Teens talk about sexual health: Findings from a New York State focus group study

We conducted 27 focus groups with a representative sample of 291 adolescents from communities across New York State. Participants were diverse in terms of ethnicity, race, gender, sexual experience, and geographic residence. We sought to learn how youth get information about sexual health (sex, HIV, STDs and pregnancy) and how they access and experience sexual health services. We obtained their recommendations for improving education and treatment to better reach all young people to promote their sexual health.

Schools were cited as the primary and best source for obtaining sexual health information. Media, parents, and peers were frequently cited, but generated mixed responses regarding information quality. Youth have a pressing need for information about STDs. In over half of the focus groups, youth reported not knowing where to go for sexual health care services. Fear was a frequently reported barrier to both obtaining accurate information and accessing services. Money (including insurance) was another obstacle to obtaining sexual health care. To facilitate access to services, participants recommended extending service hours, integrating sexual health care into yearly physicals, and increasing the visibility of services. Other ideas to improve the delivery of information and services included more extensive sexual health education and improved communication, especially between teens and parents.

Next steps include examining differences among subpopulations to identify unique challenges and potential prevention strategies. These data will be used to inform the NYS Department of Health's planning of new initiatives, programs, and policies that promote adolescent sexual health and prevent sexual risk behaviors.