“i Did Whatever They Wanted Me to Do”: a Qualitative Secondary Analysis Using Reproductive Justice to Explore Sexual Violence Among Justice-involved Latina Mothers

Background: One in three women experience sexual violence during their lifetime; however, little is known about this phenomenon with respect to justice-involved Latina mothers. Using the reproductive justice framework as a theoretical lens, we examined sexual violence in Latina mothers who had experienced incarceration and were thus involved in the justice system.Methods: This was a secondary analysis of a qualitative data set. The reproductive justice framework provided a theoretical lens for examining the women’s rights to bodily autonomy, to have or not have children, and to live in safe, sustainable environments given the intersection of incarceration and sexual violence.Results: Women (N = 12) recounted their experiences of sexual violence after having been incarcerated. Incarceration and resulting sexual violence led to discrimination, limited bodily autonomy, sexual exploitation, substance use, depression, anxiety, re-traumatization, recidivism, underreporting of violence, underutilization of healthcare resources, strained relationships, family separation, and unsafe environments. Conclusions: More research is needed to understand the social, economic, and political contexts that perpetuate sexual violence among justice-involved women. Universal healthcare, participatory research, changing cultural mindsets, decriminalization of sex work, and more comprehensive tracking and prosecution of sexual predators may be key to ending sexual violence in justice-involved mothers.

Exploring Black Women’s Pathways to Motherhood Within a Reproductive Justice Framework

Amidst the increasing push to address racial disparities in maternal health equity, fewer studies have considered Black women’s perspectives on their needs, concerns, and priorities regarding family planning care. Such evidence might help address the lack of support and information that many Black women report in patient–provider encounters, and broaden empirical knowledge on the contextual factors that influence Black women’s reproductive decisions. In the present qualitative study, we explored Black women’s pathways to motherhood within a reproductive justice framework. We drew on individual, semi-structured interview data from 31 Black mothers (25–50 years, Mage = 35 years) across the United States. Using consensual qualitative research methods, we elaborated on three themes: (1) intentional family planning, (2) unintended pregnancy, and (3) othermothering. The findings challenge deficit-based stereotypes of Black mothers’ reproductive choices and illuminate how health practitioners can facilitate humanizing conversations that prioritize Black women’s family planning goals and decision-making.

Reproductive Health Justice

Reproductive health endeavors in regard to prevention, treatment, and emerging disparities and inequities like lack of access to comprehensive and equitable reproductive health for immigrants and LGBTQ+ populations are discussed. Practice-based approaches for reproductive health justice and access care models, to advance reproductive justice, are included. Implications for macro social work practice and historical perspectives, practices, and social movements of reproductive health justice in the United States to promote reproductive health justice in the context of political, legal, health, and social justice efforts are salient to advance social justice.

Examining Social Work Students Knowledge of and Attitudes About Abortion and Curriculum Coverage in Social Work Education

Despite social work's stated commitment to abortion rights, research on this topic is not prolific within the discipline (Begun et al., 2016). If we are to live up to our ethical principles, this should be changed. The authors posit that increasing students’ exposure to and understanding of abortion is necessary in the preparation of competent social work practitioners. Using Begun et al.’s (2016) Social Workers’ Abortion Attitudes, Knowledge, and Training questionnaire, the authors expanded the survey by creating additional questions about social work curriculum coverage and training experiences, as well as further content on abortion. Findings indicate that most social work students believe abortion should be legal in at least some circumstances, and also that abortion laws should be less restrictive in the United States. Reported religion and political affiliation had significant effects on several of the abortion attitude statements. Only 7.2% of respondents indicated that abortion is regularly discussed in social work classrooms, and only 2.7% of respondents report they have received training on the topic of abortion in their field placement. The results suggest that social work curriculum coverage on reproductive justice is tenuous and inconsistent at best, leaving students to grapple without the necessary professional foundation.

Screening for Substance Use Disorders during Pregnancy: A Decision at the Intersection of Racial and Reproductive Justice

Objective: Improve racial equity with routine universal drug screening / Study Design: Commentary on the medicolegal and social history of the United States and the field of obstetrics and gynecology regarding drug screening policy / Results: Critical aspects to inform an equitable drug screening policy include (1) racial bias and stigma related to substance use, (2) the legislative history surrounding substance use during pregnancy, (3) the relationship between substance use and mass incarceration which disproportionately affects persons of color, (4) propensity toward punitive measures for Black mothers with substance use, including termination of parental rights, (5) the role of the medical field in fostering mistrust among our patients / Conclusion: new practices in screening for substance use during pregnancy are needed. Key Points