Barral Romina L, Fortenberry J Dennis, Avitia Astrid Guerrero, Ramirez Mariana, Masonbrink Abbey R, Brindis Claire D
Division of Adolescent Medicine, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, 3101 Broadway Blvd, Kansas City, MO 64111 USA.
School of Medicine, University of Kansas Medical Center, Kansas City, KS USA.
Sex Res Social Policy. 2025;22(2):557-569. doi: 10.1007/s13178-024-00967-8. Epub 2024 May 11.
Teen pregnancy (TP) rates are 1.5 times higher among Latina youth than the United States national average and one-third times higher in rural counties. The Socio-Ecological framework recognizes the myriad of issues that impact TP, including four bidirectional levels of influence on teenagers' behaviors: macro, community, institutional, and interpersonal levels. We aim to fill critical knowledge gaps regarding the influence of key community stakeholders living in rural, Latino-majority communities shaping Latino/a, immigrant adolescents' TP-related environments.
A purposive sample of 48 key stakeholders was drawn from three rural counties (Finney, Ford, and Seward) in southwestern Kansas from 2016 to 2017; participants completed a brief demographic survey and a semi-structured qualitative interview. Qualitative data analysis followed grounded theory within a Socio-Ecological framework, and we used descriptive statistics to analyze survey data.
Respondents ( = 48) included 5 public health department staff, 8 community health workers, 8 healthcare workers, 9 community members, and 18 high school/college administrators. The mean age was 43 years (SD = 15.5) and 50% self-identified as Latino/a. Recommendations included developing TP prevention education programs for parents, utilizing ongoing events and familiar venues, and keeping content consistent with local culture and norms.
Key stakeholders' perceptions regarding TP are often unaccounted for but play a role in shaping youth's decision-making environments.
This information could inform the development of culturally specific TP prevention interventions, especially considering the controversial politics centered on immigration to the U.S. and its negative impact on the overall health of Immigrant Latinos living in the U.S.
拉丁裔青少年的青少年怀孕（TP）率比美国全国平均水平高1.5倍，在农村县则高1/3倍。社会生态框架认识到影响青少年怀孕的众多问题，包括对青少年行为的四个双向影响层面：宏观、社区、机构和人际层面。我们旨在填补关键知识空白，了解生活在以拉丁裔为主的农村社区的关键社区利益相关者如何塑造拉丁裔、移民青少年与青少年怀孕相关的环境。
2016年至2017年，从堪萨斯州西南部的三个农村县（芬尼、福特和苏厄德）抽取了48名关键利益相关者作为有目的的样本；参与者完成了一份简短的人口统计调查和一次半结构化的定性访谈。定性数据分析遵循社会生态框架内的扎根理论，我们使用描述性统计分析调查数据。
受访者（n = 48）包括5名公共卫生部门工作人员、8名社区卫生工作者、8名医护人员、9名社区成员和18名高中/大学管理人员。平均年龄为43岁（标准差 = 15.5），50%的人自我认定为拉丁裔。建议包括为家长制定预防青少年怀孕的教育计划，利用现有活动和熟悉的场所，并使内容与当地文化和规范保持一致。
关键利益相关者对青少年怀孕的看法往往未得到考虑，但在塑造青少年的决策环境中发挥着作用。
这些信息可为制定针对特定文化的预防青少年怀孕干预措施提供参考，特别是考虑到围绕美国移民问题的争议性政治及其对生活在美国的拉丁裔移民整体健康的负面影响。
