United States; Vulnerable Populations; Woman; Work; adverse outcome; comparative; contextual factors; empowered; experience; fatherhood; high risk; insight; male; men; pressure; programs; public health relevance; racial difference; reproductive; social norm; unintended pregnancy

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.

项目概要/摘要 意外怀孕在美国是一个严重问题，给女性带来不利后果， 他们的孩子和社会。意外怀孕在低收入群体和少数族裔中尤其普遍 人口，而这种差异导致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不良避孕措施 低收入、非裔美国和白人妇女的行为表明，促进怀孕和 男性伴侣的胁迫行为可能在高意外怀孕率中发挥重要作用 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正在呼吁 男性更积极地参与避孕决策，但缺乏有关男性避孕的文献 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，深入了解与男性生育相关的问题 态度和行为是关键的下一步。 我们建议通过对 60 名低收入成人 AA 和 匹兹堡的白人男性，以深入了解男性的生育意愿和行为 意外怀孕的风险很高。这项研究的一个特别重点是考察态度和社会 将生殖胁迫视为男性生育行为范围的潜在一端的规范。我们将 还要密切关注两个种族群体各自独特的主题。具体目标 该研究的目的是：1）描述低收入男性的生育意愿和行为范围，2） 探讨男性生育意愿与行为之间的关系； 3）了解文化和 结构性因素影响男性的生育意图和行为。 由于男性伴侣似乎在怀孕决策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、怀孕和生育的具体观点。这项研究 将补充我们正在进行的与女性有关的定性工作，以更全面地了解这些因素 影响计划生育并使我们能够查明导致贫困的具体背景因素 低收入人群、AA 人群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，无论种族或 社会经济地位，做出有效的生殖决定并减少意外和/或单方面- 期望的怀孕。