Exploring the racial gradient in reproductive health: an examination of challenges to sexual health care faced by black female college students

ABSTRACT

Objectives

This study identifies and analyzes barriers to sexual and gynecological health care Black women face at a Historically Black College or University (HBCU) and a Predominantly White Institution (PWI) in southeastern America.

Design

Participants identified as Black women who were sexually active, age 18–25, and undergraduate students. The research team conducted in-depth interviews across two campuses via Zoom. Interviews were coded using inductive thematic analysis.

Results

We derived six specific themes that summarize Black female college students’ barriers to care: Patient–provider Interactions, Economic Determinants of Health, Social Support, Access to Care, Lack of Primary Care, and No Challenges.

Conclusion

Reproductive and sexual health disparities can be mitigated with attention to diversity in medical school, affordable care, and teaching young women to prioritize their care for long-term reproductive health.

KEYWORDS:

• Social determinants of health
• sexual health
• Black women's health
• gynecology
• health disparities

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill: [Grant Number UL1TR002489].