a Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada.
b Graduate School of Social Work , University of Denver , Denver , CO USA.
Soc Work Health Care. 2019 Mar;58(3):237-257. doi: 10.1080/00981389.2018.1544961. Epub 2018 Nov 8.
Homeless youth become pregnant or involved in pregnancies at high rates. There are many ways by which unintended pregnancies may be prevented, including the use of condoms and other contraceptives. However, there is a dearth of research regarding contraceptive use among this vulnerable youth population, and especially through lenses that consider homeless youths' diverse gender identities, expressions, and sexualities. This study qualitatively explores homeless youths' attitudes and experiences regarding condom and other contraceptive use. Data were obtained from interviews with 30 youth experiencing homelessness, ages 18-21. Youth reported inconsistent use of condoms and other contraceptives, which youth often attributed to their perceptions of contraceptive inaccessibility and exorbitant cost. Most youth also did not know where to obtain contraceptive information and services, and reported transportation barriers and fear of being stigmatized in health care settings, particularly in relation to their gender identities and sexualities. Findings suggest that reproductive and sexual health information and services are urgently needed by all homeless young people, and from low-barrier, non-judgmental, and empathetic sources.
无家可归的青少年怀孕或涉及怀孕的比例很高。有许多方法可以预防意外怀孕,包括使用避孕套和其他避孕药具。然而,关于这个脆弱的青年群体使用避孕药具的研究很少,尤其是从考虑无家可归青年多样化的性别认同、表达和性行为的角度来看。本研究从定性角度探讨了无家可归青少年对避孕套和其他避孕药具使用的态度和经验。数据来自对 30 名 18-21 岁无家可归青少年的访谈。这些年轻人报告说,他们经常使用避孕套和其他避孕药具,他们经常将这归因于他们认为避孕药具难以获得和价格过高。大多数年轻人也不知道在哪里可以获得避孕信息和服务,他们报告说存在交通障碍,并担心在医疗保健环境中受到污名化,特别是与他们的性别认同和性行为有关。研究结果表明,所有无家可归的年轻人都迫切需要生殖和性健康信息和服务,并且需要来自低障碍、非评判和富有同情心的来源。