{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:37:56Z","timestamp":1784543876162,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Katharine Berry Richardson Foundation-Children's Mercy Hospital Intramural Award"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Latino youth experience significant disparities in rates of teen pregnancy, and reproductive health needs of rural Latino youth are not well understood. The purpose of this study was to describe knowledge, beliefs, and attitudes about contraception among rural Latino adolescents and young adults (Latino youth).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010four Latino youth, aged 15\u201324 years from rural Kansas communities participated in 15 focus groups (FG) and completed an individual survey. The survey assessed demographics and acculturation. FG participants discussed attitudes, subjective norms, and perceived sexual behaviors regarding teen sexuality, pregnancy, and contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FGs revealed multiple obstacles to accessing reproductive health services: geographical\/rural location, cultural barriers, religious influences, lack of sexual education, and personal attitudes toward pregnancy and contraception use. Participants described close\u2010knit communities with limited access to confidential reproductive health care. They identified cultural and religious factors (sexual taboo, virginity, <jats:italic>Familismo<\/jats:italic>, and family dishonor) that influence family planning behaviors among Latino youth and obstruct access to sexual health and contraception knowledge and services. Ambivalence regarding pregnancy intentions was common, along with the belief that contraception equates with abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Latino youth in rural communities face multiple physical and sociocultural obstacles to accessing family planning information and services. Community\u2010based pregnancy prevention interventions must target these obstacles to optimize reproductive health outcomes for Latino youth in rural settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12390","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T19:18:58Z","timestamp":1566328738000},"page":"38-47","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Knowledge, Beliefs, and Attitudes About Contraception Among Rural Latino Adolescents and Young Adults"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6582-9595","authenticated-orcid":false,"given":"Romina L.","family":"Barral","sequence":"first","affiliation":[{"name":"Division of Adolescent Medicine, Children's Mercy Hospital and Clinics University of Missouri\u2010Kansas City School of Medicine  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Cartujano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Maimonides Medical Center  Brooklyn New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Perales","sequence":"additional","affiliation":[{"name":"University of Kansas Alzheimer's Disease Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine &amp; Public Health University of Kansas Medical Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Cowden","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Mercy Hospital and Clinics University of Missouri\u2010Kansas City School of Medicine  Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Trent","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Johns Hopkins University School of Medicine  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megha","family":"Ramaswamy","sequence":"additional","affiliation":[{"name":"University of Kansas Alzheimer's Disease Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Finocchario","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Kansas Medical Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Pregnancies, Births and Abortions Among Adolescents and Young Women in the United States, 2013: National and State Trends by Age, Race and Ethnicity","author":"Kost K","year":"2017"},{"key":"e_1_2_7_3_1","unstructured":"Campaign to Prevent Teen and Unplanned Pregnancy (Power to Decide) National data. 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