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Talking About Teen Talk: Young People’s Experiences in a Sexuality Education Program

  • Marisol Garcia
  • Iva Košutić
  • Tatiana Melendez-RhodesEmail author
Article
  • 32 Downloads

Abstract

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.

Keywords

Sexuality education Child welfare Youth Foster care Trauma 

Notes

Acknowledgments

The authors wish to thank Sharma McCarty and Lindsay Cuadras for their diligence and dedication to this project.

Funding Information

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

Informed consent was obtained from all individual participants included in the study.

References

  1. Allen, L. (2005). ‘Say everything’: Exploring young people’s suggestions for improving sexuality education. Sex Education, 5(4), 389–404.  https://doi.org/10.1080/14681810500278493.CrossRefGoogle Scholar
  2. Bowen, G. A. (2006). Grounded theory and sensitizing concepts. International Journal of Qualitative Methods, 5(3), 12–23.  https://doi.org/10.1177/160940690600500304.CrossRefGoogle Scholar
  3. 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
  4. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.  https://doi.org/10.1191/1478088706qp063oa.CrossRefGoogle Scholar
  5. Breuner, C. C., & Mattson, G. (2016). Sexuality education for children and adolescents. Pediatrics, 138(2), e1–e11.  https://doi.org/10.1542/peds.2016-1348.CrossRefGoogle Scholar
  6. 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
  7. Buston, K., & Wight, D. (2002). The salience and utility of school sex education to young women. Sex Education: Sexuality, Society and Learning, 2, 233–250.  https://doi.org/10.1080/1468181022000025794.CrossRefGoogle Scholar
  8. Buston, K., & Wight, D. (2006). The salience and utility of school sex education to young men. Sex Education: Sexuality, Society and Learning, 6(2), 135–150.  https://doi.org/10.1080/14681810600578818.CrossRefGoogle Scholar
  9. Centers for Disease Control and Prevention. (2016a). Sexually transmitted disease surveillance 2015. Retrieved from https://www.cdc.gov/std/stats/.Google Scholar
  10. Centers for Disease Control and Prevention. (2016b). HIV Surveillance Report, 2015. Retrieved from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html
  11. 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
  12. DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2007). A review of STD/HIV preventive interventions for adolescents: Sustaining effects using an ecological approach. Journal of Pediatric Psychology, 32(8), 888–906.  https://doi.org/10.1093/jpepsy/jsm056.CrossRefPubMedGoogle Scholar
  13. 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
  14. 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
  15. Fava, N. M., & Bay-Cheng, L. Y. (2013). Trauma-informed sexuality education: Recognising the rights and resilience of youth. Sex Education: Sexuality, Society, and Learning, 13(4), 383–394.  https://doi.org/10.1080/14681811.2012.745808.CrossRefGoogle Scholar
  16. 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
  17. Fortenberry, J. D. (2016). Adolescent sexual well-being in the 21st century. Journal of Adolescent Health, 58(1), 1–2.  https://doi.org/10.1016/j.jadohealth.2015.10.250.CrossRefPubMedGoogle Scholar
  18. Freire, P. (2000). Pedagogy of the oppressed (30th ed.). New York: Continuum Publishing Group.Google Scholar
  19. Frith, H. (2000). Focusing on sex: Using focus groups in sex research. Sexualities, 3(3), 275–297.  https://doi.org/10.1177/136346000003003001.CrossRefGoogle Scholar
  20. 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
  21. Guttmacher Institute. (2018). Sex and HIV education. Retrieved from www.guttmacher.org Google Scholar
  22. Hall, K. S., Sales, J. M., Komro, K. A., & Santelli, J. (2016). The state of sex education in the United States. Journal of Adolescent Health, 58(6), 595–597.  https://doi.org/10.1016/j.jadohealth.2016.03.032.CrossRefPubMedGoogle Scholar
  23. 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
  24. Harden, K. P. (2014). A sex-positive framework for research on adolescent sexuality. Perspectives on Psychological Science, 9(5), 455–469.  https://doi.org/10.1177/1745691614535934.CrossRefPubMedGoogle Scholar
