Eileen Gajo, Jacob Oberwetter, Merin Mathew, Moumita Dam, Timothy Sanborn, Lynn G Chehab
Correlation of Sugar-Sweetened Beverage Consumption and School Free and Reduced Lunch Eligibility as a Measure of Socioeconomic Status
Journal of community health
explore 1 provider narratives contraceptive counseling practices latina patients within context patientcentered care pcc 2 provider perceptions barriers provision patientcentered contraceptive counseling general specifically latina patients baltimore md conducted 25 semistructured qualitative interviews physicians nurse practitioners four specialties provide contraceptive care latinas baltimore md analyzed data using directed content analysis discuss findings attention major constructs pcc applying reproductive justice framework providers described contraceptive counseling approach focused pregnancy prevention primary goal respondents used tieredeffectiveness approach even noting importance pcc providers noted health system barriers pcc including time constraints insurance status providerreported patientattributed barriers included low patient educationhealth literacy culturallyattributed misconceptions contraception language discordance providers described knowledge intention practice pcc limited integration counseling latinas responses suggest tension expressed desire provide pcc paternalistic counseling paradigms prioritize pregnancy prevention patient preferences inequitable health system barriers also interfere true implementation contraceptive pcc translating contraceptive pcc practice especially marginalized communities paramount training teach clinicians recognize systems structural inequity discrimination informed approaches counseling reflective pcc institutional policies must address health system barriers also hamper pcc