The purpose of this paper is to describe how culturally patterned beliefs and values influence fertility decisions and contraceptive behavior. Specifically, the data document and describe the knowledge and beliefs about the body and reproductive physiology and how various sources of information about contraceptives are integrated within these belief systems. The sample consists of low-income urban African –American and white women ages 20 – 29, who are included in a longitudinal study of unintended pregnancy and contraceptive use that included 1,500 women in the fourth round of the survey. For this analysis, others who did not participate in the longitudinal survey were interviewed (male partner and mothers), and included in focus groups (male partners and other, similar men, and older women). This qualitative research is based on 67 semi-structured in-depth interviews and 21 focus groups conducted during March – July 1998. The data collection instruments and analysis were guided by data from the longitudinal study. The data illustrate the cultural and contextual factors affecting the interpretation of menstruation, pregnancy, fecundability and fertility regulation. Salient among these data are the interpretations of alterations in the body and bleeding patterns experienced as contraceptive side effects. These perceptions are discussed in relation to contraceptive acceptability, continuation and adherence.
Learning Objectives: At the conclusion of the session, the participant will able to: 1. Describe several cultural beliefs about the body and reproductive functions held by low-income African-American and white women. 2. Discuss how low-income African-American and white women’s understanding of contraceptive regimens and side effects may be influenced by their cultural beliefs about “natural” body processes. 3. Recognize the importance of understanding cultural beliefs about the body, reproduction, and contraception in communicating with family planning clients and understanding their choice and use of contraceptives and non-adherence.
Keywords: Contraception, Culture
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.