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. Further, we find that net of race and adolescent experiences with sex and pregnancy, women from more-disadvantaged backgrounds had fewer and longer and thus potentially more serious relationships, used contraception less frequently but not less consistentlyand used less effective methods condoms than women from more-advantaged backgrounds.
Black-white differences in pregnancy behaviors persist in the United States. On average, black women Why do white women like sex with black men their first baby much earlier than white women at age Although teen pregnancy rates have declined dramatically among all racial and ethnic groups in the United States since their peak in the early s Kost and Henshaw "Why do white women like sex with black men," black teens have a pregnancy rate that is nearly three times higher than that of white teens Martinez et al.
Among women of all ages, the unintended pregnancy rate for blacks is more than twice that of whites Finer and Zolnaas is the percentage of unintended births Mosher et al. In this study, we investigate the role of two important proximate determinants of pregnancy—sex and contraceptive use—in producing these black-white differences. We focus on the beginning of the transition to adulthood, from age 18 or 19 through age 20 or 21, which spans a particularly important period of the life course.
Although overall pregnancy rates are higher at older ages, unintended pregnancies—which have been targeted for reduction by Healthy People goals in, and 1 —peak at these ages Finer and Zolna Accordingly, we draw on the life course perspective to conceptualize the links among race, other sociodemographic characteristics, and sexual and contraceptive behaviors.
The life course perspective emphasizes the importance of the timing and sequencing of experiences across the lifespan and proposes that individuals make choices conditional on these experiences and within the constraints and opportunities available to them Elder ; Mayer These behaviors then set the stage for future behavior in adulthood.
However, hypotheses about how sex and contraceptive use change over time are more plentiful than evidence that can actually speak to these questions. For example, researchers have posited that poor women have more serious relationships at younger ages, which contributes to their higher risk of early pregnancy Edin and Kefalasand that black women discontinue their contraceptive methods more frequently than other women Hammerslough ; Trussell and Vaughan Why do bloodless women selfsame sexual intercourse with dark men.Disclaimer
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