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

基本信息

批准号：
8839806
负责人：
SONYA B. BORRERO
金额：
$ 18.66万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-01 至 2018-05-31
项目状态：
已结题

项目摘要

DESCRIPTION: 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.

描述：意外怀孕在美国是一个严重问题，给妇女、她们的孩子和社会带来不利后果。意外怀孕在低收入和少数族裔人群中尤其普遍，这种差异加剧了弱势群体所经历的不利循环。我们正在进行的研究社会文化因素如何导致低收入、非裔美国和白人女性不良避孕行为的研究表明，男性伴侣的促孕和强迫行为可能在观察到的高意外怀孕率中发挥了重要作用在这些人群中。国家和国际计划生育倡导者和指导方针呼吁男性更积极地参与避孕决策，但缺乏关于男性对避孕药具使用和怀孕的态度以及态度如何因种族而异的文献，限制了文化相关干预措施的发展。因此，深入了解男性与生育相关的态度和行为是下一步的关键。我们建议开展一项定性研究，对匹兹堡 60 名低收入成年 AA 和白人男性进行深入访谈，以了解男性在意外怀孕风险较高的人群中的生育意愿和行为。这项研究的一个特别重点将是旨在检查将生殖胁迫作为男性生育行为范围的一个潜在末端的态度和社会规范。我们还将密切关注这两个种族群体各自独特的主题。该研究的具体目的是：1）描述低收入男性的生育意愿和行为范围，2）探索男性生育意愿和行为之间的关系； 3）了解文化和结构因素如何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、怀孕和为人父母的具体观点。这项研究将补充我们正在进行的针对女性的定性工作，以更全面地了解影响计划生育的因素，并使我们能够查明导致低收入、AA 和白人中不良避孕行为和意外怀孕风险的具体背景因素。宾夕法尼亚州匹兹堡的人口。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如何，做出有效的生育决定并减少意外和/或单方面期望的怀孕。