Are 'low socioeconomic status' and 'religiousness' barriers to minority women's use of contraception?: A qualitative exploration and critique of a common argument in reproductive health research

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Arousell, Jonna,1985-Uppsala universitet,Internationell kvinno- och mödrahälsovård och migration,Department of Women's and Children's Health (IMCH), Uppsala University, 751 85 Uppsala, Sweden (author)

Are 'low socioeconomic status' and 'religiousness' barriers to minority women's use of contraception? : A qualitative exploration and critique of a common argument in reproductive health research

Article/chapterEnglish2019

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Elsevier,2019
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LIBRIS-ID:oai:DiVA.org:mau-39195
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-39195URI
https://doi.org/10.1016/j.midw.2019.03.017DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-388751URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Objective: 'Low socioeconomic status' and 'religiousness' appear to have gained status as nearly universal explanatory models for why women in minority groups are less likely to use contraception than other women in the Scandinavian countries. Through interviews with pious Muslim women with immigrant background, living in Denmark and Sweden, we wanted to gain empirical insights that could inform a discussion about what 'low socioeconomic status' and 'religiousness' might mean with regard to women's reproductive decisions. Design: Semi-structured interviews were conducted in Denmark and Sweden between 2013 and 2016. Findings: We found that a low level of education and a low income were not necessarily obstacles for women's use of contraception; rather, these were strong imperatives for women to wait to have children until their life circumstances become more stable. Arguments grounded in Islamic dictates on contraception became powerful tools for women to substantiate how it is religiously appropriate to postpone having children, particularly when their financial and emotional resources were not yet established. Conclusion: We have shown that the dominant theory that 'low socioeconomic status' and 'religiousness' are paramount barriers to women's use of contraception must be problematized. When formulating suggestions for how to provide contraceptive counseling to women in ethnic and religious minority groups in Denmark and Sweden, one must also take into account that factors such as low financial security as well as religious convictions can be strong imperatives for women to use contraception. Implications for practice: This study can help inform a critical discussion about the difficulties of using broad group-categorizations for understanding individuals' health-related behavior, as well as the validity of targeted interventions towards large heterogeneous minority groups in Scandinavian contraceptive counseling. (C) 2019 The Authors. Published by Elsevier Ltd.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Muslim women
Immigrant women
Contraceptive use
Reproductive health
Denmark
Sweden
Hälsa och samhälle
Health and society

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Carlbom, AjeMalmö universitet,Institutionen för socialt arbete (SA),Malmo Univ, Fac Hlth & Soc, S-20506 Malmo, Sweden(Swepub:mau)hsajca (author)
Johnsdotter, SaraMalmö universitet,Institutionen för socialt arbete (SA),Malmo Univ, Fac Hlth & Soc, S-20506 Malmo, Sweden(Swepub:mau)hssajo (author)
Essén, Birgitta,1961-Uppsala universitet,Internationell kvinno- och mödrahälsovård och migration,Department of Women's and Children's Health (IMCH), Uppsala University, 751 85 Uppsala, Sweden(Swepub:uu)bires412 (author)
Uppsala universitetInternationell kvinno- och mödrahälsovård och migration (creator_code:org_t)

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In:Midwifery: Elsevier75, s. 59-650266-61381532-3099

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