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'Our only resource': Perspectives and Recommendations of Rural African American Youth on Adapting Sexual Health and Risk Reduction Interventions
Rhodes, R. ,
Malone, C. ,
Martin, G. ,
Year Published: 2016
Journal of Health Care for the Poor and Underserved
The Johns Hopkins University Press
Recent studies have documented disproportionately high rates of sexually transmitted infections (STIs), HIV, and births among minority adolescents in rural areas of the United States. Yet the majority of sexual health education programs and interventions were developed for adolescents in metropolitan areas, and may not be appropriate or relevant for rural youth. The present authors explored the perspectives of 73 African American youth in rural Georgia who participated in a cognitive-behavioral intervention to reduce sexual risk behaviors. The intervention, Swagga & Lace, was adapted from the evidence-based Becoming a Responsible Adult (BART) program. The authors sought to understand how this and similar interventions may be tailored to better meet the needs of rural youth. Findings highlight the importance of experiential and peer-to-peer learning as well as diverse recruitment strategies when working with adolescents in rural communities. Modified Author Abstract.