Table 3 : Barriers Identified.

Themes Responses

1) Language Barriers
  • “If they can relate to you, especially if you speak the same language, adherence is better.”
  • “They (the parents) cannot blend as easily as the teens within the general population because most of them don’t speak English.”

2) Impact of Religion
  • “Religion plays a role.  The parents and grandparents follow religion a little bit more. They’re a little bit more aware of what the church may say, while the younger generations are a little bit more open.  I’ve had instances of conflict when you try to talk about sexual and reproductive health.”

3) Access to Healthcare
  • “Many Latino youth experience barriers to healthcare access, insurance, etc.”
  • “They (adolescents) probably choose not to go specialty clinics because they want to blend in, except if they have other barriers to healthcare access such as lack of insurance or maybe cultural competence.”

4) Discomfort
  • “If the kid unfolds into a giggly mess, you should probably just move on at that point because the child and family are uncomfortable.  It is definitely driven by the family unit and by the child themselves because they are not going to listen to what we say about preconception counseling unless they are in that contemplation stage of listening to the material.”
  • “I think having materials make the conversation a little bit easier to start. You can say, “Oh, we have new information to share!” and sort of give the reason to bring it up when parents may not otherwise bring it up.”

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