Talking About Teen Talk: Young People’s Experiences in a Sexuality Education Program
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In the past three decades, a number of sexuality education programs have been developed, implemented, and evaluated in communities throughout the United States. This study explores experiences of young people in Teen Talk, a clinic-based sexuality education program developed to provide engaging and medically accurate education about contraception and abstinence, as well as to promote access to reproductive health care. Through focus group discussions with 49 young people in northeastern U.S., this study explored Teen Talk participants’ perceptions of this program and its impacts. A thematic analysis of open-ended data showed that Teen Talk experiences and learning were shaped by the group process within each rendition of Teen Talk, as well as the context of the organization that developed and facilitated the program. Additionally, the results showed that Teen Talk was well liked and was perceived as a site of “actual learning” among youth who attended it at their own initiative or through peer networks. In contrast, experiences in the program and perceptions of its impact reflected a wide range of views—some positive, others negative—among youth who attended Teen Talk at the urging of child welfare staff. Public policy recommendations for educators who are working with young people who have experienced sexual abuse and trauma are discussed.
KeywordsSexuality education Child welfare Youth Foster care Trauma
The authors wish to thank Sharma McCarty and Lindsay Cuadras for their diligence and dedication to this project.
This research was supported by the State Personal Responsibility Education Program grant awarded by the U.S. Department of Health & Human Services, Administration for Children & Families, Family and Youth Service Bureau (FYSB), CFDA# 93.092 to the State of Connecticut Department of Public Health.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
Research Involving Human Participants
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- Boyer, J. (2018). New name, same harm: Rebranding of federal abstinence-only programs (No. 21). Retrieved from https://www.guttmacher.org/gpr/2018/02/new-name-same-harm-rebranding-federal-abstinence-only-programs
- Brown, G., Sorenson, A., & Hildebrand, J. (2012). How they got it and how they wanted it: Marginalised young people’s perspective on their experiences of sexual health education. Sex Education: Sexuality, Society and Learning, 12(5), 599–612. https://doi.org/10.1080/14681811.2011.634141.CrossRefGoogle Scholar
- Centers for Disease Control and Prevention. (2016b). HIV Surveillance Report, 2015. Retrieved from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html
- Chin, H. B., Sipe, T. A., Elder, R., Mercer, S. L., Chattopadhyay, S. K., Verughese, J., et al. (2012). The effectiveness of group-based comprehensive risk-reduction and abstinence education interventions to prevent or reduce the risk of adolescent pregnancy, human immunodeficiency virus, and sexually transmitted infections: Two systematic reviews for the guide to community preventive services. American Journal of Preventive Medicine, 42(3), 272–294. https://doi.org/10.1016/j.amepre.2011.11.006.CrossRefPubMedGoogle Scholar
- Donovan, M. (2017). The looming threat to sex education: A resurgence of federal funding for abstinence-only programs (No. 20). Retrieved from www.guttmacher.org
- Edwards, W. M., & Coleman, E. (2004). Defining sexual health: A descriptive overview. Archives of Sexual Behavior, 33(3), 185–195. https://doi.org/10.1023/B:ASEB.0000026619.95734.d5.CrossRefGoogle Scholar
- Fine, M., & McClelland, S. I. (2006). The politics of teen women’s sexuality: Public policy and the adolescent female body. Emory Law Journal, 56, 995–1038.Google Scholar
- Freire, P. (2000). Pedagogy of the oppressed (30th ed.). New York: Continuum Publishing Group.Google Scholar
- Goesling, B., Colman, S., Trenholm, C., Terzian, M., & Moore, K. (2014). Programs to reduce teen pregnancy, sexually transmitted infections, and associated sexual risk behaviors: A systematic review. Journal of Adolescent Health, 54(5), 499–507. https://doi.org/10.1016/j.jadohealth.2013.12.004.CrossRefPubMedGoogle Scholar
- Hamilton, B. E., & Mathews, T. J. (2016). Continued declines in teen births in the United States, 2015 (No. 259). Retrieved from National Center for Health Statistics Data Briefs website https://www.cdc.gov/nchs/data/databriefs/db259.pdf
- Johnson, R. B. (1997). Examining the validity structure of qualitative research. Education, 118(2), 282–292.Google Scholar
- Jones, J., Mosher, W., & Daniels, K. (2012). Current contraceptive use in the United States, 2006–2010, and changes in patterns of use since 1995 (No. 60). Retrieved from http://www.cdc.gov/nchs/data/nhsr/nhsr060.pdf
- Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K., Queen, B., … Ethier, K. A. (2018, June). Youth Risk Behavior Surveillance – United States, 2017 (No. 8). Retrieved from https://www.cdc.gov/mmwr/volumes/67/ss/pdfs/ss6708a1-H.pdf
- Kirby, D. (2007). Emerging answers: Research findings on programs to reduce teen pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy Retrieved from https://thenationalcampaign.org/sites/default/files/resource-primary-download/EA2007_full_0.pdf.Google Scholar
- Lindberg, L., & Hasstedt, K. (2018). The Trump administration’s irresponsible use of research in pushing its abstinence-only agenda into Title X. Guttmacher News in Context. Retrieved from www.guttmacher.org.
