"I got caught up in the game": Generational influences on contraceptive decision making in African–American women. Issue 3 (14th August 2012) - Harris, Allyssa L.
Abstract: Purpose: 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 sources: 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. Conclusions: 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.