"I got caught up in the game": generational influences on contraceptive decision making in African-American women
Harris, A.L.
Journal of the American Association of Nurse Practitioners 25(3): 156-165
2013
ISSN/ISBN: 2327-6924 PMID: 24218203 DOI: 10.1111/j.1745-7599.2012.00772.xDocument Number: 577333
Reproductive health disparities are a significant issue for African-American adolescents. This study was designed to explore the cross-generational influences on adolescent sexuality in a cohort of daughters/granddaughters of U.S. born African-American women. Data were generated through interviews with triads of African-American women: grandmothers, and their daughters and granddaughters, to gain insight into the phenomena of early sexual debut, high rates of unintended pregnancies, HIV/AIDS, and other sexually transmitted infections from a cross-generational perspective. Six themes emerged from the data: southern influences; a worldview of relationships; communication-key to preparedness; seeking information from mom; "I got caught up in the game"; and contraceptive use and beliefs. In this sample, mothers' and grandmothers' culture, values, and beliefs significantly influenced the adolescents' sexual and reproductive decision making. Clinicians' knowledge of African-American culture, beliefs, and family values is key when providing guidance about contraception to these young women.