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Qualitative Health Research
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Low-Income African American Adolescents who Avoid Pregnancy: Tough Girls who Rewrite Negative Scripts

Kristy K. Martyn

School of Nursing at the University of Michigan in Ann Arbor

Sally A. Hutchinson

College of Nursing at the University of Florida in Jacksonville

The purpose of this research was to generate a grounded theory that explains the social-psychological processes of low-income African American adolescents who avoided pregnancy. Data collection included focus groups and in-depth interviews with 17 women aged 19 to 26. Data analysis using the grounded theory method revealed that these girls were the recipients of negative social-psychological scripts, putting them at risk for poverty and early childbearing. The "tough girls" struggled to rewrite these scripts by recognizing their negativity, being disenchanted with the scripts, determining to be different, and creating better lives. These aware, introspective young women believed in self-responsibility, self-protection, education, and financial independence. Practice implications and considerations for programmatic interventions can be based on this analysis.

Qualitative Health Research, Vol. 11, No. 2, 238-256 (2001)
DOI: 10.1177/104973201129119073
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