{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T17:49:29Z","timestamp":1770832169036,"version":"3.50.1"},"reference-count":53,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":1135,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,13]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although rates of adolescent pregnancy have been declining for decades, rates of sexually transmissible infections (STIs) continue to increase among youth. Little is known about youth\u2019s comparative concern regarding pregnancy and STIs, particularly among marginalised populations. Therefore, this study compares concerns toward unplanned pregnancy and STIs and identifies underlying reasons for these differing concerns in youth populations with elevated rates of STIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fourteen focus groups were held with 92 youth in two counties in California, USA. Youth were purposefully selected from community-based organisations and schools to represent a variety of backgrounds and populations with elevated rates of pregnancy and STIs. Qualitative coding and analysis were conducted using ATLAS.ti. 7.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Almost all participants were youth of colour (86%), 27% identified as gay, lesbian or bisexual, and 21% had ever experienced homelessness. Although most youth were generally concerned about the consequences of contracting an STI, including the possible stigma associated with it, both males and females were more worried about an unplanned pregnancy. Emergent themes included varying concerns about the lasting consequences of unplanned pregnancies and STIs; greater visibility of pregnancy compared to infection; stigma; and limited STI prevention efforts compared to teen pregnancy prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By addressing the underlying concerns and varying perceptions that different groups of youth have toward STIs and pregnancy, prevention approaches and messages can be tailored, including by age, gender, sexual orientation, and for those exposed to vulnerable living situations. Additional efforts are needed to address increasing rates of STIs among young people.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh22037","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:14:46Z","timestamp":1657239286000},"page":"439-447","source":"Crossref","is-referenced-by-count":3,"title":["Youth perceptions and concerns about sexually transmissible infections versus pregnancy: a qualitative comparative study in California"],"prefix":"10.1071","volume":"19","author":[{"given":"Martha J.","family":"Decker","sequence":"first","affiliation":[{"name":"ADepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA."},{"name":"BPhilip R. 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Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA."},{"name":"CBixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA."},{"name":"DAdolescent and Young Adult Health National Resource Center, University of California, San Francisco, San Francisco, CA, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,7,8]]},"reference":[{"issue":"13","key":"2025102615423050300_R1","first-page":"1","article-title":"Births: final data for 2018.","volume":"68","author":"Martin","year":"2019","journal-title":"Natl Vital Stat Rep"},{"issue":"1","key":"2025102615423050300_R2","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/MOP.0000000000000578","article-title":"The growing epidemic of sexually transmitted infections in adolescents: a neglected population.","volume":"30","author":"Shannon","year":"2018","journal-title":"Curr Opin Pediatr"},{"key":"2025102615423050300_R3"},{"key":"2025102615423050300_R4"},{"key":"2025102615423050300_R5","unstructured":"California Department of Public Health. 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