Work

How Racism and Discrimination Impacts Black Young Women’s Sexual Health: The Influence of Racial and Sexual Stereotypes on Educational Access

Year: 2024

Type: article

Abstract: PURPOSE: Structural racism and racial discrimination may increase adverse sexual health outcomes in Black adolescent girls. However, the influence of racism on sexual health has not been well-described in qualitative studies. The purpose of this study was to explore definitions of structural racism and determine how experiences of racial discrimination impact sexual health and decision-making in a sample of adolescent Black girls. METHODS: Black girls aged 13-19 years were recruited from an ongoing longitudinal study. Virtual focus groups and individual interviews were facilitated, inquiring about understandings of structural racism, experiences with discrimination, and factors that influence sexual health decision-making and healthcare-seeking. Transcripts were professionally transcribed and coded by two independent, blinded team members. Thematic content analysis was used to identify emergent themes. RESULTS: Four themes emerged as follows: (1) slavery and medical racism in the United States impact the sexual and reproductive health (SRH) choices of Black girls; (2) stereotypes and oversexualization of Black girls are considered a barrier to SRH education; (3) adults serve as both barriers and facilitators to SRH and resource utilization; and (4) Black girls often seek information from friends or social media outlets to make SRH decisions. DISCUSSION: Reproductive health education for Black girls should integrate historical influences of systemic oppression. Practitioners should include reproductive justice to build trust in clinical and community spaces. Engaging caregivers in health education may reduce barriers for youth to engage in care.

Source: Journal of Adolescent Health

DOI: 10.1016/j.jadohealth.2024.10.009

Authors: Ashley V. Hill, Phoebe Balascio, Mikaela Moore, Tyia Wilson, Alana Fields, Elizabeth Miller

Institutions: University of Pittsburgh, University of Illinois Chicago, Children's Hospital of Pittsburgh

Language: English

Topic: Adolescent Sexual and Reproductive Health

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Reduced inequalities, Good health and well-being, Gender equality

Open Access status: hybrid

Estimated APC paid: $3,270