Low-Income Men at the Margins: Caught at the Intersection of Race, Place, and Poverty

Simms, Margaret C.; McDaniel, Marla; Monson, W. J.; Fortuny, Karina

doi:10.1037/e501372014-001

Cited by 3 publications

(3 citation statements)

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“…One of the reasons that low-income men infrequently rely on vasectomy may be due to their limited access to the method because they often are uninsured or covered by public insurance programs like Medicaid ( Hinton & Artiga, 2016 ; Simms, McDaniel, Monson, & Fortuny, 2013 ). This may make it difficult for them to obtain care in the private sector where there are few specialty providers that accept Medicaid and the cost of the procedure ranges from $300 to $3,500 ( Carlozo, 2012 ; Decker, 2013 ).…”

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confidence: 99%

Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas

et al. 2017

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Few publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization’s vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women’s health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men’s reproductive health care. Respondents often did not perceive men’s reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women’s health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services.

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confidence: 99%

Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas

et al. 2017

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“…The Urban Institute commissioned 14 ethnographers to explore the lived experiences of these men in an effort to suggest strategies for improving their well-being (Simms et al, 2014). The ethnographers reported that most of the men wanted to be fathers but felt that, if they could not be good providers, they had nothing to offer their families.…”

Section: Reconstructing the Heterosexual Familymentioning

confidence: 99%

“…Because of the intersectionality of poverty, race, and ethnicity, lowincome families of color are unaffected by many of the social forces that are contributing to changes in other groups in U.S. society. A recent publication from the Urban Institute (Simms, McDaniel, Monson, & Fortuny, 2014) estimated that 16.5 million men of color between the ages of 18 and 44 live below 200% of the federal poverty level. Many of them are not pursuing jobs or educational opportunities.…”

Section: Reconstructing the Heterosexual Familymentioning

confidence: 99%