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Am J Public Health. 2007 Oct;97(10):1803-7. Epub 2007 Aug 29.

Intersections of ethnicity and social class in provider advice regarding reproductive health.

Author information

  • 1Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md, USA. robertadowning@yahoo.com

Abstract

OBJECTIVES:

We examined how ethnicity and social class influence women's perceptions of reproductive health care. Of primary interest was assessing whether health care providers are perceived as advising low-income women, particularly women of color, to limit their childbearing and to what extent they feel they are discouraged by providers from having future children.

METHODS:

Ethnically diverse, low-income (n=193) and middle-class women (n=146) completed a questionnaire about their pregnancy-related health care experiences.

RESULTS:

Logistic regression analyses revealed that low-income women of color experienced greater odds of being advised to limit their childbearing than did middle-class White women. A separate model demonstrated that low-income Latinas reported greater odds of being discouraged from having children than did middle-class White women.

CONCLUSIONS:

Low-income women of color were more likely to report being advised to limit their childbearing and were more likely to describe being discouraged from having children than were middle-class White women. More research is needed regarding how ethnicity and social class impact women's experiences with reproductive health care.

PMID:
17761569
PMCID:
PMC1994173
DOI:
10.2105/AJPH.2006.092585
[PubMed - indexed for MEDLINE]
Free PMC Article
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