{"id":2370,"date":"2022-04-11T17:00:52","date_gmt":"2022-04-11T17:00:52","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjsrh\/?p=2370"},"modified":"2022-04-11T17:01:16","modified_gmt":"2022-04-11T17:01:16","slug":"are-you-listening-black-voices-on-contraception-choice-and-access-to-sexual-health-services","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjsrh\/2022\/04\/11\/are-you-listening-black-voices-on-contraception-choice-and-access-to-sexual-health-services\/","title":{"rendered":"Are You Listening? Black Voices on Contraception Choice and Access to Sexual Health Services"},"content":{"rendered":"<p style=\"text-align: right\"><em>By Dr Shardia Briscoe-Palmer<\/em><\/p>\n<p><em>Ten new videos launch this month, highlighting the views and experiences of Black people when accessing sexual and reproductive health services. The videos are available on the <a href=\"https:\/\/www.contraceptionchoices.org\/videos\">Contraception Choice<\/a>s website.<\/em><\/p>\n<p><em>The videos were produced by Dr Shardia Briscoe-Palmer (project researcher) in collaboration with Dr Julia Bailey from the University College London <a href=\"https:\/\/www.ucl.ac.uk\/epidemiology-health-care\/research\/primary-care-and-population-health\/research\/ehealth\">e-Health Unit<\/a>, Dr Annabel Sowemimo from <a href=\"https:\/\/decolonisingcontraception.co.uk\/\">Decolonising Contraception<\/a>, and the <a href=\"https:\/\/www.fsrh.org\/home\/\">FSRH<\/a>.<\/em><\/p>\n<p><em>In the videos, Black men and women describe their experiences of using different contraception methods, and also of the racism which acts in a variety of ways to erode trust and informed choice.<\/em><\/p>\n<p><em>In her blog post below, Shardia gives an overview of the project findings and shares steps to enhance the experiences of Black people when accessing services.<\/em><\/p>\n<hr \/>\n<p>Black people experience some of the worst sexual and reproductive health outcomes in the UK (<a href=\"https:\/\/www.nhsrho.org\/wp-content\/uploads\/2022\/02\/RHO-Rapid-Review-Final-Report_Summary_v.4.pdf\">Ethnic Inequalities in Healthcare<\/a>; <a href=\"https:\/\/www.npeu.ox.ac.uk\/assets\/downloads\/mbrrace-uk\/reports\/maternal-report-2021\/MBRRACE-UK_Maternal_CORE_Report_2021_-_FINAL.pdf\">Saving Lives, Improving Mothers\u2019 Care<\/a>) and inequalities have widened during the COVID-19 pandemic, showing that race and ethnicity continue to be at the centre of inequality and social injustice.<\/p>\n<p>Accessing healthcare is increasingly difficult as a consequence of the Coronavirus pandemic on top of ongoing cuts to services (<a href=\"https:\/\/www.fsrh.org\/documents\/full-report-december-womens-lives-womens-rights\/appg-full-report-4.pdf\">Strengthening Access to Contraception Beyond the Pandemic<\/a>). Our <strong>Black Voices<\/strong> research project confirms there are extra barriers for Black people which are rooted in structural, institutional, and interpersonal racism.<\/p>\n<p>Accessing, choosing, and using contraception is complicated and challenging at the best of times. People may be put off using contraception by concerns about side effects, the views of partners, friends, family and community, as well as anxiety about what will happen in healthcare services. Race-related discrimination adds an additional layer resulting in poor clinical service and restricted access (<a href=\"https:\/\/www.thelancet.com\/pdfs\/journals\/lancet\/PIIS0140-6736(20)32076-6.pdf\">From race-based to race conscious medicine<\/a>).<\/p>\n<p style=\"text-align: center\"><em>\u201cBlack people are people. We want to access services with support and without judgement.\u201d<br \/>\n<\/em><\/p>\n<p>Project participants discussed largely positive experiences of different contraceptive methods, but our research showed there is still much work to be done to ensure Black people have positive experiences of sexual and reproductive healthcare.<\/p>\n<p>Participants talked about <strong>not feeling welcome, not feeling listened to<\/strong>, and <strong>negative stereotypes<\/strong> <strong>and assumptions<\/strong>, leading to a <strong>lack of trust<\/strong> and <strong>reluctance<\/strong> <strong>to attend services<\/strong> at all.<\/p>\n<p>The feeling of <strong>not being listened to<\/strong> was a theme which came up frequently:<\/p>\n<p style=\"text-align: center\"><em>\u201cI found that a lot of the time my pain has been dismissed or any side effects or symptoms haven&#8217;t really been taken seriously.\u201d<\/em><\/p>\n<p>Lack of acknowledgement of Black women\u2019s pain is highlighted in areas such as pregnancy and childbirth <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21500115\/\">(Ethnic differences in women&#8217;s worries about labour and birth).