Abstract
Refugee girls may be unprepared for the sexual risk challenges facing teens in the US. We sought to understand refugee girls’ general experience, discussions with parents and motivations related to participation in an evidence-based sexual risk reduction program. Through semi-structured interviews with twelve girls ages 15–17 years from nine countries, we acquired insight into the girls’ reactions to the program, if they had discussed their experiences, and reflections on their decision to participate. Qualitative analysis of verbatim transcriptions identified three themes: (1) my cultural norm is not to ask; (2) groups were a safe way for me to learn and share; and (3) I learned to use my voice. As the numbers of adolescent refugees grow, we cannot ignore their need for tailored sexual health research and programming. This first-of-its-kind study provides insight into acceptability, motivation for participation, and impact of a sexual health promotion program.
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Data collection and preliminary analysis were sponsored by The Ohio State University College of Nursing.
References
US Department of State. Refugee admissions report. Refugee Processing Center. 2020.
Leather NC. Risk-taking behaviour in adolescence: a literature review. J Child Health Care. 2009;13(3):295–304.
Freedman J, Crankshaw TL, Mutambara VM. Sexual and reproductive health of asylum seeking and refugee women in South Africa: understanding the determinants of vulnerability. Sex Reprod Health Matter. 2020;28(1):1758440.
Ivanova O, Rai M, Kemigisha E. A systematic review of sexual and reproductive health knowledge, experiences and access to services among refugee, migrant and displaced girls and young women in africa. Int J Environ Res Public Health. 2018;15(8):1583.
Dhar CP, Kaflay D, Dowshen N, et al. Attitudes and beliefs pertaining to sexual and reproductive health among unmarried, female bhutanese refugee youth in philadelphia. J Adolesc Health. 2017;61(6):791–4.
Kumar J, Chan W, Spitz A. Pathways to sexual health among refugee young women: a contextual approach. Sex Cult. 2021. https://doi.org/10.1007/s12119-021-09850-9.
Kaczkowski W, Swartout KM. Exploring gender differences in sexual and reproductive health literacy among young people from refugee backgrounds. Cult Health Sex. 2020;22(4):369–84. https://doi.org/10.1080/13691058.2019.1601772.
McMichael C, Gifford SM, Meredith Temple-Smith. Promoting sexual health amongst resettled youth with refugee backgrounds. 2008. https://doi.org/10.4225/50/59fa8c9b3fd9b.
Tirado V, Chu J, Hanson C, Ekström AM, Kågesten A. Barriers and facilitators for the sexual and reproductive health and rights of young people in refugee contexts globally: a scoping review. PLoS ONE. 2020;15(7): e0236316.
Botfield JR, Newman CE, Zwi AB. Engaging migrant and refugee young people with sexual health care: Does generation matter more than culture? Sex Res Soc Policy. 2018;15(4):398–408.
Kingori C, Ice GH, Hassan Q, Elmi A, Perko E. ‘If I went to my mom with that information, i’m dead’: sexual health knowledge barriers among immigrant and refugee somali young adults in ohio. Ethn Health. 2018;23(3):339–52.
Melnyk BM, Morrison-Beedy D, Cote-Arsenault D. Generating evidence through quantitative and qualitative research. In: Evidence-based practice in nursing and healthcare. A guide to best practice. 4th ed. Philadelphia: Wolters Kluwer/Lippincott; 2019.
Morrison-Beedy D, Martin CH, Pow J, Elliott L. Adolescents in scotland: challenges and opportunities for sexual risk reduction. J Assoc Nurses AIDS Care. 2019;30(6):619–29.
Morrison-Beedy D, Passmore D, Baker E. A “triple threat” to research protocols and logistics: adolescents, sexual health, and poverty. Nurs Sci Q. 2016;29(1):14–20.
Morrison-Beedy D, Passmore D, Carey MP. Exit interviews from adolescent girls who participated in a sexual risk-reduction intervention: implications for community-based health education promotion for adolescents. J Midwifery Womens Health. 2013;58(3):313–20.
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Funding was provided by The Ohio State University College of Nursing.
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There is no conflict of interest noted. Dr. Morrison-Beedy is owner of HIP4Change, LLC that provides training for HIPTeens intervention delivery. It is hoped that the findings from this study will provide important information to the readers on this topic. It is not intended to be comprehensive nor does it involve sales of a product.
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Morrison-Beedy, D., Wegener, R., Ewart, A. et al. Reflections from Refugee Adolescent Girls on Participation in a US-Based Teen Sexual Health Promotion Project. J Immigrant Minority Health 25, 680–684 (2023). https://doi.org/10.1007/s10903-022-01415-8
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DOI: https://doi.org/10.1007/s10903-022-01415-8