The Impact of Structural Determinants on Pregnancy Intention and Reproductive Decision-Making Among African American Women

Participants reported high importance of self-reflection, career and education, and low importance of male partners, when considering whether to pursue pregnancy, prevent pregnancy, and/or use contraception. Findings illustrate participants' reproductive health experiences were impacted by structural and social determinants. Results help document opportunities for policies and practices to attend to structural determinants versus individuals' reproductive trajectories.