This article examines the endorsement of conspiracy beliefs about birth control (e.g., the belief that birth control is a form of Black genocide) and their association with contraceptive attitudes and behavior among African Americans. The authors conducted a telephone survey with a random sample of 500 African Americans (aged 15-44). Many respondents endorsed birth control conspiracy beliefs, including conspiracy beliefs about Black genocide and the safety of contraceptive methods. Stronger conspiracy beliefs predicted more negative attitudes toward contraceptives. In addition, men with stronger contraceptive safety conspiracy beliefs were less likely to be currently using any birth control. Among current birth control users, women with stronger contraceptive safety conspiracy beliefs were less likely to be using contraceptive methods that must be obtained from a health care provider. Results suggest that conspiracy beliefs are a barrier to pregnancy prevention. Findings point to the need for addressing conspiracy beliefs in public health practice.
Beck, L. F., Morrow, B., Lipscomb, L. E., Johnson, C. H., Gaffield, M. E., Rogers, M., et al. (2002). Prevalence of selected and maternal behaviors and experiences, Pregnancy Risk Assessment Monitoring System (PRAMS), 1999Morbidity and Mortality Weekly Report. Surveillance Summaries, 151, 1-26.
2.
Bird, S. T., & Bogart, L. M. (2003). Birth control conspiracy beliefs, perceived discrimination, and contraception among African Americans: An exploratory studyJournal of Health Psychology, 8, 263-276.
3.
Bird, S. T., & Bogart, L. M. (2005). Conspiracy beliefs about HIV/AIDS and birth control among African Americans: Implications for the prevention of HIV, other STIs, and unintended pregnancyJournal of Social Issues, 61, 109-126.
4.
Corbie-Smith, G., Thomas, S. B., & St. George, D. M. M. (2002). Distrust, race, and researchArchives of Internal Medicine, 162, 2458-2463.
5.
Corbie-Smith, G., Thomas, S. B., & Williams, M. V., & Moody-Ayers, S. (1999). Attitudes and beliefs of African Americans toward participation in medical researchJournal of General Internal Medicine, 14, 537-546.
6.
Darity, W. A., & Turner, C. B. (1972). Family planning, race consciousness and the fear of race genocideAmerican Journal of Public Health, 62, 1454-1459.
7.
Farrell, W. C., & Dawkins, M. P. (1979). Determinants of genocide fear in a rural Texas community: A research noteAmerican Journal of Public Health, 69, 605-607.
8.
Grady, W. R., Koray, T., Billy, J. O. G., & Lincoln-Hanson, J. (1996). Men’s perceptions of their roles and responsibilities regarding sex, contraception, and childbearingFamily Planning Perspectives, 28, 221-226.
9.
Harvey, S. M., Bird, S. T., De Rosa, C. J., Montgomery, S. B., & Rohrbach, L. A. (2003). Sexual decision making and safer sex behavior among young female injection drug users and female partners of IDUsJournal of Sex Research, 40, 50-60.
10.
Harvey, S. M., Bird, S. T., Galavotti, C., Duncan, E. A. W., & Greenberg, D. (2002). Relationship power, sexual decision-making and condom use among women at risk for HIV/STDsWomen & Health, 36, 69-84.
11.
Henshaw, S. K. (1998). Unintended pregnancy in the United StatesFamily Planning Perspectives, 30, 24-29.
12.
Kaiser, H. F. (1960). The application of electronic computers to factor analysisEducational and Psychological Measurement, 20, 141-151.
13.
LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000). Attitudes about racism, medical mistrust, and satisfaction with care among African American and White cardiac patients. Medical Care Research and Review, 57(Suppl. 1), 146-161.
14.
Lillie-Banton, M., Brodie, M., Rowland, D., Altman, D., & McIntosh, M. (2000). Race, ethnicity, and the health care system: Public perceptions and experiences. Medical Care Research and Review, 57(Suppl. 1), 218-235.
15.
Nunnally, J. C. (1970). Introduction to psychological measurement. New York: McGraw-Hill.
16.
Parsons, S., Simmons, W., Shinhoster, F., & Kilburn, J. (1999). A test of the grapevine: An empirical examination of conspiracy theories among African Americans. Social Spectrum, 19, 201-222.
17.
Piccinino, L. J., & Mosher, W. D. (1998). Trends in contraceptive use in the United StatesFamily Planning Perspectives, 30, 4-11.
18.
Quimby, E. (1993). Obstacles to reducing AIDS among African AmericansJournal of Black Psychology, 19, 215-222.
19.
Roberts, D. (1998). Killing the Black body: Race, reproduction, and the meanings of liberty. New York: Vintage.
20.
Sengupta, S., Strauss, R. P., DeVellis, R., Quinn, S. C., DeVellis, B., & Ware, W. B. (2000). Factors affecting African-American participation in AIDS researchJournal of Acquired Immune Deficiency Syndromes, 24, 275-284.
21.
Thompson, H. S., Valdimarsdottir, H. B., Winkel, G., Jandorf, L., & Redd, W. (2004). The Group-Based Medical Mistrust Scale: Psychometric properties and association with breast cancer screeningPreventive Medicine, 38, 209-218.
22.
Trussell, J., Strickler, J., & Vaughan, B. (1993). Contraceptive efficacy of the diaphragm, the sponge and the cervical capFamily Planning Perspectives, 25, 100-105.
23.
Trussell, J., & Vaughan, B. (1999). Contraceptive failure, method-related discontinuation and resumption of use: Results from the 1995 National Survey of Family GrowthFamily Planning Perspectives, 31, 64-72.
24.
Turner, C., & Darity, W. A. (1973). Fears of genocide among Black Americans as related to age, sex, and regionAmerican Journal of Public Health, 63, 1029-1034.
25.
Woodsong, C., Shedlin, M., & Koo, H. (2004). The “natural” body, God and contraceptive use in the Southeastern United StatesCulture, Health, & Sexuality, 6, 61-78.
