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Latina Adolescent Health

Poverty Latinos living in the United States are disproportionately affected by poverty. Religion Roman Catholicism, the religion predominant among Latinos, strongly influences familismo [ 19 ] and through familismo , also strongly influences the sexual health behaviors of young Latinas. Make programs culturally and linguistically appropriate. To best communicate health messages to Latina teens, programs must present culturally appropriate and relevant information in the language s and idiom that the young women will understand.

Given issues of acculturation and biculturalism among Latina youth, programs need to pay special attention to traditions and to changing cultural norms as well as to the specific Latino cultures of their clients, such as Honduran, Puerto Rican, Cuban, Brazilian, or Mexican.

Involve teens and their social support networks. Involving teens as well as their families and friends in the development of the programs, messages, and services can make programs more relevant and effective for their intended audience. Families and friends can have a great impact on the health decisions and behavior of Latina youth. These people, so important in the lives of Latina teens, can also play vital roles in encouraging and reinforcing healthy choices among Latina teens.

Address culturally defined gender roles. Latino cultural traditions may hinder young women's ability to openly communicate with their partners. Therefore, programs tailored for Latinas should emphasize assertiveness as well as communication and negotiation skills.

Effective programs should also involve young Latino men in discussing gender roles and communication within relationships.

Involve communities in programs' development, implementation, and evaluation. The best way to reach a community is by working with the community. Invite Latino youth, parents, schools, churches, and community-based organizations to participate in designing and implementing the program—from the very beginning. These partners can contribute significantly to developing a culturally appropriate and powerful program. Moreover, they will share a sense of ownership as the program develops.

Ventura SJ et al. Trends in pregnancy rates for the United States, National Vital Statistics Reports ; 49 4: Frost JJ et al. Country Report for the United States. Alan Guttmacher Institute, Births to teenagers in the United States, National Vital Statistics Reports ; 49 Statistical Abstract of the United States.

Sexually Transmitted Disease Surveillance Grunbaum JA et al. Youth risk behavior surveillance, United States, Trends in sexual risk behaviors among high school students, United States, Cultural influences on the sexual attitudes, beliefs and norms of young Latina adolescents.

J Society Pediatric Nurses ; 3: Therrien M, Ramirez RR. The Hispanic population in the United States. Bureau of the Census, The State of Hispanic Girls.

Access to health care for Latina adolescents: J Adolesc Health ; Usual sources, patterns of utilization, and foregone health care among Hispanic adolescents. J Adolesc Health ; Doswell WM, Braxter B.

Risk-taking behaviors in early adolescent minority women: Reproductive health differences among Latin American- and US-born young women. J Urban Health ; Office of Research on Women's Health. Women of Color Health Data Book: National Institutes of Health, Gonzales Castro F et al. Healthy adjustment in Mexican American and other Hispanic adolescents.

Montemayor R et al , ed. Romo LF et al. A longitudinal study of maternal messages about dating and sexuality and their influence on Latino adolescents. O'Sullivan LF et al. Social cognitions associated with pubertal development in a sample of urban, low-income African American and Latina girls and mothers. Unger JB et al. Well, Christina, this didn't end up being your experience, right?

You kind of bucked the statistics here. What happened with yours - with your pregnancy and how did that affect your life? Well, I was kind of on a fast track to nowhere before the birth of my son, and I really look at it that he provided me the inspiration to kind of push myself further because at that point when I got pregnant with him during my sophomore year, my grades and attendance at school were dismal. I just wasn't focused. And once he was born, it gave me that responsibility that, you know, I need to get it together and, you know, provide him with a legacy that he can be proud of.

So I went on and got my BA in child development and my Master's degree in early childhood education, and have kind of just really pushed the message of higher education for him. And he will be applying for colleges next year.

He's doing wonderful in school, and that was the experience that I had. The same age that you had him? And if he were to come home and say mom, I got a girl pregnant? I've given that a lot of thought because obviously it's always a possibility once a child is sexually active. I've had a discussion with him frequently and early on about ways that - pardon me - that he can, you know, protect himself and also having the discussion with the young women that he may be involved with.

I've also been very diligent about keeping him involved in afterschool activities. Thankfully, my job is such that I'm home by in the afternoon.

So there isn't that lapsed time where he's just kind of hanging out unsupervised. But if it were to come up, then I would have to do the same that my parents did for me, which is just provide him with all of the support that he, you know, needs and that the young woman would need so that they can be successful.

And hopefully their child would be successful as well. And, Jane, obviously Christina is an anomaly to a certain extent. The statistics generally aren't as good for girls that have babies when they're in their teenage years, right? That's what you were just mentioning?

Yes, that's what is so - that's why you have to look beyond the numbers in each situation because what forms that young woman and that young man's decisions, they vary from situation to situation. And in one case, it can be something that motivates someone, in another case it may be something that is not thought of in a positive way. And that's why I get very concerned when there are these blanket statistics because they give you like a frame, but the details of the picture you have to look at each situation.

But, Christina, do you agree with the effort to reduce to pregnancies? Is that something you support? So where do you think - Christina, where are we maybe missing the boat with reaching Latinas? Is it at the home? Is it in church? Is it at school? Where could we perhaps improve that message? Well, I think it's a combination of all that you just mentioned. I think that it's essential that we address the academic, the socioeconomic and sexual health challenges that many of our Latino youth are facing.

And we need to really be diligent about enacting integrative policies that are going to address these issues holistically. So how can we help parents and support them in having those conversations around sexual health with their children because a lot of times, maybe they want to talk with them, but they are not sure how to approach the subject. How can we better equip teachers and counselors and administrators to deal with their increasingly diverse student body?

There's just so many ways that we need to go about this, but also keeping in mind that, you know, the poverty cycle - I know that it's often said that teen pregnancy is a cause of poverty. But I'm thinking this is something that's existing before the pregnancy in many cases.

And so that's something that we need to go to the root of. It's not enough to say that if we are to reduce teen pregnancy rates that it's going to solve that issue of poverty among Latinos. Jane, I wanted you - to get you to respond to what Christina just said in terms of how we can - where we can most effectively improve the message to prevent teen pregnancies among the Hispanic community? I think the message has to be given from many different people in many different ways.

One of the things people always want is the magic bullet, the silver bullet - the one program that's going to prevent teen pregnancy. And you can't have one program because each girl is going to be very different and each boy. Someone said to me, you know, have a dance program for young girls after school so they have something to go to and do. You need afterschool programs for girls who are 10 to 15 because usually at that age, there are very few activities, and for boys, too.

So I think you have to have an array of programs and activities and redundancy. Just because you say something once, doesn't mean someone is going to get the message. You have to repeat it. It has to be part of our society. You know, it concerns me how we sexualize young girls and then get surprised when they get pregnant. She joined me right here in our Washington, D. Visit our website terms of use and permissions pages at www. NPR transcripts are created on a rush deadline by Verb8tm, Inc.

This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. Accessibility links Skip to main content Keyboard shortcuts for audio player. Facebook Twitter Flipboard Email. April 14, Heard on Tell Me More.

U.S. teen pregnancies have declined for years, but Latinas still have the highest rate. Health expert DELGADO: I think there's lots going on with Hispanic girls. . She joined me right here in our Washington, D.C. studios. Nonprofit group hopes education can reduce Latina teen pregnancy rate ( Sarah L. Voisin/The Washington Post) to the experiences of being a Latino in Montgomery will delay “the sexual debut” of Latino girls and boys. This month, 10 Black and Latina teens have vanished in the Washington, D.C. area. If you haven't heard about the disappearances, you're not.