  25. Hensel, D. J., & Fortenberry, J. D. (2013). A multidimenstional model of sexual health and sexual and prevention behavior among adolescent women. Journal of Adolescent Health, 52(2), 219–227.  https://doi.org/10.1016/j.jadohealth.2012.05.017.CrossRefPubMedGoogle Scholar
  26. Johnson, R. B. (1997). Examining the validity structure of qualitative research. Education, 118(2), 282–292.Google Scholar
  27. 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
  28. 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
  29. 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
  30. Kirby, D., Laris, B. A., & Rolleri, L. (2007). Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world. Journal of Adolescent Health, 40(3), 206–217.  https://doi.org/10.1016/j.jadohealth.2006.11.143.CrossRefPubMedGoogle Scholar
  31. Kitzinger, J. (1995). Qualitative research: Introducing focus groups. BMJ, 311(7000), 299–302.  https://doi.org/10.1136/bmj.311.7000.299.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Knowles, J. (2012). Sex education in the United States. New York, NY: Planned Parenthood Federation of America Retrieved from https://www.plannedparenthood.org.Google Scholar
  33. 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.
  34. Lindroth, M. (2014). Sex education and young people in group homes: Balancing risks, rights and resilience in sexual health promotion. Sex Education: Sexuality, Society, and Learning, 14(4), 400–413.  https://doi.org/10.1080/14681811.2014.919910.CrossRefGoogle Scholar
  35. 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
  36. 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
  37. 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
  38. 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
  39. Martin, S. L., Ashley, O. S., White, L., Axelson, S., Clark, M., & Burrus, B. (2017). Incorporating trauma-informed-care into school-based programs. Journal of School Health, 87(12), 958–967.  https://doi.org/10.1111/josh.12568.CrossRefPubMedGoogle Scholar
  40. Miles, M., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
  41. 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
  42. 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
  43. Rosenstock, I. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2, 328–335.  https://doi.org/10.1046/j.1365-2648.2003.02712.x.CrossRefGoogle Scholar
  44. Ryan, K. E., Gandha, T., Culbertson, M. J., & Carlson, C. (2014). Focus group evidence: Implications for design and analysis. American Journal of Evaluation, 35(3), 328–345.  https://doi.org/10.1177/1098214013508300.CrossRefGoogle Scholar
  45. 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
  46. 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
  47. Satcher, D., Hook, E. W., III, & Coleman, E. (2015). Sexual health in America: Improving patient care and public health. JAMA, 314(8), 765–766.  https://doi.org/10.1001/jama.2015.6831.CrossRefPubMedGoogle Scholar
  48. Saywitz, K., Mannarino, A., Berliner, L., & Cohen, J. (2000). Treatment for sexually abused children and adolescents. American Psychologist, 55(9), 1040–1049.  https://doi.org/10.1037/0003-066X.55.9.1040.CrossRefPubMedGoogle Scholar
  49. 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/.
  50. 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/.
  51. 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
  52. Sinanan, A. N. (2015). Trauma and treatment of child sexual abuse. Journal of Trauma and Treatment, 24(4), 1–5.  https://doi.org/10.4172/2167-1222.S4-024.CrossRefGoogle Scholar
  53. Smith, P. B., Realini, J. P., Buzi, R. S., & Martinez, M. (2011). Students’ experiences and perceived benefits of a sex education curriculum: A qualitative analysis. Journal of Sex and Marital Therapy, 37(4), 270–285.  https://doi.org/10.1080/0092623X.2011.582433.CrossRefPubMedGoogle Scholar
  54. Solomon-Fears, C. (2016). Teenage Pregnancy Prevention: Statistics and Programs. Washington DC: Congressional Research ServiceGoogle Scholar
  55. Weiss, R. S. (1994). Learning from strangers: The art and method of qualitative interview studies. New York: The Free Press.Google Scholar
  56. 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

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Marriage, Couple and Family Therapy ProgramLewis & Clark CollegePortlandUSA
  2. 2.Partners in Social ResearchAvonUSA
  3. 3.Department of Counselor Education & Family TherapyCentral Connecticut State UniversityNew BritainUSA

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