Galloway Charlotte T, Duffy Jennifer L, Dixon Rena P, Fuller Taleria R
South Carolina Campaign to Prevent Teen Pregnancy, Columbia, South Carolina.
South Carolina Campaign to Prevent Teen Pregnancy, Columbia, South Carolina.
J Adolesc Health. 2017 Mar;60(3S):S57-S62. doi: 10.1016/j.jadohealth.2016.12.006.
Reducing disparities in teen pregnancy and birth rates among African American and Latina teens is a central focus of a community-wide teen pregnancy prevention initiative implemented by the South Carolina Campaign to Prevent Teen Pregnancy. Disparities in teen pregnancy and birth rates are driven, in part, by differential access to contraception and reproductive health care services. The purpose of this qualitative study was to understand African American and Latino teens' 1) preferences for finding health information, 2) perceptions of accessing reproductive health services, and 3) beliefs about contraception.
As a part of this community-wide initiative, eight focus groups were conducted in the Fall of 2012 with African American and Latino male and female youth from two communities in South Carolina. Among eight focus groups of youth, teens most often reported parents, other trusted relatives, and the Internet as sources of health information.
Participants discussed the value of social media and television advertisements for reaching young people and emphasized the importance of privacy, a desire for a teen-only clinic, and the need for friendly clinical staff. Participants' comments often reflected inaccurate beliefs about the reliability and correct usage of contraceptive methods. Female participants also reported side effects of birth control as a potential barrier to use.
Ensuring that teens' beliefs and perceptions are taken into account when developing, marketing, and implementing culturally competent reproductive health care services is important to improve access to care for all teens in Horry and Spartanburg Counties.
减少非裔美国人和拉丁裔青少年在青少年怀孕和生育率方面的差异，是南卡罗来纳州预防青少年怀孕运动实施的一项全社区青少年怀孕预防倡议的核心重点。青少年怀孕和生育率的差异部分是由获得避孕和生殖保健服务的机会不同所驱动的。这项定性研究的目的是了解非裔美国人和拉丁裔青少年：1）获取健康信息的偏好；2）对获得生殖健康服务的看法；3）对避孕的看法。
作为这项全社区倡议的一部分，2012年秋季，在南卡罗来纳州的两个社区，针对非裔美国人和拉丁裔的青年男女开展了8个焦点小组访谈。在8个青年焦点小组中，青少年最常提到的健康信息来源是父母、其他值得信赖的亲属和互联网。
参与者讨论了社交媒体和电视广告在接触年轻人方面的价值，并强调了隐私的重要性、对青少年专属诊所的需求以及对友好临床工作人员的需求。参与者的评论往往反映出对避孕方法的可靠性和正确使用存在不准确的看法。女性参与者还报告说，节育的副作用是使用的潜在障碍。
在开发、推广和实施具有文化能力的生殖保健服务时，确保考虑到青少年的看法和观念，对于改善霍里县和斯巴达堡县所有青少年获得医疗服务的机会非常重要。
