Purpose: Little is known about barriers that Latinas in the United States face in preventing unintended pregnancies beyond those of language and cost. This study examined factors inhibiting contraceptive use among 18- to 30-year-old Latinas in the Midwest. Method: Individual interviews (N = 31) were conducted in Spanish with Latinas residing across the state. The interview protocol included questions about contraceptives and unintended pregnancies. Interviews were recorded, transcribed, translated, and coded for themes related to barriers. Results: The majority of the barriers were related to communication but not English proficiency. Respondents talked about specific situations and experiences in which communication presented obstacles to using contraceptives. Discussion: While language and cost are important barriers, attention needs to be paid to the other communication issues that women face related to culture, religion, partners, family, and spontaneity. Implications: Health care providers need to address the range of communication barriers that affect Latinas’ contraceptive use.
AnchetaR.HynesC.ShrierL. A. (2005). Reproductive health education and sexual risk taking among high-risk female adolescents and young adults. Journal of Pediatric and Adolescent Gynecology, 18, 105-111.
2.
AsamoaK.RodriguezM.GinesV.VarelaR.DominguezK.MillsC. G.. . . Beck-SaguéC. M. (2004). Report from the CDC: Use of preventive health services by Hispanic Latinas in two urban communities: Atlanta, Georgia, and Miami, Florida, 2000 and 2001. Journal of Women’s Health, 13, 54-661.
3.
BarrD. A.WanatS. F. (2005). Listening to patients: Cultural and linguistic barriers to health care access. Family Medicine, 37, 199-204.
4.
CubbinC.BravemanP. A.MarchiK. S.ChavezG. F.SantelliJ. S.GilbertB. J. (2002). Socioeconomic and racial/ethnic disparities in unintended pregnancy among postpartum women in California. Maternal and Child Health Journal, 6, 237-246.
5.
DavisonW. (1983). The third-person effect in communication. Public Opinion Quarterly, 47(1), 1-15.
6.
FinerL. B.HenshawS. K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38, 90-96.
7.
Guilamo-RamosV.DittusP.JaccardJ.GoldbergV.CasillasE.BourisA. (2006). The content and process of mother-adolescent communication about sex in Latino families. Social Work Research, 30(30), 169-181.
8.
GutmannM. C. (2007). Fixing men: Sex, birth control and AIDS in Mexico. Berkeley: University of California Press.
9.
HirschJ. S.HigginsJ.BentleyM. E.NathansonC. A. (2002). The social constructions of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. American Journal of Public Health, 92(8), 1227-1237.
10.
HutchinsonM. K.JemmottJ. B. I.JemmottL. S.BravermanP.FongG. T. (2003). The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: a prospective study. Journal of Adolescent Health, 33, 98–107.
11.
JonesM. E.BondM. L.GardnerS. H. (2002). Acculturation level and family planning patterns of Hispanic immigrant women. American Journal of Maternal/Child Nursing, 27, 26-32.
12.
KaplanC. P.EricksonP. I.Juarez-ReyesM. (2002). Acculturation, gender role orientation, and reproductive risk taking behavior among Latina adolescent family planning clients. Journal of Adolescent Research, 17, 103-121.
13.
LeeJ.HahmH. C. (2010). Acculturation and sexual risk behaviors among Latina adolescents transitioning to young adulthood. Journal of Youth & Adolescence, 39, 414-427.
14.
MinnisA. M.PadinaN. S. (2001). Reproductive health differences among Latin American– and US-born young women. Journal of Urban Health, 78, 627-637.
RaffaelliM.GreenS. (2003). Parent-adolescent communication about sex: Retrospective reports by Latino college students. Journal of Marriage and Family, 65, 474-481.
17.
RiveraC. P.MendezC. B.GueyeN. A.BachmannG. A. (2007). Family planning attitudes of medically underserved Latinas. Journal of Women’s Health, 16, 879-882.
18.
SableM. R.HavigK.SchwartzL. R.ShawA. (2009). Hispanic immigrant women talk about family planning. Journal of Women and Social Work, 24, 137-151.
19.
Sangi-HaghpeykarH.AliN.PosnerS.PoindexterA. N. (2006). Disparities in contraceptive knowledge, attitude and use between Hispanic and non-Hispanic Whites. Contraception, 74, 546-551.
20.
SoboE. J. (1994). Attitudes toward HIV testing among impoverished inner-city African American women, Medical Anthropology, 16, 1-22.
UlinP. R.RobinsonR. T.TolleyE. E. (2005). Qualitative methods in public health: A field guide for applied research. San Francisco: Jossey-Bass.
23.
WarrenJ. T.HarveyS. M.BovbjergM. L. (2011). Characteristics related to effective contraceptive use among a sample of nonurban Latinos. Perspectives on Sexual and Reproductive Health, 43(4), 255-262.
