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A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children
We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interv...
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Published in: | Journal of health care for the poor and underserved 2014-05, Vol.25 (2), p.757-770 |
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creator | Kennedy, Sara Grewal, Mandeep Roberts, Elizabeth M Steinauer, Jody Dehlendorf, Christine |
description | We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services. |
doi_str_mv | 10.1353/hpu.2014.0079 |
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Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. 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Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services.</description><subject>Adult</subject><subject>Birth control</subject><subject>Child</subject><subject>Contraception</subject><subject>Contraception - psychology</subject><subject>Contraception - statistics & numerical data</subject><subject>Family planning</subject><subject>Female</subject><subject>Grounded Theory</subject><subject>Health care</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Homeless people</subject><subject>Homeless women</subject><subject>Homelessness</subject><subject>Humans</subject><subject>Ill-Housed Persons - psychology</subject><subject>Intention</subject><subject>Interviews as Topic</subject><subject>Pregnancy</subject><subject>Pregnancy - psychology</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Reproductive health</subject><subject>Reproductive Health Services</subject><subject>San Francisco</subject><subject>Sexual behavior</subject><subject>Studies</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNqNkstr3DAQxkVpadJtj70WQS-9eKP3SpdCWJoHBNKShh6FbI_XXmxpa8kJ-99HZtPt49STBuanbx7fIPSekiXlkp-1u2nJCBVLQlbmBTqlUuhCaWVe5pgIUzCizQl6E-OWEMK54K_RCRNaaq3FKdqe42-T67vkUvcA-C5N9R6HBn8dYeOdr_b42ifwqQseO1_j1AK-jzAj6-DT6CrYHZJD8Bt8FQboIUb8IwceP3apxeu26-sR_Fv0qnF9hHfP7wLdX3z5vr4qbm4vr9fnN0UlDE-FrnnZkEbpqlGgc8-1YJISWEnFtMqIMYqasmFC0lUeqGRUmdJomX8BaQxfoM8H3d1UDlBXMLfZ293YDW7c2-A6-3fGd63dhAcrGGc8Ky7Qp2eBMfycICY7dLGCvncewhQtlZLkelqy_0BZ3jPXfFb9-A-6DdPo8yYyxQWhjGqVqeJAVWOIcYTm2DcldjbcZsPtbLidDc_8hz-HPdK_HM6AOJbdQpWGKcLvylJIZqS9m69mPhoqGCFMav4EM8C2Lg</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Kennedy, Sara</creator><creator>Grewal, Mandeep</creator><creator>Roberts, Elizabeth M</creator><creator>Steinauer, Jody</creator><creator>Dehlendorf, Christine</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>UXAQP</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140501</creationdate><title>A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children</title><author>Kennedy, Sara ; Grewal, Mandeep ; Roberts, Elizabeth M ; Steinauer, Jody ; Dehlendorf, Christine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-8d3bf0f68cf6e8000d42510e75628649399619bf24517033b2169b985bf0e0f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Birth control</topic><topic>Child</topic><topic>Contraception</topic><topic>Contraception - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of health care for the poor and underserved</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kennedy, Sara</au><au>Grewal, Mandeep</au><au>Roberts, Elizabeth M</au><au>Steinauer, Jody</au><au>Dehlendorf, Christine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>25</volume><issue>2</issue><spage>757</spage><epage>770</epage><pages>757-770</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><coden>JHCUEK</coden><abstract>We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>24858884</pmid><doi>10.1353/hpu.2014.0079</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Birth control Child Contraception Contraception - psychology Contraception - statistics & numerical data Family planning Female Grounded Theory Health care Health services Health Services Accessibility Homeless people Homeless women Homelessness Humans Ill-Housed Persons - psychology Intention Interviews as Topic Pregnancy Pregnancy - psychology Qualitative analysis Qualitative Research Reproductive health Reproductive Health Services San Francisco Sexual behavior Studies Womens health Young Adult |
title | A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children |
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