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Sexual and Reproductive Health Policies For Adolescents in Foster Care: A Literature Review

Lors, Beatrice (2013) Sexual and Reproductive Health Policies For Adolescents in Foster Care: A Literature Review. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Introduction: Adolescents are engaging in risky sexual behaviors, which result in high rates of STD infection and teenage pregnancy. These maternal and child health outcomes are indicative of the status of the sexual and reproductive health of adolescents and are of public health concern.
Background: Adolescents in foster care represent a sub-group of adolescents at high risk for teenage pregnancy and STD infection, due to the early onset of sexual activity, lower rates of condom usage, and intercourse with multiple sex partners. This population is medically underserved, although federal and state laws mandate Medicaid (health insurance) provision for children placed in foster care; however, policy plays a large role in how such laws are practiced.
Method: A literature review using seven databases and two search engines identified research/evaluation reports (with no time constraints) related to sexual and reproductive health policies for youth in foster care, utilizing 17 Boolean terms.
Results: Twelve relevant articles were identified. A 1987 article documented the existence of sexual and reproductive health policies for children in foster care in only nine states, and the other studies discussed practice and policy recommendations for improving the maternal and child health outcomes of adolescents in foster care.
Discussion: There is a lack of recent literature that documents the existence of sexual and reproductive health policies as they relate to youth in foster care, which suggests a gap of knowledge about the practice, research and policies governing sexual and reproductive health services. Furthermore, child welfare workers have expressed an increased need for explicit, written policies about their roles and responsibilities in the provision of sexual and reproductive health education and services.
Conclusion: There is a pressing need to dictate policies and appropriate funding, in support of explicitly meeting the sexual and reproductive health needs of adolescents in foster care.
Multiple stakeholders need to foster communication and collaboration, in order to effectively research, develop and implement policies to better meet the sexual and reproductive health needs of adolescents in foster care. Further research on existing health policies, written guidance and additional training is necessary to enable practitioners to better address this public health need.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Lors, Beatricebel31@pitt.eduBEL31
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorFriedman, Markmsf11@pitt.eduMSF11
Committee MemberBradley- King, Cynthiackb11@pitt.eduCKB11
Committee MemberShook, Jeffrey Jjes98@pitt.eduJES98
Date: 27 June 2013
Date Type: Publication
Defense Date: 29 March 2013
Approval Date: 27 June 2013
Submission Date: 7 March 2013
Access Restriction: 5 year -- Restrict access to University of Pittsburgh for a period of 5 years.
Number of Pages: 61
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: foster care, sexual and reproductive health, medicaid, health policy, sex education, adolescents
Date Deposited: 27 Jun 2013 18:41
Last Modified: 01 May 2018 05:15
URI: http://d-scholarship.pitt.edu/id/eprint/17708

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