- Lofland, J., Snow, D., Anderson, L., & Lofland, L. H. (2006). Analyzing social settings: A guide to qualitative observation and analysis (4th ed.). Belmont, CA: Wadsworth/Thomson Learning.Google Scholar
- Lugo-Gil, J., Lee, A., Vohra, D., Adamek, K., Lacoe, J., & Goesling, B. (2016). Updated findings from the HHS Teen Pregnancy Prevention Evidence Review: July 2014 through August 2015. Retrieved from https://tppevidencereview.aspe.hhs.gov/pdfs/Summary_of_findings_2015.pdf
- Manlove, J., Fish, H., & Anderson Moore, K. (2015). Programs to improve adolescent sexual and reproductive health in the US: A review of the evidence. Adolescent Health, Medicine and Therapeutics, 6, 47-79Google Scholar
- Martin, J. A., Hamilton, B. E., Osterman, M. J. K., Driscoll, A. K., & Matthews, T. J. (2017). Births: Final data for 2015 (No. 66). Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf
- Miles, M., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
- Mosher, W. D., Jones, J., Abma, J. C. (2012). Intended and unintended births in the United States: 1982–2010 (No. 55). Retrieved from http://www.cdc.gov/nchs/data/nhsr/nhsr055.pdf
- Office of Adolescent Health. (2017). Evidence-based teen pregnancy prevention programs at a glance. Retrieved from https://www.hhs.gov/ash/oah/sites/default/files/ebp-chart1.pdf
- Sales, J. M., Milhausen, R. R., & DiClemente, R. J. (2006). A decade in review: Building on the experiences of past adolescents STI/HIV interventions to optimize future prevention efforts. Sexually Transmitted Infections, 82(6), 431–436. https://doi.org/10.1136/sti.2005.018002.CrossRefPubMedPubMedCentralGoogle Scholar
- Santelli, J. S., Lindberg, L. D., Grilo, S. A., & Kantor, L. M. (2019). Ideology or evidence? Examining the population-level impact of US government funding to prevent adolescent pregnancy. American Journal of Public Health, 109(3), 356–357. https://doi.org/10.2105/AJPH.2018.304940.CrossRefPubMedGoogle Scholar
- SIECUS (Sexuality Information and Education Council of the United States). (n.d.-a). A history of federal funding for sex education and related programs. Retrieved from http://www.siecus.org/.
- SIECUS (Sexuality Information and Education Council of the United States). (n.d.-b). A history of federal funding for abstinence-only-until marriage programs. Retrieved from http://www.siecus.org/.
- SIECUS (Sexuality Information on Education Council of the United States). (2018). Congress increases funding for failed, harmful abstinence-only programs in fiscal year 2018. Retrieved from http://www.siecus.org
- Solomon-Fears, C. (2016). Teenage Pregnancy Prevention: Statistics and Programs. Washington DC: Congressional Research ServiceGoogle Scholar
- Weiss, R. S. (1994). Learning from strangers: The art and method of qualitative interview studies. New York: The Free Press.Google Scholar
- World Health Organization. (2006). Defining sexual health: Report of a technical consultation on sexual health, 28–31 January 2002, Geneva. Retrieved from http://www.who.int/reproductivehealth/publications/sexual_health/defining_sexual_health.pdf