Perceptions of coercion, discrimination and other negative experiences in postpartum contraceptive counseling for low-income minority women

Research output: Contribution to journalReview articlepeer-review

56 Scopus citations

Abstract

Background. Using in-depth qualitative methods, we investigated negative contraception counseling experiences, including those felt to be coercive or discriminatory, in a population of postpartum urban minority women. Methods. Brief surveys and semi-structured interviews were conducted with 30 consenting postpartum women who had received care at a Medicaid-funded obstetrics clinic. In-person one-on-one interviews were then reviewed for themes using an iterative process of qualitative analysis. Results. In this sample of African American (63%) and Hispanic (37%) women (median age 26), 73% had unplanned pregnancies. Features of negative counseling experiences included having insufficient, non-physician-directed and impersonal counseling. Most women had experienced episodes of poor communication with providers; 10 described feeling coerced or perceiving racially-based discrimination in counseling. Conclusions. Negative experiences with contraceptive counseling may affect contraception utilization. Contraceptive education should respect each individual's autonomy, culture, and values.

Original languageEnglish (US)
Pages (from-to)1387-1400
Number of pages14
JournalJournal of health care for the poor and underserved
Volume22
Issue number4
DOIs
StatePublished - Nov 2011

Keywords

  • Contraception
  • Contraception counseling
  • Discrimination
  • Shared decision-making

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Perceptions of coercion, discrimination and other negative experiences in postpartum contraceptive counseling for low-income minority women'. Together they form a unique fingerprint.

Cite this