title: Contraception knowledge and attitudes: truths and myths among African Australian teenage mothers in Greater Melbourne, Australia.
abstract: OBJECTIVE
  To discuss the contraception knowledge, attitudes and beliefs of African Australian teenagers and women with a refugee background in Melbourne.
  
  
  BACKGROUND
  The numbers of African Australian persons continue to increase, with a significant proportion being refugee women and children. Attitudes and behaviours towards contraception in this group continue to be influenced by culture, family and beliefs.
  
  
  METHODS
  This study is based on qualitative research that was underpinned by intersectionality theory, cultural competency and phenomenology.
  
  
  METHODS
  Sixteen teenagers and women who had experienced teenage pregnancy in Greater Melbourne, Australia, were interviewed.
  
  
  METHODS
  In-depth interviews were conducted with the sixteen African Australian teenagers and women. Following data collection, data were transcribed verbatim, and coded, and key themes identified and analysed using thematic analysis.
  
  
  RESULTS
  Knowledge of contraception among this group of migrants was low and filled with myths. Attitudes towards contraception use were insufficient and influenced by beliefs and external factors such as partner, family and community attitudes towards contraception. Migration status and other instabilities in the lives of these participants all intersected to shape their health beliefs and contraception decision-making.
  
  
  CONCLUSIONS
  Refugee teenage mothers' knowledge of contraception was low and their attitude towards contraceptive use was poor. Myths and external factors continued to influence teenagers' and women's attitudes towards contraceptives. The events and life experiences of African Australian teenagers/women, culture, and family and community influences should be taken into consideration when providing healthcare services and sexual health education to this migrant group.
  
  
  CONCLUSIONS
  Service providers should consider the multiple intersections in the lives of these women when delivering healthcare services and information to them.
authors.affiliation: College of Health and Biomedicine, Victoria University, Melbourne, Australia.
authors.forename: Mimmie C
authors.initials: MC
authors.lastname: Ngum Chi Watts
authors.forename: Pranee
authors.initials: P
authors.lastname: Liamputtong
authors.forename: Mary
authors.initials: M
authors.lastname: Carolan
mesh_terms: D000293:Adolescent; D017954:Africa South of the Sahara / Q000208:ethnology; D003267:Contraception; D003466:Cultural Characteristics; D054242:Emigrants and Immigrants; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009517:New South Wales / Q000453:epidemiology; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology*; D055815:Young Adult
keywords: African migrants; adolescent health; motherhood; refugee health