TY - JOUR
T1 - Perceptions of coercion, discrimination and other negative experiences in postpartum contraceptive counseling for low-income minority women
AU - Yee, Lynn M.
AU - Simon, Melissa A.
PY - 2011/11
Y1 - 2011/11
N2 - 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.
AB - 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.
KW - Contraception
KW - Contraception counseling
KW - Discrimination
KW - Shared decision-making
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U2 - 10.1353/hpu.2011.0144
DO - 10.1353/hpu.2011.0144
M3 - Review article
C2 - 22080717
AN - SCOPUS:81255134919
SN - 1049-2089
VL - 22
SP - 1387
EP - 1400
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 4
ER -