Just Get on the Pill

Littlejohn, Krystale E.

doi:10.1525/9780520973763

Cited by 12 publications

(23 citation statements)

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“…We suggest that those who make this informed choice to not use contraception should not be considered to have unmet need. Ensuring that everyone has accurate information to make health decisions is extremely important, but the notion that women would only choose not to use contraception if they were ill-informed is steeped in paternalism and gendered assumptions about contraception use ( Littlejohn 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…This research has shown that many people do not plan the timing of their pregnancies, their desired number of children, or other facets of their reproductive lives in the concrete and explicit ways in which researchers attempt to measure them ( Aiken et al 2016 ; Arteaga, Caton, and Gomez 2018 ; Rocca et al 2019 ). Qualitative and quantitative studies have both provided robust evidence that just because a person is not actively seeking a pregnancy does not mean that they would not welcome one ( Yeatman and Smith-Greenaway 2021 ; Huber et al 2017 ; Speizer 2006 ; Johnson-Hanks 2002 ; Gómez et al 2019 ; Manze et al 2021 ; Gomez et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Supply‐Side Versus Demand‐Side Unmet Need: Implications for Family Planning Programs

Senderowicz¹,

Maloney²

2022

Population & Development Rev

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Despite its central importance to global family planning, the "unmet need for contraception" metric is frequently misinterpreted. Often conflated with a lack of access, misinterpretation of what unmet need means and how it is measured has important implications for family planning programs. We review previous examinations of unmet need, with a focus on the roles of access and demand for contraception, as well as the role of population control in shaping the indicator's priorities. We suggest that disaggregating unmet need into "demand-side unmet need" (stemming from lack of demand) and "supply-side unmet need" (stemming from lack of access) could allow current data to be leveraged into a more person-centered understanding of contraceptive need. We use Demographic and Health Survey data from seven sub-Saharan African countries to generate a proof-of-concept, dividing women into unmet need categories based on reason for contraceptive nonuse. We perform sensitivity analyses with varying conceptions of access and disaggregate by education and marital status. We find that demand-side unmet need far exceeds supply-side unmet need in all scenarios. Focusing on supply-side rather than overall unmet need is an imperfect but productive step toward person-centered measurement, while more sweeping changes to family planning measurement are still required.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supply‐Side Versus Demand‐Side Unmet Need: Implications for Family Planning Programs

Senderowicz¹,

Maloney²

2022

Population & Development Rev

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“…''Directions'' Smiler, 2008). Our findings from male identifying youth help to fill this critical gap, indicating that their experiences with non-inclusive SRH education that centers risk and pregnancy prevention puts the onus of responsibility on female identifying youth, termed gendered compulsory birth control by Littlejohn (2021). Such an approach leaves male identifying youth feeling ignorant, powerless, and uninformed about their own SRH.…”

Section: Discussionmentioning

confidence: 79%

“…This ''scientia sexualis,'' as described by Foucault (1978), leaves little room for the range of experiences that are salient to youth, such as desire, consent, and sexual identity (p. 33). Before the 1980s, the predominate goal of SRH education was the prevention of unplanned pregnancy, placing the responsibility for enforcing sexual morality on femaleidentifying youth (Littlejohn, 2021).…”

Section: Introductionmentioning

confidence: 99%

Mind the Gaps: The Need for Inclusion of Male-Identified Voices in Adolescent Sexual and Reproductive Health

Valdez,

Gorry

et al. 2023

Am J Mens Health

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Adolescent sexual and reproductive health (ASRH) inequities are well documented for historically excluded youth (i.e., youth of color, LGBTQIA+ youth, youth with disabilities, recently im/migrated youth) living in the U.S. Northeast. However, the lived experience of male-identifying young people from historically excluded backgrounds in ASRH remains largely unexamined. The purpose of this paper is to present findings related to male-identified perspectives on social constructions of sexuality, sexual and reproductive health, and sexuality education. A research team composed of two local youth-serving organizations, eight youth researchers, and university researchers, used Youth Participatory Action Research (YPAR) methods to examine how structural violence contributes to inequitable ASRH outcomes for historically excluded youth. Photovoice and community mapping were used as YPAR methods. We also completed individual interviews on the same topic with the youth and with 17 key stakeholders that either provide services to youth or are emerging adult service recipients. Community-driven data reveal two major themes around the silencing of male-identified voices in ASRH: lack of culture-centered and gender-expansive approaches for ASRH, and the subsequent toll of sexism and (cis)gendered social and educational norms on young people. Our findings highlight that sexuality education, cisgender hetero culture, and social norms have put the onus of responsibility on people identifying as women for sexual and reproductive health. An unintended consequence of that is that young people identifying as men may feel powerless and uninformed around their own SRH. Our findings illustrate the importance of using culture-centered and gender-transformative approaches to ASRH to address inequity.

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“…Various studies demonstrate how systems of racism, classism, and sexism intersect to shape reproductive health outcomes and impede reproductive autonomy by creating differential access to and experiences within reproductive processes, from contraceptive care to childcare (Bridges 2011;Elliott and Aseltine 2013;Knight 2015;Solazzo 2019). For instance, women are socialized into accepting primary responsibility for contraceptive care and pregnancy avoidance (Littlejohn 2021), and yet, following a long history of discouraging reproduction in marginalized women (Harris and Wolfe 2014;Kimport 2021;Roberts 2014), poor women and women of color report feeling coerced into contraceptive choices (Becker and Tsui 2008;Dehlendorf et al 2010;Gomez and Wapman 2017;Yee and Simon 2011) and face stigmatizing narratives about their fertility (Bridges 2011;Collins 2002;Kimport 2021).…”

Section: Intersectionality and Carementioning

confidence: 99%

“It Wasn’t Very Public-Clinicy”: Client Experiences at Faith-Based Pregnancy Centers

Hutchens

2023

J Health Soc Behav

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Faith-based pregnancy centers strive to offer “alternatives to abortion” that supporters claim aid women and critics assert manipulate pregnant people, stigmatize abortion, and potentially delay clients from obtaining medical care. However, scholars know little about the exchanges within appointments and how clients make sense of these experiences. Drawing on ethnographic observations of client appointments in two pregnancy centers in the West and 29 in-depth interviews with clients, this article uses an intersectional framework to analyze client experiences. Clients favorably compared centers to clinical health care providers, emphasizing the unexpectedly attentive emotional care they received. These evaluations stem from clients’ reproductive histories, which are shaped by gender, racism, and economic inequalities that configure their access to and interactions within the health system. Emotional care serves to create and maintain pregnancy centers’ impression of legitimacy among clients.

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Just Get on the Pill

Cited by 12 publications

References 0 publications

Supply‐Side Versus Demand‐Side Unmet Need: Implications for Family Planning Programs

Supply‐Side Versus Demand‐Side Unmet Need: Implications for Family Planning Programs

Mind the Gaps: The Need for Inclusion of Male-Identified Voices in Adolescent Sexual and Reproductive Health

“It Wasn’t Very Public-Clinicy”: Client Experiences at Faith-Based Pregnancy Centers

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