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Theses and Dissertations

2021

African American Women

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The Impact Of Structural Determinants On Pregnancy Intention And Reproductive Decision Making Among African American Women, Jill Strickland Denson Aug 2021

The Impact Of Structural Determinants On Pregnancy Intention And Reproductive Decision Making Among African American Women, Jill Strickland Denson

Theses and Dissertations

ABSTRACTTHE IMPACT OF STRUCTURAL DETERMINANTS ON PREGNANCY INTENTION AND REPRODUCTIVE DECISION MAKING AMONG AFRICAN AMERICAN WOMEN

BACKGROUND: Nearly half of U.S. pregnancies are unintended with African American women having the highest rates of unintended pregnancies and many of the poorest pregnancy-related health outcomes. Intersectional approaches are needed to better understand how intersecting oppressions effect pregnancy intentions in African American women’s lives. This study examined African American women’s intersectional identities related to pregnancy intention, experiences accessing reproductive care, and making reproductive decisions. METHODS: This mixed-methods participatory study used Group Concept Mapping (GCM) along with four questionnaires (reproductive history, Adverse Childhood Experiences, …