"everything i know i learned from my mother...or not": Perspectives of African-American and white women on decisions about tubal sterilization

Sonya Borrero, Cara Nikolajski, Keri L. Rodriguez, Mitchell D Creinin, Robert M. Arnold, Said A. Ibrahim

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES: The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process. DESIGN: We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method. PARTICIPANTS: The participants of the study were 24 African-American women and 14 white women. APPROACH: Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups. RESULTS: Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure. CONCLUSION: Socio-cultural differences may help explain why black and white women choose different contraceptive methods.

Original languageEnglish (US)
Pages (from-to)312-319
Number of pages8
JournalJournal of General Internal Medicine
Volume24
Issue number3
DOIs
StatePublished - Mar 2009
Externally publishedYes

Fingerprint

Tubal Sterilization
African Americans
Mothers
Contraception
Reproductive Sterilization
Focus Groups
Decision Making
Emotions

Keywords

  • Decision making
  • Focus groups
  • Qualitative research
  • Race
  • Tubal sterilization

ASJC Scopus subject areas

  • Internal Medicine

Cite this

"everything i know i learned from my mother...or not" : Perspectives of African-American and white women on decisions about tubal sterilization. / Borrero, Sonya; Nikolajski, Cara; Rodriguez, Keri L.; Creinin, Mitchell D; Arnold, Robert M.; Ibrahim, Said A.

In: Journal of General Internal Medicine, Vol. 24, No. 3, 03.2009, p. 312-319.

Research output: Contribution to journalArticle

Borrero, Sonya ; Nikolajski, Cara ; Rodriguez, Keri L. ; Creinin, Mitchell D ; Arnold, Robert M. ; Ibrahim, Said A. / "everything i know i learned from my mother...or not" : Perspectives of African-American and white women on decisions about tubal sterilization. In: Journal of General Internal Medicine. 2009 ; Vol. 24, No. 3. pp. 312-319.
@article{7177367b31224bfb9a854a8a43306a3d,
title = "{"}everything i know i learned from my mother...or not{"}: Perspectives of African-American and white women on decisions about tubal sterilization",
abstract = "Background: African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES: The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process. DESIGN: We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method. PARTICIPANTS: The participants of the study were 24 African-American women and 14 white women. APPROACH: Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups. RESULTS: Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure. CONCLUSION: Socio-cultural differences may help explain why black and white women choose different contraceptive methods.",
keywords = "Decision making, Focus groups, Qualitative research, Race, Tubal sterilization",
author = "Sonya Borrero and Cara Nikolajski and Rodriguez, {Keri L.} and Creinin, {Mitchell D} and Arnold, {Robert M.} and Ibrahim, {Said A.}",
year = "2009",
month = "3",
doi = "10.1007/s11606-008-0887-3",
language = "English (US)",
volume = "24",
pages = "312--319",
journal = "Journal of General Internal Medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "3",

}

TY - JOUR

T1 - "everything i know i learned from my mother...or not"

T2 - Perspectives of African-American and white women on decisions about tubal sterilization

AU - Borrero, Sonya

AU - Nikolajski, Cara

AU - Rodriguez, Keri L.

AU - Creinin, Mitchell D

AU - Arnold, Robert M.

AU - Ibrahim, Said A.

PY - 2009/3

Y1 - 2009/3

N2 - Background: African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES: The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process. DESIGN: We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method. PARTICIPANTS: The participants of the study were 24 African-American women and 14 white women. APPROACH: Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups. RESULTS: Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure. CONCLUSION: Socio-cultural differences may help explain why black and white women choose different contraceptive methods.

AB - Background: African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES: The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process. DESIGN: We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method. PARTICIPANTS: The participants of the study were 24 African-American women and 14 white women. APPROACH: Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups. RESULTS: Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure. CONCLUSION: Socio-cultural differences may help explain why black and white women choose different contraceptive methods.

KW - Decision making

KW - Focus groups

KW - Qualitative research

KW - Race

KW - Tubal sterilization

UR - http://www.scopus.com/inward/record.url?scp=60449089820&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=60449089820&partnerID=8YFLogxK

U2 - 10.1007/s11606-008-0887-3

DO - 10.1007/s11606-008-0887-3

M3 - Article

C2 - 19107540

AN - SCOPUS:60449089820

VL - 24

SP - 312

EP - 319

JO - Journal of General Internal Medicine

JF - Journal of General Internal Medicine

SN - 0884-8734

IS - 3

ER -