"How to Make it Out Alive": A Strengths-Based Analysis of Latinas' Adolescent Sexual Health Experiences

Community Health Equity Res Policy. 2025 Jan;45(2):153-165. doi: 10.1177/2752535X241260444. Epub 2024 Jun 7.

Abstract

Background: Ample evidence demonstrates Latina adolescents' elevated risk for sexual health disparities, but knowledge of how they manage their sexual health during this critical period of sexual development is limited. Countering the overfocus on Latina adolescents as "at-risk" girls in extant research, this study uses a strengths-based perspective to explore this topic.

Methods: This study used a narrative research design to gather and analyze the stories of 18 Latina young people who attended school in New York. We employed holistic-content and categorical-content approaches to identify themes and interpret findings through a strengths-based view of sexual health.

Results: We identified three major themes across participants' narratives: (1) agency in gaining sexual health information; (2) self-protection; and (3) obtaining sexual healthcare despite barriers.

Conclusions: Findings underscore the need for more inclusive, culturally relevant sexual health education initiatives, youth-centered services, and interventions that capitalize on the strengths of Latina adolescents.

Keywords: Latina; adolescents; sex education; sexual health.

MeSH terms

  • Adolescent
  • Adolescent Behavior / ethnology
  • Adolescent Behavior / psychology
  • Female
  • Health Knowledge, Attitudes, Practice / ethnology
  • Hispanic or Latino* / psychology
  • Humans
  • Narration
  • New York
  • Qualitative Research
  • Sex Education
  • Sexual Behavior / ethnology
  • Sexual Behavior / psychology
  • Sexual Health*
  • White