Data like any other? Sexual and reproductive health, Big Data and the Sustainable Development Goals

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Sexualities, Ahead of Print.
This article examines the possibilities and pitfalls of using Big Data to address sexual and reproductive health concerns as related to the Sustainable Development Goals (SDGs), paying particular attention to contextual difference in development settings. The global datafication of sexual and reproductive life has taken place at great speed. However, evidential deficiencies and a lack of critical engagement of the specific issues around working with sexual and reproductive health Big Data in development contexts is apparent. Informed by critical data studies, and framed by a political economy perspective which calls attention to power structures, we seek to deepen our understanding of the role and challenges that Big Data around sexual and reproductive health in the Low and Middle-Income Countries can play in addressing the SDGs. First, we explore the ways in which sexual datafication processes produce Big Data. We then consider how such Big Data could directly contribute to addressing the SDGs beyond simply monitoring and evaluating. Next, we unpick how the sensitive and stigmatised nature of sexual and reproductive health can have ramifications in data-driven contexts where significant power asymmetries exist. By doing so, we provide a more nuanced articulation of the challenges of datafication by contextualising the stigma around sexual and reproductive in a datafied context. We argue that whilst Big Data in relation to sexual and reproductive health shows potential to support the SDGs, there are specificities that must be considered to ensure that the push for data-driven approaches does no harm.

“It Wasn’t Very Public-Clinicy”: Client Experiences at Faith-Based Pregnancy Centers

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Journal of Health and Social Behavior, Ahead of Print.
Faith-based pregnancy centers strive to offer “alternatives to abortion” that supporters claim aid women and critics assert manipulate pregnant people, stigmatize abortion, and potentially delay clients from obtaining medical care. However, scholars know little about the exchanges within appointments and how clients make sense of these experiences. Drawing on ethnographic observations of client appointments in two pregnancy centers in the West and 29 in-depth interviews with clients, this article uses an intersectional framework to analyze client experiences. Clients favorably compared centers to clinical health care providers, emphasizing the unexpectedly attentive emotional care they received. These evaluations stem from clients’ reproductive histories, which are shaped by gender, racism, and economic inequalities that configure their access to and interactions within the health system. Emotional care serves to create and maintain pregnancy centers’ impression of legitimacy among clients.

Immigration-Related Discrimination and Mental Health among Latino Undocumented Students and U.S. Citizen Students with Undocumented Parents: A Mixed-Methods Investigation

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Journal of Health and Social Behavior, Ahead of Print.
Research has consistently linked discrimination and poorer health; however, fewer studies have focused on immigration-related discrimination and mental health outcomes. Drawing on quantitative surveys (N = 1,131) and qualitative interviews (N = 63) with Latino undergraduate students who are undocumented or U.S. citizens with undocumented parents, we examine the association between perceived immigration-related discrimination and mental health outcomes and the process through which they are linked. Regression analyses identify an association between immigration-related discrimination and increased levels of depression and anxiety; this relationship did not vary by self and parental immigration status. Interview data shed light on this result as immigration-related discrimination manifested as individual discrimination as well as vicarious discrimination through family and community members. We contend that immigration-related discrimination is not limited to individual experiences but rather is shared within the family and community, with negative implications for the mental health of undocumented immigrants and mixed-status family members.