PHASE I RESEARCH RECAP Views of Healthy Relationships, Sex and Pregnancy May 6, 2019
MET ETHODOL HODOLOG OGY Y REV REVIEW IEW PHASE 1 APPROACH PARENT/GUARDIAN SURVEY ADOLESCENT SURVEY • Parents and guardians of • Adolescents, between the ages of adolescents between the ages of 10 10 and 18 and 18 • 249 completes • 200 completed surveys • 200 among general market • 49 at-risk adolescents • Across Iowa • Across Iowa • In-depth online exercise with • In-depth online exercise with quantitative and qualitative quantitative and qualitative questions questions PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
ADOLESCENTS PRIORITIZED TOPICS THAT WERE SEEN AS MOST CRITICAL
PRI PRIORITI ORITIZIN ZING G TE TEEN EN TOPICS OPICS 76% RANKED “BUILDING/KEEPING HEALTHY RELATIONSHIPS MOST IMPORTANT 100% 75% 50% 25% 0% 1 2 3 4 5 6 7 8 9 Building/Keeping healthy relationships 76% 13% 4% 3% 1% 1% 1% 0% 0% Dating 5% 25% 23% 24% 7% 8% 4% 4% 2% Feeling anxious or depressed 4% 9% 11% 8% 17% 22% 15% 7% 9% Bullying 1% 6% 7% 10% 11% 18% 19% 11% 18% Giving consent 8% 22% 28% 17% 10% 7% 5% 2% 2% Accepting rejection from others 3% 23% 19% 19% 13% 10% 4% 5% 5% Having sex 1% 1% 2% 11% 29% 16% 18% 9% 14% Sexually transmitted diseases/infections 3% 1% 4% 3% 7% 9% 17% 35% 21% Child/Teen pregnancy 0% 1% 3% 6% 5% 10% 18% 27% 30% PHAS PHASE E I I RES RESEAR EARCH H REC RECAP AP
PRIORITI PRI ORITIZIN ZING G TE TEEN EN TOPICS OPICS BUILDING/KEEPING HEALTHY RELATIONSHIPS INDEXED HIGHEST AMONG ALL GROUPS 200 175 150 125 100 75 50 25 0 Sexually Building and Accepting Feeling transmitted keeping Giving Child/Teen Dating rejection from anxious or Having sex Bullying diseases healthy consent pregnancy others depressed (STDs) or relationships infections ALL 170 127 126 116 93 78 77 58 55 General Market 172 130 127 116 91 79 75 56 54 At Risk 162 116 120 118 98 72 88 67 59 Rural 171 131 129 117 91 80 73 55 53 Urban 169 124 123 115 95 76 81 61 56 Male 167 122 131 120 91 80 79 58 51 Female 172 130 123 113 94 77 77 58 57 Caucasian-Only 174 130 129 115 90 78 75 57 53 Non-Caucasian-Only 163 122 120 118 98 78 82 61 58 PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
PRI PRIORITI ORITIZIN ZING G TE TEEN EN TOPICS OPICS 30% OF ADOLESCENTS RANKED CHILD/TEEN PREGNANCY LAST AMONG TOPICS 100% 75% 50% 25% 0% 1 2 3 4 5 6 7 8 9 Building/Keeping healthy relationships 76% 13% 4% 3% 1% 1% 1% 0% 0% Dating 5% 25% 23% 24% 7% 8% 4% 4% 2% Feeling anxious or depressed 4% 9% 11% 8% 17% 22% 15% 7% 9% Bullying 1% 6% 7% 10% 11% 18% 19% 11% 18% Giving consent 8% 22% 28% 17% 10% 7% 5% 2% 2% Accepting rejection from others 3% 23% 19% 19% 13% 10% 4% 5% 5% Having sex 1% 1% 2% 11% 29% 16% 18% 9% 14% Sexually transmitted diseases/infections 3% 1% 4% 3% 7% 9% 17% 35% 21% Child/Teen pregnancy 0% 1% 3% 6% 5% 10% 18% 27% 30% PHAS PHASE E I I RES RESEAR EARCH H REC RECAP AP
PRIORITI PRI ORITIZIN ZING G TE TEEN EN TOPICS OPICS CHILD/TEEN PREGNANCY INDEXED LOWEST AMONG ALL GROUPS 200 175 150 125 100 75 50 25 0 Sexually Building and Accepting Feeling transmitted keeping Giving Child/Teen Dating rejection from anxious or Having sex Bullying diseases healthy consent pregnancy others depressed (STDs) or relationships infections ALL 170 127 126 116 93 78 77 58 55 General Market 172 130 127 116 91 79 75 56 54 At Risk 162 116 120 118 98 72 88 67 59 Rural 171 131 129 117 91 80 73 55 53 Urban 169 124 123 115 95 76 81 61 56 Male 167 122 131 120 91 80 79 58 51 Female 172 130 123 113 94 77 77 58 57 Caucasian-Only 174 130 129 115 90 78 75 57 53 Non-Caucasian-Only 163 122 120 118 98 78 82 61 58 PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
