“I got caught up in the game”: Generational influences on contraceptive decision making in African–American women
Article first published online: 14 AUG 2012
©2012 The Author(s) Journal compilation ©2012 American Association of Nurse Practitioners
Journal of the American Academy of Nurse Practitioners
Volume 25, Issue 3, pages 156–165, March 2013
How to Cite
Harris, A. L. (2013), “I got caught up in the game”: Generational influences on contraceptive decision making in African–American women. Journal of the American Academy of Nurse Practitioners, 25: 156–165. doi: 10.1111/j.1745-7599.2012.00772.x
- Issue published online: 1 MAR 2013
- Article first published online: 14 AUG 2012
- Manuscript Accepted: MAR 2011
- Manuscript Received: AUG 2010
- African American;
- decision making;
- women's health
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.
Implications for practice
Clinicians' knowledge of African–American culture, beliefs, and family values is key when providing guidance about contraception to these young women.