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Minors' Experiences Accessing Confidential Contraception in Texas
Brooke Whitfield1, Elsa Vizcarra1, Asha Dane'el2
1Department of Sociology, University of Texas at Austin, Austin, Texas.
Summary
Texas minors face significant barriers accessing contraception due to parental consent laws and pandemic challenges. Improving access to confidential reproductive health services is crucial for adolescent autonomy.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health
Background:
- Texas restricts minors' access to contraception without parental consent, with exceptions for confidential services at Title X clinics.
- Parental consent laws impact adolescent reproductive autonomy and healthcare-seeking behaviors.
Purpose of the Study:
- To explore the reasons why minors in Texas seek confidential contraception.
- To understand the experiences of Texas minors in accessing contraceptive services.
Main Methods:
- In-depth phone interviews were conducted with 28 minors aged 15-17 in Texas.
- Participants were recruited through an organization assisting youth with parental consent laws.
- Thematic analysis of interview transcripts was performed using inductive and deductive coding.
Main Results:
- Minors sought contraception proactively but faced adult resistance and difficulties obtaining consent.
- Online resources provided information but lacked clarity on accessing services without parental involvement.
- Barriers included increased parental monitoring during COVID-19, transportation, and scheduling difficulties, with only 10 participants attending appointments.
Conclusions:
- Texas minors encounter numerous obstacles in obtaining confidential contraceptive services, amplified by the COVID-19 pandemic.
- Repealing parental consent laws and expanding accessible confidential contraception options are recommended to support adolescent reproductive autonomy.
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