Dissertation/Thesis Abstract

African American Females with Sickle Cell Gene Making Reproductive Choices: An Interpretative Phenomenological Analysis
by Grimes, Robin A., D.H.A., University of Phoenix, 2020, 296; 28089037
Abstract (Summary)

Sickle cell disease and the associated morbidity and mortality continue to increase in the United States African American population. Existing literature did not address the meaning that African American females with the sickle cell gene attach to making reproductive choices. This interpretative phenomenological analysis (IPA) study, using the combined health belief model and theory of reasoned action as the theoretical framework, explored the meaning of the lived experiences of seven African American females with the sickle cell gene who made reproductive choices. The recruitment and selection of participants occurred in the United States’ Midwestern region using purposeful, convenience, and snowball sampling. Data collection involved one-on-one, semi-structured IPA interviews. Data analysis using the flexible six-step IPA data analysis identified four major themes: 1) participants indicated having conception, contraception, childbirth, and sickle cell gene challenges; 2) all participants talked about partner criteria and the importance; 3) participants spoke about support, advice, and information to help with reproductive decisions being inconsistent, confusing and from various sources; and 4) no matter what reproductive choice the participant made, each participant made meaning of their choice through their faith and trust in God. The themes addressed the literature gap by identifying participants’ beliefs and intentions to reach a truth that defined the meaning or essence of their experiences and accounted for participants’ actions and choices.

Indexing (document details)
Advisor: Stein, Irene F.
Commitee: Smith, Daniel, Underdahl, Louise
School: University of Phoenix
Department: School of Advanced Studies
School Location: United States -- Arizona
Source: DAI-A 82/2(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Health care management, Genetics, Obstetrics, African American Studies
Keywords: African American females, Autosomal recessive genetic disorders, Hemoglobinopathies, Reproductive choices, Sickle cell disease, Sickle cell gene
Publication Number: 28089037
ISBN: 9798662591349
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