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Stratified reproduction posits that certain categories of people in a society are encouraged or coerced to reproduce and parent, but others are not. This theory suggests that the capacity to control one's reproductive abilities is unequally distributed in society and is stratified along gender, sexual orientation, racial and ethnic, and economic class lines. Scholars point to social policies, ideologies, and private corporate practices as evidence of this stratification. This entry addresses historical and contemporary issues surrounding reproductive technologies, social policies, and ideologies that support stratified reproduction primarily in the United States, as well as globally. From the forced sterilization of Native American and black people to the current reproductive control of women who receive public assistance, the United States has a long history of controlling reproduction. Newer reproductive technologies create opportunities for social change, yet ideologies that support the control of certain groups' reproductive abilities remain the same. This entry discusses how various reproductive services and technologies stratify reproduction among social groups and create reproductive inequality.

Reproductive Technologies and Stratification

Several birth control technologies exist today. These include barrier methods (male and female condoms, diaphragms, cervical caps, spermicides, and sponges); hormonal methods that can be delivered through pills, skin patches, or injections; or through intrauterine devices, sterilization, and abortion. Although an increasing number of technologies exist, access to these technologies continue to be stratified because of high costs, inadequate or nonexistent health care coverage, lack of transportation, restrictive legislation, and women's lack of decision-making power with regard to their own fertility.

Sterilization

Sterilization is a surgical procedure that alters some portion of the reproductive system to prevent conception. As with many forms of birth control, sterilization typically allows individuals to choose when and under what conditions to conceive and, as such, provides a significant level of personal choice and autonomy. However, for many of its advocates, sterilization is viewed as a viable population control method and solution to social problems.

Early advocates of sterilization framed their discussions of sterilization with explicit reference to a (constructed) genetic hierarchy. Within this hierarchy, wealthy whites, assuming themselves to be the most intelligent and possessing the best social character, reigned supreme. During the 1960s and 1970s, the social hierarchy was built on a slightly different premise: cultural inheritance of socially (un)desirable traits. In this construction of social desirability, wealthy whites were still at the apex. Blacks, American Indians, the poor, single mothers (particularly those receiving government assistance), criminals, the chemically addicted, and the mentally ill were marked as the socially unfit. Most forced sterilization during the 1960s and 1970s occurred in the southern states and among poor women of color.

Questionable sterilization practices persist today. For example, the use of public money to fund abortions is banned (see later), but public money can and does fund sterilization among the welfare population. Another example of this is the California-based nonprofit Children Requiring a Caring Kommunity (CRACK), which posts large billboards in poor black and Latino communities offering $200 to people with substance abuse problems who can document that they have been sterilized or are using long-term birth control. Since CRACK's founding in 1997, the organization has serviced thousands of clients.

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