Couple dynamics in sexual and reproductive decision-making among Mexican immigrants.

Using content and cultural consensus analyses this document examines couple dynamics in sexual and reproductive decision-making among Mexican immigrants. It specifically presents findings from a larger study that explored the following: 1) which member of the couple initiates sexual behavior and makes decisions about contraceptive use; 2) how couples communicate with one another about fertility desires sexual behaviors and contraceptive use; 3) which situations enhance a womans influence on condom use; and 4) cultural norms shared by inner city Mexican immigrants with regard to contraceptive and condom use. Participants were mostly in their 20s and had lived in the US for 6 or more years. Results revealed that discussions on sexual and reproductive behavior exist between partners and that both members of Mexican immigrant couples share responsibility for decisions regarding sexual problems and sexual activities. Moreover condom use was not necessarily associated with infidelity as previously expected. Instead condoms were viewed as a preliminary contraceptive method used until a more effective method is adopted. Based on both normative beliefs and reported behaviors the findings indicate that both members of a couple participate and play an important role in contraceptive and reproductive decision-making. Thus prevention efforts directed towards HIV other sexually transmitted diseases and unplanned pregnancy should consider the important role of the male partner.