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Black-White Differences in Sex and Contraceptive Use Among Young Women

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Furthermore, between and , adolescent pregnancy rates among African Americans decreased from The societal view of adolescent pregnancy and birth in the United States is decidedly negative, and a large body of scientific research supports this opinion. Based on these findings, there is potential for long-term negative consequences associated with adolescent pregnancy, particularly among African Americans. Therefore, there is a continued need for studies that explore the sexual decision-making processes of African American adolescent girls in regards to adolescent pregnancy. Many of these positive perceptions of adolescent births have been elicited from pregnant or parenting adolescents in qualitative studies. Geronimus noted that adolescent pregnancy was normative and protective, specifically in African-American impoverished communities where adolescents had a multigenerational family and community support system in place to help them succeed as parents.
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Never-Pregnant African American Adolescent Girls’ Perceptions of Adolescent Pregnancy

We investigate hypotheses about dynamic processes in these behaviors during early adulthood in order to shed light on persisting racial differences in rates of unintended pregnancies in the United States. We find that net of other sociodemographic characteristics and adolescent experiences with sex and pregnancy, black women spent less time in relationships and had sex less frequently in their relationships than white women, but did not differ in the number of relationships they formed or in their frequency or consistency of contraceptive use within relationships. Black women were more likely to use less effective methods for pregnancy prevention e. And although the most effective method for pregnancy prevention—long-acting reversible contraception LARC —was used more often by black women than white women, LARC use was low in both groups. In addition, black women did not differ from white women in their number of discontinuations or different methods used and had fewer contraceptive method switches.
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