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“She was there through the whole process:” Exploring how homeless youth access and select birth control

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  • Kachingwe, Olivia N.
  • Anderson, Kent
  • Houser, Carla
  • Fleishman, Jamie L.
  • Novick, Julia G.
  • Phillips, Danielle R.
  • Aparicio, Elizabeth M.

Abstract

Homeless female adolescents in the United States have disproportionately high rates of pregnancy compared to general population youth. Little is known about how homeless youth decide whether to use birth control and which birth control method to select. The current study explores how homeless female youth participating in a holistic sexual health program called Wahine (“woman”) Talk experience this process, using data from in-depth interviews (N = 3) with 11 homeless adolescent girls. Data were analyzed using Interpretative Phenomenological Analysis, proceeding through reading and re-reading, initial noting, forming emergent and super-ordinate themes, repeating steps for each interview, and developing final themes and subthemes. Four final themes emerged, which, for most participants, were experienced sequentially: Getting Acclimated, Becoming Close and Building Trust, Addressing Fear, and Making the Choice. Study findings suggest that for homeless female youth, basic needs and relationship building must be addressed prior to the delivery of trauma-informed birth control-related content and effective linkage to (sexual) healthcare. Implications for practice, policy, and future research are discussed.

Suggested Citation

  • Kachingwe, Olivia N. & Anderson, Kent & Houser, Carla & Fleishman, Jamie L. & Novick, Julia G. & Phillips, Danielle R. & Aparicio, Elizabeth M., 2019. "“She was there through the whole process:” Exploring how homeless youth access and select birth control," Children and Youth Services Review, Elsevier, vol. 101(C), pages 277-284.
    • Handle: RePEc:eee:cysrev:v:101:y:2019:i:c:p:277-284
    DOI: 10.1016/j.childyouth.2019.04.012
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    Cited by:

    1. Cherra M. Mathis & Jordan J. Steiner & Andrea Kappas Mazzio & Meredith Bagwell-Gray & Karin Wachter & Crista Johnson-Agbakwu & Jill Messing & Jeanne Nizigiyimana, 2024. "Sexual and Reproductive Healthcare Needs of Refugee Women Exposed to Gender-Based Violence: The Case for Trauma-Informed Care in Resettlement Contexts," IJERPH, MDPI, vol. 21(8), pages 1-21, August.
    2. Aparicio, Elizabeth M. & Kachingwe, Olivia N. & Phillips, Danielle R. & Fleishman, Jamie & Novick, Julia & Okimoto, Trisha & Kaleipumehana Cabral, M. & Ka'opua, Lana Sue & Childers, Christine & Espero, 2019. "Holistic, trauma-informed adolescent pregnancy prevention and sexual health promotion for female youth experiencing homelessness: Initial outcomes of Wahine Talk," Children and Youth Services Review, Elsevier, vol. 107(C).

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