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Socio-Structural Factors Shaping Adolescent Mothers' Sex Education: A Qualitative Secondary Analysis
Samar Mohsen Ashmawi1, Lauren Gerchow2, Allison Squires1
1Rory Meyers College of Nursing, New York University, New York City, New York, USA.
Socio-structural factors create significant barriers to effective sex education for Black and Hispanic adolescent mothers in New York City. Systemic issues demand culturally sensitive and consistent programming to improve sexual health outcomes.
Area of Science:
- Adolescent Health
- Public Health
- Sociology
Background:
- Sex education is crucial for adolescent development but often hindered by socio-structural factors.
- Black and Hispanic adolescents in NYC experience disproportionately negative sexual and reproductive health outcomes.
- Understanding these barriers is key to improving sex education efficacy for marginalized youth.
Purpose of the Study:
- To explore how socio-structural factors influence sex education access, understanding, and application among Black and Hispanic adolescent mothers in NYC.
- To examine influences across individual, interpersonal, organizational, community, and structural levels using the socio-ecological model.
- To identify systemic barriers impacting sex education for this vulnerable population.
Main Methods:
- Qualitative secondary analysis of semi-structured interview data.
- Directed content analysis guided by the socio-ecological model.
- Involved 16 Black and Hispanic adolescent mothers aged 14-19 years.
Main Results:
- Interconnected barriers were identified across all socio-ecological levels.
- Individual challenges included untimely education and emotional readiness; motherhood was a catalyst.
- Interpersonal/community barriers (parental taboos, stigma) and organizational gaps (curricula, training) were compounded by structural factors (race, socioeconomic status).
Conclusions:
- Systemic barriers significantly undermine sex education for marginalized adolescent mothers.
- Effective sex education requires consistent, culturally sensitive programming tailored to this population.
- Addressing socio-structural factors is essential for improving adolescent sexual and reproductive health outcomes.
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