Term of Award

Fall 2019

Degree Name

Doctor of Public Health in Community Health Behavior and Education (Dr.P.H.)

Document Type and Release Option

Dissertation (restricted to Georgia Southern)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Jiann-Ping Hsu College of Public Health

Committee Chair

Joseph Telfair

Committee Member 1

Haresh Rochani

Committee Member 2

Tilicia Mayo-Gamble


Unintended pregnancies (UIP) are a major public health concern due to the adverse health outcomes for both the mother and infant. UIP disproportionately affects U.S. born and Foreign-born women of African descent. Contraceptives, also known as birth control methods, are products or medical procedures that prevent pregnancy however, the rate of contraceptive use among U.S. born and foreign-born women of African descent is low. The main reason for the discrepancy in contraceptive use is their access to usual sources of care. The purpose of this study was to apply the Andersen Healthcare Services Utilization Behavioral Model to identify and understand factors influencing the access to usual sources of care and use of contraceptives among U.S. born and foreign-born women of African descent. The 2013-2015 National Survey of Family Growth (NSFG) was analyzed and binomial and multinomial logistic regressions were conducted. The logistic regressions found that predisposing factors such as age (OR=0.955; 95% CI= 0.919, 0.992), enabling factors such as health insurance (OR=0.410; 95% CI= 0.233, 0.720), and health insurance type (OR=1.307; 95% CI = 0.678-2.519) (p

INDEX WORDS: Access to care, Contraceptive use, U.S. born women of African descent, Foreign born women of African descent, African American women, Andersen model, Sexual and reproductive health

Research Data and Supplementary Material


Available for download on Thursday, November 14, 2024