{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:29:29Z","timestamp":1777415369590,"version":"3.51.4"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T00:00:00Z","timestamp":1623369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Youths experiencing homelessness (YEH) become pregnant at five times the general population rate. Education, social, and health care systems struggle to adequately address this young community\u2019s sexual and reproductive health needs, yet social workers are well positioned across sectors to address their sexual and reproductive health and well-being. A growing body of literature exists on the factors affecting YEH\u2019s access and selection of birth control, prompting the present review that aimed to understand this process and inform better attuned sexual and reproductive health approaches. Using a systematic search and analytic approach, we retrieved 203 articles, of which 23 met inclusion criteria. Key findings emerged across socioecological levels, including barriers and facilitators to condom use; the differential impact on YEH of hormonal birth control side effects; and the devastating effects of economic insecurity leading to sexual exploitation, survival sex, and exposure to violence. Implications include the need for multilevel intervention that addresses youths\u2019 knowledge, attitudes, and behavior as well the need to improve social norms and system design to provide better attuned care for YEH.<\/jats:p>","DOI":"10.1093\/hsw\/hlab004","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T20:12:22Z","timestamp":1615234342000},"page":"171-186","source":"Crossref","is-referenced-by-count":4,"title":["Birth Control Access and Selection among Youths Experiencing Homelessness in the United States: A Review"],"prefix":"10.1093","volume":"46","author":[{"given":"Elizabeth M","family":"Aparicio","sequence":"first","affiliation":[{"name":"assistant professor, Department of Behavioral and Community Health, University of Maryland at College Park"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia N","family":"Kachingwe","sequence":"additional","affiliation":[{"name":"doctoral candidate, Department of Behavioral and Community Health, University of Maryland at College Park"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Fleishman","sequence":"additional","affiliation":[{"name":"research assistants, Department of Behavioral and Community Health, University of Maryland at College Park"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Novick","sequence":"additional","affiliation":[{"name":"research assistants, Department of Behavioral and Community Health, University of Maryland at College Park"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,6,11]]},"reference":[{"issue":"3","key":"2021080518504384000_hlab004-B1","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jana.2016.11.006","article-title":"Factors associated with HIV testing in youth in the United States: An integrative review","volume":"28","author":"Adebayo","year":"2017","journal-title":"Journal of the Association of Nurses in AIDS Care,"},{"issue":"1","key":"2021080518504384000_hlab004-B2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.2307\/2136092","article-title":"Sexual risk behavior and condom use among street youth in Hollywood","volume":"26","author":"Anderson","year":"1994","journal-title":"Family Planning Perspectives,"},{"key":"2021080518504384000_hlab004-B3","doi-asserted-by":"crossref","DOI":"10.1016\/j.childyouth.2019.104509","article-title":"Holistic, trauma-informed adolescent pregnancy prevention and sexual health promotion for female youth experiencing homelessness: Initial outcomes of Wahine Talk","volume":"107","author":"Aparicio","year":"2019","journal-title":"Children and Youth Services Review,"},{"key":"2021080518504384000_hlab004-B4","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.childyouth.2018.08.014","article-title":"Youth and provider perspectives of Wahine Talk: A holistic teen pregnancy prevention program developed with and for homeless youth","volume":"93","author":"Aparicio","year":"2018","journal-title":"Children and Youth Services Review,"},{"key":"2021080518504384000_hlab004-B5","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.childyouth.2017.01.013","article-title":"Sexual health programming for vulnerable youth: Improving knowledge, attitudes, and behaviors","volume":"73","author":"Boustani","year":"2017","journal-title":"Children and Youth Services Review,"},{"issue":"4","key":"2021080518504384000_hlab004-B6","doi-asserted-by":"crossref","first-page":"65","DOI":"10.15453\/0191-5096.3561","article-title":"Out of the frying pan, into the fire: Trauma in the lives of homeless youth prior to and during homelessness","volume":"37","author":"Coates","year":"2010","journal-title":"Journal of Sociology & Social Welfare,"},{"key":"2021080518504384000_hlab004-B7","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1007\/s11121-016-0684-x","article-title":"Are parental relationships always protective? 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