Table 2 : Cultural Knowledge and Experiences Themes Identified.


Themes

Quotes


1) Issues of Identity
  • “Latino youth want to blend in with their peers. The last thing that they want to do is stand out.”
  • “It’s a challenge to provide care for any youth, but especially Latino youth (due to) problems with their identity.”
  • “We see Latino adolescents speaking English more than Spanish because they want to look like their peers.”
  • “They (the Latina adolescent patients) don’t want to be different.”

2) Acculturation
  • “Acculturation is more than generational differences. The longer you have been in this country, the higher the chance of acculturation.”
  • “When teenagers come into the clinic with their parents, it’s not a custom for parents (for the HCP) to speak with them (the adolescents) alone. Latino teenagers in the general population and their families are used to this. Asking first-generation parents to leave the examination room creates tension in the relationship.”
  • “When parents stay in the room, your opportunities to even discuss (RH and PC) become muted in that it’s hard to expand on topics that you would like. It has to do with generation, but it also has to do with acculturation.”
  • “With the parents, all social aspects of their lives and other problems come to the visit when you see them. It’s more noticeable in the parents than in the teenagers. The teenagers may not bring up all of those things (social aspects that impact care) as openly as the parents until they know you much better.”

3) Stigma
  • “Teens face a lot of self-image challenges where they are comparing themselves to others. When you’re dealing with children who have obesity, they may often be bullied or may be bullying others. They may be looking at others and want to be thinner or they may be looking at others and want a different shape.”

4) Ambivalence Toward Birth Control, RH Education and PC Knowledge
  • “I think one of the stark differences between Latino populations and other populations is the lack of wanting to use birth control. There are thoughts that are not non-accurate but that may not be as accurate with the current medical understanding of how contraception works.”
  • There’s a huge difference between what this generation in the US feels about planning and about when childbearing should start compared to the parents and grandparents. It becomes difficult to have these conversations because there are such stark differences between what the adolescents feel about contraception and preconception versus what the parents and grandparents, second and third generation feel about it.”

5) Cultural Sensitivity vs. Best Practice
  • “Introducing contraception for the management of polycystic ovarian syndrome or a heavy period—aside from family planning—is often cut off, especially based on a religious perspective.”

Charron-Prochownik et al.Research Journal of Women's Health  2018 5:2DOI : 10.7243/2054-9865-5-2