RACIAL DIFFERENCES IN PROTECTIONS AGAINST PREGNANCY: COMPETING GOALS AND DECISIONS

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dc.contributor.advisorKahn, Joanen_US
dc.contributor.authorYoung Harrison, Eownaen_US
dc.contributor.departmentSociologyen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2019-06-22T05:33:08Z
dc.date.available2019-06-22T05:33:08Z
dc.date.issued2018en_US
dc.description.abstractRacial disparities in unintended pregnancy are largely related to differences in contraceptive practices. Black women are less likely to use an effective contraceptive and more likely to discontinue a method compared to their White counterparts. More concerning is that the Black-White gap in these protections against unintended pregnancy may have widened over time. Reasons for these racial disparities and the pathways to contraceptive practices that leave at-risk women vulnerable to unintended pregnancy are unexplained This project addresses some of the existing gaps in the literature by using a mixed-methods approach to 1) investigate the various factors contributing to Black-White differences in contraceptive practices over time and 2) explore the contraceptive decision-making of women at high risk of unintended pregnancy. Using multinomial logistic regression and a Fairlie decomposition on data from the National Survey of Family Growth 1988 and 2011-2015 survey cycles, I analyze contraceptive use and effective method choice of young adult women. Results reveal that the Black-White gap in contraceptive practices in 2011-2015 are 2-3 times larger than in 1988. Very few factors were statistically significant at explaining the 13% Black-White difference in 2011-2015. Interviews with Black women in Philadelphia were used to improve our understanding of contraceptive practices that are less effective at protecting against pregnancy. Findings highlight criteria for method selection, concern for STDs, and partner trust as key factors guiding contraceptive practices.en_US
dc.identifierhttps://doi.org/10.13016/8izp-rerd
dc.identifier.urihttp://hdl.handle.net/1903/22166
dc.language.isoenen_US
dc.subject.pqcontrolledSociologyen_US
dc.subject.pqcontrolledPublic healthen_US
dc.subject.pquncontrolledBehavior Modelen_US
dc.subject.pquncontrolledContraceptionen_US
dc.subject.pquncontrolledContraceptiveen_US
dc.subject.pquncontrolledFamily Planningen_US
dc.subject.pquncontrolledFertilityen_US
dc.subject.pquncontrolledMixed-Methodsen_US
dc.titleRACIAL DIFFERENCES IN PROTECTIONS AGAINST PREGNANCY: COMPETING GOALS AND DECISIONSen_US
dc.typeDissertationen_US

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