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Innovative Strategies to Address Systemic Inequities in Youth Sexual Health Programs: A Preliminary Program
Victoria P Sattler1, Kristin E Courtney, Celena J McCray
1Washington State University College of Nursing, Spokane (Dr Sattler); Department of Translational Medicine & Physiology, Washington State University Elson S. Floyd College of Medicine, Spokane (Dr Courtney); Northwest Portland Area Indian Health Board, Portland, Oregon (Ms McCray); and Office of Family and Community Health Improvement, Surveillance and Evaluation Unit (Ms Burlingham and Mr Klos) and Office of Family and Community Health Improvement, Adolescent and Young Adult Health Unit (Ms Casanova and Ghaffar), Division of Prevention and Community Health, Washington State Department of Health, Tumwater.
Abstract:
Disparities in sexual health outcomes between racial and ethnic groups throughout the state of Washington suggest the presence of systemic inequities impeding young people's experience with and access to sexual health care and education. Emerging innovations in sexual health look to center young people, particularly those who have been historically excluded, in the design and implementation of programs that aim to serve them. The Washington Youth Sexual Health Innovation and Impact Network (WYSHIIN) and 11 grant-funded partners engaged communities of youth across the state of Washington, including Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, intersex, and/or asexual (2SLGBTQIA+) and Black, Indigenous, and People of Color (BIPOC) youth, with the goal of equitably engaging participants and stakeholders to broaden services in schools and community settings. Evaluation staff from the Washington State Department of Health conducted virtual interviews with community partners for preliminary program evaluation purposes and identified 6 strategies for engaging youth. WYSHIIN partners highlighted strategies for centering youth voice and needs at all levels of program development and implementation, embracing holistic and culturally relevant approaches, and 2SLGBTQIA+ inclusion. These themes, reflective of wisdom across multiple Washington communities, offer strategies to address systemic issues that negatively impact youth access to and experience with sexual health care.
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