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Perspectives on Sexual Health, Sexual Health Education, and HIV Prevention From Adolescent (13-18 Years) Sexual
Sean R Cahill1, Timothy M Wang2, Holly B Fontenot3
1Sean R. Cahill, Director of Health Policy Research, The Fenway Institute, Fenway Health; Adjunct Associate Professor of the Practice, Department of Health Law, Policy and Management, Boston University School of Public Health; Affiliate Associate Clinical Professor and Visiting Scholar, Bouve College of Health Sciences, Northeastern University, Boston, MA.
Introduction:
Adolescent sexual minority males (ASMM) are at disproportionate risk of HIV infection. The purpose of this study was to assess ASMM's attitudes about sexual health, barriers/facilitators to accessing HIV prevention, and actual versus ideal interactions for receiving sexual health care and information.
Method:
Two online and two in-person focus groups were conducted with ASMM from across the United States. Qualitative data were analyzed using content analysis.
Results:
Twenty-one racially diverse ASMM participated (average age = 16.4 years). Online focus groups were superior for reaching the target population. Four themes emerged: 1: identity formation and sources of support, 2: challenges to obtaining sexual health information, 3: attitudes/beliefs about sex and sexual behaviors, and 4: barriers to HIV prevention.
Discussion:
These findings illustrate current gaps in sexual health knowledge, as well as barriers and facilitators to obtaining sexual health information, sexual health care, and affirming education and support for ASMM.
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