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The invisibility of adolescent sexual development in foster care: Seriously addressing sexually transmitted infections and access to services

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  • Robertson, Roni Diamant

Abstract

Adolescents residing in foster care are at higher risk for acquiring sexually transmitted infections (STIs) and human immune deficiency virus (HIV) compared to their non-foster care peers. A literature review was conducted to determine whether youth residing in foster care face different barriers to sexual health care compared to their peers in the general population and, if so, what those barriers are. The review revealed barriers common to adolescents in general as well as additional barriers specific to the ecosystem of adolescents in foster care. Systemic issues that decreased access to sexual health services included child welfare policies that were either missing or implemented without fidelity; complicated financial factors; barriers to service utilization; lack of collaboration between child welfare and medical professionals; and limited information provided to foster youth on their sexual health and development. Consent and confidentiality issues that foster youth face in seeking sensitive health services also need to be resolved. More research is needed on how to facilitate development of coherent policies and effective practices that promote sexual health care access for adolescents in foster care.

Suggested Citation

  • Robertson, Roni Diamant, 2013. "The invisibility of adolescent sexual development in foster care: Seriously addressing sexually transmitted infections and access to services," Children and Youth Services Review, Elsevier, vol. 35(3), pages 493-504.
    • Handle: RePEc:eee:cysrev:v:35:y:2013:i:3:p:493-504
    DOI: 10.1016/j.childyouth.2012.12.009
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    3. Colarossi, Lisa & Dean, Randa & Stevens, Alex & Ackeifi, Jackie & Noonan, Maya, 2019. "Sexual and reproductive health capacity building for foster care organizations: A systems model," Children and Youth Services Review, Elsevier, vol. 105(C), pages 1-1.
    4. Combs, Katie Massey & Cook Lee, Mackenzie & Ramseyer Winter, Virginia & Taussig, Heather, 2022. "Sexual and reproductive health protective factors among adolescents with child welfare involvement," Children and Youth Services Review, Elsevier, vol. 140(C).
    5. Combs, Katie Massey & Racz, Sarah J. & Taussig, Heather, 2024. "Knowledge of and access to contraceptive information and services among teenagers with child welfare involvement: A descriptive study across the transition to high school," Children and Youth Services Review, Elsevier, vol. 166(C).
    6. Finigan-Carr, Nadine M. & Craddock, Jaih B. & Johnson, Tonya, 2021. "Predictors of condom use among system-involved youth: The importance of Sex Ed," Children and Youth Services Review, Elsevier, vol. 127(C).
    7. Ramseyer Winter, Virginia & Brandon-Friedman, Richard A. & Ely, Gretchen E., 2016. "Sexual health behaviors and outcomes among current and former foster youth: A review of the literature," Children and Youth Services Review, Elsevier, vol. 64(C), pages 1-14.
    8. Bruce, Janine S., 2016. "Sexual and reproductive health policies for foster youth in California: A qualitative study of child welfare professionals' experiences and perceptions of policies," Children and Youth Services Review, Elsevier, vol. 61(C), pages 184-200.
    9. Roberts, Louise & Long, Sara Jayne & Young, Honor & Hewitt, Gillian & Murphy, Simon & Moore, Graham F., 2018. "Sexual health outcomes for young people in state care: Cross-sectional analysis of a national survey and views of social care professionals in Wales," Children and Youth Services Review, Elsevier, vol. 89(C), pages 281-288.
    10. Jill R. McTavish & Christine McKee & Masako Tanaka & Harriet L. MacMillan, 2022. "Child Welfare Reform: A Scoping Review," IJERPH, MDPI, vol. 19(21), pages 1-24, October.
    11. van der Gaag, Renske Sanne & Gisella Gwendolyn Walpot, Mirjam & Boendermaker, Leonieke, 2024. "Professional competencies for sexuality and relationships education in child and youth social care: A scoping review," Children and Youth Services Review, Elsevier, vol. 158(C).

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