Date of Award

Spring 4-2-2025

Embargo Period

4-30-2025

Document Type

Dissertation - MUSC Only

Degree Name

Doctor of Health Administration

First Advisor

Jami Jones

Second Advisor

Jillian Harvey

Third Advisor

Kevin Wiley

Abstract

Equitable access to birth control remains a significant public health concern, particularly among marginalized communities facing systemic barriers. This study explores the impact of socio-demographic factors and racial disparities on contraceptive access among women in Baltimore City, Maryland. Using a mixed-methods approach, data were collected from 91 participants, comparing contraceptive knowledge, satisfaction, accessibility, cost impact, and quality of care between college-educated and non-college-educated women. Findings indicate that lower educational attainment and financial constraints significantly hinder birth control access, with cost serving as a major barrier. Additionally, Black women reported lower satisfaction with reproductive healthcare services, highlighting disparities in provider interactions and systemic bias. Geographic disparities, particularly in contraception deserts, further limit access to essential reproductive healthcare. Policy recommendations include expanding Title X funding, increasing telemedicine services for birth control consultations, and enhancing cultural competency training for healthcare providers. Future research should explore broader geographic and racial populations while addressing systemic inequities in reproductive healthcare. This study contributes to the growing discourse on health equity, underscoring the need for targeted interventions to ensure that all individuals, regardless of socio-economic status or race, have access to comprehensive and affordable contraception.

Rights

Copyright is held by the author. All rights reserved.

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