202. Improving Sexual and Reproductive Health Care Access for Adolescents With Housing Instability

McNeill, April D.; Miller, Melissa K.; Stancil, Stephanie; Randell, Kimberly A.

doi:10.1016/j.jadohealth.2019.11.205

Cited by 2 publications

(2 citation statements)

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“…Although comprehensive SRH programs are rare, there is a need to utilize comprehensive SRH programs with this population because YEH, in addition to being homeless, bear a disproportionate burden of all youths’ SRH risks. Housing can reduce the prevalence of SRH risk (Dickson-Gomez et al, 2017 ; Kumar et al, 2015 ; Wenzel et al, 2007 ; McNeill et al, 2020 ; Leifheit et al, 2019 ). Thus, through providing linkage to housing services, comprehensive SRH programs provide an opportunity to reduce both housing insecurity and SRH risk in this population.…”

Section: Introductionmentioning

confidence: 99%

Opportunities and Challenges to Linkage to Housing in the Context of a Sexual and Reproductive Health Program for Youth Experiencing Homelessness

Huq¹,

Phillips²,

Childers³

et al. 2023

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Youth homelessness remains a major public health issue in the USA, and youth experiencing homelessness (YEH) are still one of the more understudied and underserved groups. Comprehensive sexual and reproductive health (SRH) programs for YEH are rare. Yet, such programs are potentially effective settings through which to link YEH with housing services. Wahine (“woman”) Talk is one such comprehensive program for YEH, and is a multilevel intervention delivered out of a youth drop-in center in Honolulu, Hawai ‘i. One of Wahine Talk’s core components is addressing basic needs, including providing linkages to housing services. Little research exists on SRH programs’ opportunities and challenges to providing linkage to housing for YEH. The current study is an exploratory study asking, “What are opportunities and challenges to linking young women experiencing homelessness to housing services through a comprehensive sexual and reproductive health program?” The study team collected in-depth qualitative data through seven focus groups and 25 individual interviews with Wahine Talk staff and youth participants aged 14–22 years. Multiple team members analyzed the data using template analysis. The analysis revealed that while comprehensive SRH programs may have some opportunities and challenges to linking YEH to housing services that are consistent with traditional housing assistance programs, there are also factors specific to SRH programs. In particular, opportunities would be SRH programs employing a housing staff person and bolstering staff-youth meetings and communication. A challenge specific to SRH programs would be prioritizing youth’s reproductive justice (i.e., choice) in lieu of solely prioritizing pregnancy reductions and delays; thus, it is recommended to train staff to prioritize youth’s reproductive justice. The findings highlight the importance of SRH programs having staff focused on housing, sufficient opportunities for youth and staff to communicate with each other, and staff trained to prioritize youth’s reproductive justice.

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Section: Introductionmentioning

confidence: 99%

Opportunities and Challenges to Linkage to Housing in the Context of a Sexual and Reproductive Health Program for Youth Experiencing Homelessness

Huq¹,

Phillips²,

Childers³

et al. 2023

Prev Sci

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“…Cognitive factors expected to be associated with greater sexual risk-taking include adolescents' romantic attachment insecurity (i.e., orientation toward relationship intimacy; Brennan et al, 1998), constraining relationship beliefs (i.e., unrealistic beliefs about romantic relationships and mate selection; Cobb et al, 2003;Larson, 1992), and attitudes about sexual behavior (i.e., what makes sexual activity healthier; Gardner et al, 2004). Past research points to the importance of assessing beliefs and attitudes about relationships and sex, as well as romantic attachment insecurity to understand risk-taking in adolescence (Kerpelman et al, 2009(Kerpelman et al, , 2010;Kim & Miller, 2020;McElwain et al, 2015;McNeill et al, 2020;Olmstead, 2020;Saint-Eloi Cadely et al, 2018). The present study builds on this literature by examining whether such insecurities, beliefs, and attitudes work together to explain variability in different indicators of sexual risk-taking.…”

Section: Problem Behavior Theory and The Theory Of Planned Behaviormentioning

confidence: 99%

Adolescents and sexual risk‐taking: The interplay of constraining relationship beliefs, healthy sex attitudes, and romantic attachment insecurity

Cadely

Finnegan

Spears

et al. 2020

Journal of Adolescence

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Introduction: Although sexual exploration during adolescence may be perceived as normative, many adolescents who are sexually active are likely to engage in risky sexual behaviors detrimental to their well-being. The present study examined the influence of insecure attachment (anxious and avoidant dimensions), healthy sex attitudes, and constraining relationship beliefs on the following sexual risk indicators: age at first sex, number of sexual partners, condom use, length of time knowing sexual partners, seriousness of relationship, and frequency of sex. Methods: Cross-sectional data from two cohorts recruited one year apart for a five-year project were analyzed. Adolescents were public high school students from a Southern state in the USA (cohort 1: N = 878, 51.1% females, M = 16.50 years old; cohort 2: N = 759, 46.9% females, M = 15.78 years old). Results: Across both cohorts, healthy sex attitudes were related to having sex for the first time at an older age, having less sexual partners in a lifetime, and knowing one's sexual partner longer. High scores on the avoidant attachment dimension were related to less commitment to the relationship. This dimension also was related to holding lower scores on healthy sex attitudes, which in turn was related to having more sexual partners and knowing one's sexual partner for a shorter time. Although not replicated, higher endorsement of constraining relationship beliefs was associated with inconsistent condom use and greater sex frequency. Conclusion: Findings suggests that attachment insecurity, healthy sex attitudes, and constraining relationship beliefs work together to influence adolescent sexual risks.

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202. Improving Sexual and Reproductive Health Care Access for Adolescents With Housing Instability

Cited by 2 publications

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Opportunities and Challenges to Linkage to Housing in the Context of a Sexual and Reproductive Health Program for Youth Experiencing Homelessness

Opportunities and Challenges to Linkage to Housing in the Context of a Sexual and Reproductive Health Program for Youth Experiencing Homelessness

Adolescents and sexual risk‐taking: The interplay of constraining relationship beliefs, healthy sex attitudes, and romantic attachment insecurity

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