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Perceived Health Care Needs Among Detained Youth.

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Detained youth prioritize sexual, reproductive, mental, and general wellness. Addressing bias and stigma is crucial for improving their healthcare experiences and outcomes.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Health Services Research

Background:

  • Youth in juvenile detention face unique health challenges.
  • There is a significant gap in understanding the specific health needs and priorities of this population.
  • Previous healthcare experiences influence current healthcare-seeking behaviors.

Purpose of the Study:

  • To explore the health needs of youth in juvenile detention.
  • To understand their previous healthcare experiences.
  • To identify healthcare priorities and barriers to care for detained youth.

Main Methods:

  • Semi-structured interviews and demographic questionnaires were used.
  • 29 English-speaking youth from two urban, midwestern juvenile detention centers participated.
  • Thematic analysis was employed to identify key themes.

Main Results:

  • Detained youth value sexual/reproductive, mental, and general wellness.
  • Detention center practices negatively impacted their health and care experiences.
  • Fear of judgment and the medical environment deters youth from seeking care.
  • Medical providers can improve care by creating a comfortable environment and offering holistic support.

Conclusions:

  • Bias and stigma significantly impact healthcare experiences for detained youth.
  • Understanding youth perspectives is vital for improving healthcare provision.
  • Informing community providers, detention practices, policies, and medical education can mitigate disparities and improve outcomes.