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Open Access 11.08.2023

“I Need to Get My Culture Back”: Youth and Provider Perspectives on Integrating Culturally Based Approaches into Sexual and Reproductive Health Programs for Native Hawaiian and Pacific Islander Youth Experiencing Homelessness

verfasst von: Charlene Kuo, Michelle Jasczynski, Jee Hun Yoo, Jennifer L. Robinson, Katelyn Reynolds, Lisa Anoruo, Kayla Bae, Lana Sue Ka‘opua, Rebecca Chavez, Jacqueline Tellei, Elizabeth M. Aparicio

Erschienen in: Prevention Science | Sonderheft 2/2023

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Abstract

There is growing interest in decolonizing sexual and reproductive health (SRH) and embedding cultural practices into social and medical services in Hawai‘i. Wahine (“woman”) Talk is a multilevel, comprehensive SRH program for female youth experiencing homelessness (YEH) led by community health, social work, and medical providers. This study examines youth and program provider perspectives of culturally based approaches that may strengthen SRH programs. The study team conducted three focus groups and ten in-depth interviews with participating youth and program providers after the program’s conclusion. Youth participants were aged 14 to 22 years (M = 18.1) and of Native Hawaiian or Pacific Islander ancestry. Interview transcripts were analyzed using structured thematic analysis. The youth described feeling estranged from their ancestral cultures and suggested incorporating multiple cultural practices to enhance their connection to community, body, and land into SRH programming for YEH. They identified several ʻāina (“land”)–based approaches, hands-on learning, hula, and language as possible practices to weave into the program. While youth felt estranged from their ancestral cultures, they discussed Native Hawaiian and Pacific Islander health perspectives where ʻāina and relationships are considered life-sustaining. Youth and program staff stressed incorporating culture respectfully, caring for the whole person, and providing trauma-informed care. Future policy, practice, and research should consider protecting and integrating Native Hawaiian conceptions of health into SRH policy and practice and include youths’ cultural identities in SRH intervention development.

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Titel: “I Need to Get My Culture Back”: Youth and Provider Perspectives on Integrating Culturally Based Approaches into Sexual and Reproductive Health Programs for Native Hawaiian and Pacific Islander Youth Experiencing Homelessness
verfasst von: Charlene Kuo
Michelle Jasczynski
Jee Hun Yoo
Jennifer L. Robinson
Katelyn Reynolds
Lisa Anoruo
Kayla Bae
Lana Sue Ka‘opua
Rebecca Chavez
Jacqueline Tellei
Elizabeth M. Aparicio
Publikationsdatum: 11.08.2023
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe Sonderheft 2/2023
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-023-01573-7

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Springer Medizin

“I Need to Get My Culture Back”: Youth and Provider Perspectives on Integrating Culturally Based Approaches into Sexual and Reproductive Health Programs for Native Hawaiian and Pacific Islander Youth Experiencing Homelessness

Abstract

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Adapting a Counseling-Plus-mHealth Intervention for the Virtual Environment to Reduce Sexual and Reproductive Health Risk Among Young Women with Depression

Innovation in Sexuality and Relationship Education in Child Welfare: Shifting Toward a Focus on Ongoing Conversations, Connection, and Consent

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