| Abstract: | Twelve focus groups were conducted with African-American and Latino youth (age 14-19) in Washington, DC to inform the development of a program to postpone sexual involvement among younger teens (age 12-14). The study's objectives were to uncover the prime motivators for early sexual involvement, examine attitudes towards pregnancy and contraception, explore peer and family influences on sexual decision-making, and identify the youth's preferred sources of information and advice on sexual matters. The data suggest that sex is a peer norm for these youth and generally begins by age 15 or before. The prime motivator for early sex among the young women appears to be social pressures from boyfriends, peers and even older siblings. In contrast, young men seem to be more motivated by physical desire, and draw a clear distinction between relationships that are exclusively sexual and those that are more serious and romantic. Early pregnancy was universally viewed as undesirable, but not always as a hindrance to one's future. While motivation to avoid pregnancy appears to be less pronounced among the African-American youth, potential barriers to contraceptive use seem prominent in both groups due to strong negative opinions about the safety and efficacy of various methods. Condoms are viewed as being appropriate for casual sexual encounters, but not for longer, more established relationships. Parents received mixed reviews as sources of information and guidance on sexual matters. Latino youth were more likely than African-Americans to view parents as being influential in their sexual decision-making, but appear less likely to rely on them for information and advice. All youth preferred clinics to schools for sex education and related services. Overall, these data signal the need for interventions that generate peer support for delaying sex and pregnancy, correct misinformation about contraceptives, and encourage frank, open discussions between youth and their parents or other caring adults. |
