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Best Practices for Developing Appropriate Sexual Health Programs for Border Hispanic Adolescents in Texas Sheetal Malhotra, MBBS, MS  Rebecca Palacios, PhD Katherine Hendricks, MD, MPH&TM
Objectives ,[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object]
Birthrates for 15- to 19-Year-Olds ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: DSHS Office of Border Health
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: General ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: General ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: General ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Middle School Boys ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Middle School Boys Parent knowledge on sex is “expired!”
Results: Middle School Girls ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Middle School Girls Teens we know are in a hurry to experience sex.
Results: Middle School ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results: High School Boys ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results: High School Boys ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: High School Boys If you don’t do it, other kids will laugh at you.
Results: High School Girls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: High School Girls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: High School Girls If you want some, you get some!
Implications for Public Health Program Planning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implications for Building Program Evaluation  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population: Examples  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population: Examples ,[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population:  Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population: Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tailoring Program Evaluation to Target Population: Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Study Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object]
Funding for the Study ,[object Object]
Thank You! ,[object Object],[object Object],[object Object],[object Object]

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Tx dshs std hiv focus groups final

  • 1. Best Practices for Developing Appropriate Sexual Health Programs for Border Hispanic Adolescents in Texas Sheetal Malhotra, MBBS, MS Rebecca Palacios, PhD Katherine Hendricks, MD, MPH&TM
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  • 13. Results: Middle School Boys Parent knowledge on sex is “expired!”
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  • 15. Results: Middle School Girls Teens we know are in a hurry to experience sex.
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  • 19. Results: High School Boys If you don’t do it, other kids will laugh at you.
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  • 22. Results: High School Girls If you want some, you get some!
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Notes de l'éditeur

  1. 1. Weinberger DR. 2005. The Adolescent Brain… The human body changes from the moment of conception until birth and then continues to change throughout childhood, adolescence, and adulthood. Adolescence, which means “to grow up” in Latin, is a period of transition between childhood and adulthood. Many new thoughts, feelings, relationships, and responsibilities are experienced on the journey to becoming a fully mature adult. Puberty is a time of sexual maturation for boys and girls when they develop the ability to produce children. Before puberty, both girls and boys gradually grow taller and bigger. Then the brain produces the hormones that cause the dramatic changes during puberty – - rapid growth and sexual maturation. When this transition is complete, the reproductive organs (gonads) are fully developed and the sexually mature person is capable of reproduction. Once the sexual maturation process is complete, additional intellectual, emotional, and social development is necessary before a person is mature enough to participate in a successful marriage and practice responsible parenthood. This development continues until the mid-20s, when the prefrontal cortex, the part of the brain responsible for mature judgment, matures. References: Weinberger DR, Elvevag B, Giedd J. The Adolescent Brain: A Work in Progress . Washington, DC: The National Campaign to Prevent Teen Pregnancy; June 2005. Available at: http://www.teenpregnancy.org/resources/reading/pdf/BRAIN.pdf. Accessed September 15, 2005.
  2. For example, we did not need to ask our students about oral sex in the surveys, because most of the participants of our focus groups had told us that students had vaginal sex before oral sex. So in the sexual activity timeline vaginal sex was occurring before oral sex and it was unnecessary to ask about oral sex as a precursor for vaginal sex. Question on anal sex only asked at high school level because students tend to try anal sex as an experimental behavior after they have had vaginal sex. Anal sex age estimates were closer to high school age groups and not younger age groups. Tailored names and situations to target communities. Similarly, questions on having sex with boyfriend/girlfriend and casual sex at parties was addressed in the evaluation instrument. Piloted final survey for language and ease of understanding. Eg, “well off”’ vs “rich”
  3. For example, we did not need to ask our students about oral sex in the surveys, because most of the participants of our focus groups had told us that students had vaginal sex before oral sex. So in the sexual activity timeline vaginal sex was occurring before oral sex and it was unnecessary to ask about oral sex as a precursor for vaginal sex. Question on anal sex only asked at high school level because students tend to try anal sex as an experimental behavior after they have had vaginal sex. Anal sex age estimates were closer to high school age groups and not younger age groups. Tailored names and situations to target communities. Similarly, questions on having sex with boyfriend/girlfriend and casual sex at parties was addressed in the evaluation instrument. Piloted final survey for language and ease of understanding. Eg, “well off”’ vs “rich”