Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse

Laura E. T. Swan, Samantha L. Auerbach, Gretchen E. Ely, Kafuli Agbemenu, Jessica Mencia and Nimah R. Araf
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Laura E. T. Swan: School of Social Work, Virginia Commonwealth University, Richmond, Virginia, VA 23284, USA
Samantha L. Auerbach: School of Nursing, University at Buffalo, Buffalo, New York, NY 14260, USA
Gretchen E. Ely: School of Social Work, University at Buffalo, Buffalo, New York, NY 14260, USA
Kafuli Agbemenu: School of Nursing, University at Buffalo, Buffalo, New York, NY 14260, USA
Jessica Mencia: School of Social Work, University at Buffalo, Buffalo, New York, NY 14260, USA
Nimah R. Araf: Department of Psychology, University at Buffalo, Buffalo, New York, NY 14260, USA

IJERPH, 2020, vol. 17, issue 4, 1-25

Abstract: Reproductive health disparities in the Appalachian region may be driven by barriers to healthcare access. However, the barriers specific to accessing family planning services in Appalachia have not yet been identified from the perspectives of Appalachian community members. Moreover, it is unclear how community members might perceive elevated levels of opioid use in the region to impact family planning practices. To fill this gap in knowledge, the current qualitative study explored community perspectives about family planning in Appalachia in the context of the opioid epidemic for the purpose of developing a survey instrument based on these responses. We conducted three video call focus group interviews with community stakeholders, those who live, work and are invested in Appalachia ( N = 16), and analyzed the responses using Levesque, Harris, and Russell’s (2013) five pillars of healthcare access as a framework to categorize family planning practices and perceptions of service needs in the context of regional substance abuse: (1) approachability, (2) acceptability, (3) availability and accommodation, (4) affordability, and (5) appropriateness. Subthemes within each of these five categories were also identified. Our findings highlight stakeholder concerns around a lack of knowledge about and access to family planning services in Appalachia. Community members also expressed concern around the lack of availability of substance use treatment services, which may negatively impact family planning use and access in the region.

Keywords: reproductive health; pregnancy; contraception; rural health; opioid use; healthcare access; Appalachia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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