WOMEN OF COLOR AND REPRODUCTIVE JUSTICE:
AFRICAN AMERICAN WOMEN
Reproductive justice, at the most basic, is a woman’s right to control her own body and life. Contraception,
maternity, forced/coerced contraception and sterilization, emergency contraception, family planning, abortion, and reproductive health (including issues of HIV/AIDS and other STIs) are all important parts of the broad topic of reproductive rights. For many women, especially African American women, abortion is not the key issue in the fight for reproductive rights. Instead, issues of maternal mortality, violence against women, lack of affordable prenatal care, teenage pregnancy, HIV/AIDS, and the effects of poverty on reproductive health take center stage.
Violence Against WomenBlack women have been active in the movements against rape and domestic violence from the beginning; however,their specific cultural concerns have often been left out of the discourse on violence against women. We know that African American females experience intimate partner violence at a rate 35% higher than that of white females, and about 2.5 times that rate of women of other races (1). However, they are less likely than white women to use social services, battered women's programs, or go to the hospital because of domestic violence. This may have to do with lack of access to services in areas with high minority populations.
Maternal MortalityIn a 1999 report, the Centers for Disease Control (CDC) put the average death rate for African American mothers at 19.6 per 100,000 live births, about the same as the rate in Nicaragua or Vietnam, and four times the rate of white
women in the US (2). While socioeconomic status may influence these rates by denying women access to proper medical treatment, we should also take into account the racism that exists within the healthcare system and medical
testing.
Teenage PregnancyTeenage pregnancy and poverty are very closely related. Class plays more of a determining role in teen pregnancy
rates than does race, and this disproportionately affects African American female teens because of the high poverty
rates among African American women. For example, one in four African American children is born to a teenage
mother (3).
ContraceptionThroughout history, females within minority populations have been subjected to forced or coerced sterilization.
In recent years, several states have considered legislating forced contraception by making Depo Provera and
Norplant, a long-acting contraceptive implant that was approved for usage in 1990, mandatory for young inner-city
women on welfare, usually women of color (4).
HIV/AIDSIn 2002, the AIDS diagnosis rate among African Americans was almost 11 times the rate among whites. More
specifically, African-American women had a 23 times greater diagnoses rate than white women (5). Consequently,
AIDS is currently the leading cause of death for African American women age 24-36 (6). Unfortunately, safe sex
efforts to help curb the spread of AIDS are often rejected by (usually male) African American community leaders
because these efforts are seen as “sexually suggestive or culturally inappropriate” (6).
Reproductive justice, at the most basic, is a woman’s right to control her own body and life. Contraception,
maternity, forced/coerced contraception and sterilization, emergency contraception, family planning, abortion, and
reproductive health (including issues of HIV/AIDS and other STIs) are all important parts of the broad topic of
reproductive rights.
For many women, especially African American women, abortion is not the key issue in the fight for reproductive
rights. Instead, issues of maternal mortality, violence against women, lack of affordable prenatal care, teenage
pregnancy, HIV/AIDS, and the effects of poverty on reproductive health take center stage
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