<\/a><\/p>\n<p>Biased, unprofessional attitudes shrouded in <strong>racialised stereotypes<\/strong> can surface in patient-doctor interactions:<\/p>\n<p style=\"text-align: center\"><em>\u201cThe jokes about being Black and having a big willy\u2026. saying about having multiple women.\u201d<\/em><\/p>\n<p>The cultural bias and racism placed onto Black people\u2019s bodies is a legacy of stereotypes stretching far into history, which needs addressing across the sector.<\/p>\n<p><strong>Lack of visibility<\/strong> and <strong>representation<\/strong> was a recurrent thread. Better representation is needed in clinic staffing at all levels, as well as in research, on posters, websites and health promotion materials.<\/p>\n<p>A patient-centered approach should be holistic, flexible and collaborative, and service users should receive timely, confidential, non-judgmental access to care that addresses their needs. Our research showed that Black people, as for all service users, want to feel <strong>welcomed, comfortable, listened to <\/strong>and<strong> supported<\/strong> to make decisions about their own sexual and reproductive health.<\/p>\n<p>Participants also talked about the ways that they are educating themselves, and seeking to heal from collective and individual trauma.<\/p>\n<p><strong>Participants\u2019 messages to clinicians:<\/strong><\/p>\n<p style=\"text-align: center\"><em>\u201cJust remember that it takes courage for the person to come to you in the first place\u201d<\/em><\/p>\n<p style=\"text-align: center\"><em>\u201cI think first and foremost, you should believe your patient and listen to them. What may be insignificant to you can be very big deal to someone else\u201d<\/em><\/p>\n<p style=\"text-align: center\"><em>\u00a0\u201cWe want to access services not feeling judged. And being given the true advantages and\u00a0disadvantages of all methods and being able to weigh up pros and cons, with support and without judgment.\u201d<\/em><\/p>\n<p style=\"text-align: center\"><em>\u00a0\u201cWe just want help in the same way that everybody else does &#8211; race, ethnicity and gender shouldn&#8217;t be a barrier to receiving a really good level of service, especially for sexual health services. It&#8217;s so important for our health and a really big part of our lives.\u201d<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><strong>The Black Voices videos are available on the <\/strong><a href=\"https:\/\/www.contraceptionchoices.org\/videos\"><strong>Contraception Choices<\/strong><\/a><\/p>\n<p><em><strong>Dr Shardia Briscoe-Palmer <\/strong>is an Assistant Professor in Sociology at the University of Nottingham. Shardia\u2019s research focuses on the politics of gender, race, and health sociologies. Her current research explores the politics of black masculinities and social injustices, whilst (de)constructing postcolonial identities. Shardia sits on the board of trustees for <a href=\"https:\/\/sexpression.org.uk\/\">Sexpression:UK<\/a>.<\/em><\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dr Shardia Briscoe-Palmer Ten new videos launch this month, highlighting the views and experiences of Black people when accessing sexual and reproductive health services. The videos are available on the Contraception Choices website. The videos were produced by Dr Shardia Briscoe-Palmer (project researcher) in collaboration with Dr Julia Bailey from the University College London [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2022\/04\/11\/are-you-listening-black-voices-on-contraception-choice-and-access-to-sexual-health-services\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":444,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2599],"tags":[],"class_list":["post-2370","post","type-post","status-publish","format-standard","hentry","category-contraceptive-methods"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Are You Listening? Black Voices on Contraception Choice and Access to Sexual Health Services - BMJ Sexual &amp; Reproductive Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2022\/04\/11\/are-you-listening-black-voices-on-contraception-choice-and-access-to-sexual-health-services\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are You Listening? Black Voices on Contraception Choice and Access to Sexual Health Services - BMJ Sexual &amp; Reproductive Health blog\" \/>\n<meta property=\"og:description\" content=\"By Dr Shardia Briscoe-Palmer Ten new videos launch this month, highlighting the views and experiences of Black people when accessing sexual and reproductive health services. The videos are available on the Contraception Choices website. 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