Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study

Rural, indigenous populations in Mexico face barriers to accessing sexual and reproductive health (SRH) resources and services. Given the lack of information to inform educational materials tailored to the needs of these indigenous communities, we aimed to: (a) quantitatively characterise the SRH aw...

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Main Authors: Cristina Espinosa da Silva, Margarita Santibanez, Adrienne RS Lee, Lorena S Pacheco, Stephanie Brodine, Miguel A Fraga, Taylor B Desmarais, Noe C Crespo, Javier Martínez Hernandez, Marianne McKennett, Richard S Garfein
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Sexual and Reproductive Health Matters
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Online Access:https://www.tandfonline.com/doi/10.1080/26410397.2024.2433824
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author Cristina Espinosa da Silva
Margarita Santibanez
Adrienne RS Lee
Lorena S Pacheco
Stephanie Brodine
Miguel A Fraga
Taylor B Desmarais
Noe C Crespo
Javier Martínez Hernandez
Marianne McKennett
Richard S Garfein
author_facet Cristina Espinosa da Silva
Margarita Santibanez
Adrienne RS Lee
Lorena S Pacheco
Stephanie Brodine
Miguel A Fraga
Taylor B Desmarais
Noe C Crespo
Javier Martínez Hernandez
Marianne McKennett
Richard S Garfein
author_sort Cristina Espinosa da Silva
collection DOAJ
description Rural, indigenous populations in Mexico face barriers to accessing sexual and reproductive health (SRH) resources and services. Given the lack of information to inform educational materials tailored to the needs of these indigenous communities, we aimed to: (a) quantitatively characterise the SRH awareness and practices among adolescents and adults in a rural, mostly indigenous community in northern Mexico and (b) qualitatively assess community perspectives on an educational pamphlet with SRH information (e.g. contraceptive options). Quantitative data collection occurred in November 2018 and April 2019 using convenience sampling in a community clinic and random sampling for community households. Qualitative data collection occurred in November 2019 via individual interviews and focus group discussions to assess community perspectives about an SRH educational pamphlet developed from quantitative data. Participants in the quantitative phase of our study (n = 217) were a median age of 30 years, 71% were female, and those with children reported having a median of three (range = 1–11). SRH knowledge was low, as were self-reported efforts to obtain contraceptives or testing for HIV/STIs. Most believed that children should learn about SRH by age 10–15 years, and 94% felt that parents should deliver such education. Participants had low knowledge about SRH but high motivation to educate children and adolescents on these topics, indicating potential for SRH campaigns in this community. Health education materials were well-received in the qualitative phase of our study (n = 17 from individual interviews; n = 22 from focus group discussions), and raised interest among community members in learning more about these topics.
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spelling doaj-art-7e1b0ca69a684eda84468b68c65dd2422025-01-29T14:21:38ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972024-12-0132110.1080/26410397.2024.2433824Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional studyCristina Espinosa da Silva0Margarita Santibanez1Adrienne RS Lee2Lorena S Pacheco3Stephanie Brodine4Miguel A Fraga5Taylor B Desmarais6Noe C Crespo7Javier Martínez Hernandez8Marianne McKennett9Richard S Garfein10PhD Student, Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA; PhD Student, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USA; Postdoctoral Scholar, Department of Medicine, University of California San Francisco, San Francisco, CA, USAAdjunct Faculty, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USAPhD Student, Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA; PhD Student, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USAPhD Student, Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA; PhD Student, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USA; Postdoctoral Scholar, Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USAProfessor, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USAProfessor, Facultad de Medicina y Psicología, Universidad Autónoma de Baja California, Tijuana, BC, MéxicoMedical Student, Department of Medicine, University of California, San Diego, La Jolla, CA, USAProfessor, Division of Health Promotion and Behavioral Science, School of Public Health, San Diego State University, San Diego, CA, USADirector, Salvador Díaz Mirón Primary School, San Quintin, BC, MéxicoProfessor, Department of Medicine, University of California, San Diego, La Jolla, CA, USA; Professor, Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USAProfessor, Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USARural, indigenous populations in Mexico face barriers to accessing sexual and reproductive health (SRH) resources and services. Given the lack of information to inform educational materials tailored to the needs of these indigenous communities, we aimed to: (a) quantitatively characterise the SRH awareness and practices among adolescents and adults in a rural, mostly indigenous community in northern Mexico and (b) qualitatively assess community perspectives on an educational pamphlet with SRH information (e.g. contraceptive options). Quantitative data collection occurred in November 2018 and April 2019 using convenience sampling in a community clinic and random sampling for community households. Qualitative data collection occurred in November 2019 via individual interviews and focus group discussions to assess community perspectives about an SRH educational pamphlet developed from quantitative data. Participants in the quantitative phase of our study (n = 217) were a median age of 30 years, 71% were female, and those with children reported having a median of three (range = 1–11). SRH knowledge was low, as were self-reported efforts to obtain contraceptives or testing for HIV/STIs. Most believed that children should learn about SRH by age 10–15 years, and 94% felt that parents should deliver such education. Participants had low knowledge about SRH but high motivation to educate children and adolescents on these topics, indicating potential for SRH campaigns in this community. Health education materials were well-received in the qualitative phase of our study (n = 17 from individual interviews; n = 22 from focus group discussions), and raised interest among community members in learning more about these topics.https://www.tandfonline.com/doi/10.1080/26410397.2024.2433824adolescent pregnancyfamily planningHIVindigenous communitiesTriquiMixtec
spellingShingle Cristina Espinosa da Silva
Margarita Santibanez
Adrienne RS Lee
Lorena S Pacheco
Stephanie Brodine
Miguel A Fraga
Taylor B Desmarais
Noe C Crespo
Javier Martínez Hernandez
Marianne McKennett
Richard S Garfein
Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
Sexual and Reproductive Health Matters
adolescent pregnancy
family planning
HIV
indigenous communities
Triqui
Mixtec
title Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
title_full Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
title_fullStr Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
title_full_unstemmed Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
title_short Sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in Baja California, Mexico: a quantitative and qualitative cross-sectional study
title_sort sexual and reproductive health awareness and practices among adolescents and adults in a rural farming community in baja california mexico a quantitative and qualitative cross sectional study
topic adolescent pregnancy
family planning
HIV
indigenous communities
Triqui
Mixtec
url https://www.tandfonline.com/doi/10.1080/26410397.2024.2433824
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