RATION RA TIONALES LES FOR FOR PRI PRIORIT ORITIZ IZATIO TION N OF OF CHILD/ CHILD/TE TEEN EN PRE PREGN GNANCY ANCY MOST FREQUENTLY BELIEVED THAT THEY WEREN’T PLANNING ON HAVING KIDS OR WERE TOO YOUNG TO HAVE KIDS (20%) Not planning to have kids/too young 20% Impacts your future 17% Not a priority right now 10% Don't think about it 7% Using contraception/protection 4% Its unnecessary 4% Waiting until marriage/older 4% Know great teen parents 4% No one respects girls who get pregnant 3% Its not a big deal any more 3% Sexual activity with same sex 1% Adds stress to your life 1% Be smart/prepared 1% Everyone's trying to avoid it 1% Other issues are of greater importance 1% Other 6% Not sure 9% PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
MAINT AINTAIN INING ING HEAL HEALTHY THY RELA RELATION TIONSHI SHIPS PS WIT WITH H OTHE THERS RS MORE THAN HALF OF ADOLESCENTS BELIEVED THAT MAINTAINING GOOD COMMUNICATION WITH OTHERS WAS A KEY TO HEALTHY RELATIONSHIPS Communication, making sure any tension is removed the minute it 53% comes up.” – Urban Female, 16+ 23% 8% 5% 1% Good Communication Respect Trust Compromise Being Transparent PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
ADOLESCENTS SHARED PERSPECTIVES ON DESIRED ADVICE
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS STARTING TO HAVE SEX 46% 14% 7% 4% Using Becoming/Recognizing Gaining/Receiving Consent Abstaining/Waiting Contraception/Protection They Were Ready PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS STARTING TO HAVE SEX • At-risk adolescents were significantly less likely to mention readiness (4 percent), as were male adolescents (6 percent) and those in the Under 16 age group (7 percent). • At-risk adolescents were also significantly less likely to mention consent (0 percent). The Under 16 age group was also significantly less likely to mention consent (1 percent). PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS STARTING TO HAVE SEX “Make sure to use protection, “What birth control is the most condoms, birth control, etc.” effective and practical to use.” – Rural Male, 16+ – Urban Female, 16+ “Make sure to use protection always.” – Rural Female, 16+ “Are you ready to have sex with “Don't do it until you are married.” the person you're planning to have sex with?” – Rural Male, 16+ – Urban Female, 16+ PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS WAITING TO HAVE SEX 29% 15% 5% 5% 4% Normalize Waiting Making Sure They're Not Prioritizing Sex at Considering the Considering the Ready This Life Stage Consequences Dynamics of Relationship PHAS PHASE E I I RES RESEAR EARCH H REC RECAP AP
DESIRE DES IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS WAITING TO HAVE SEX • At-risk adolescents were significantly less likely to mention the concept of normalizing waiting (6 percent). • At-risk adolescents were significantly less likely to mention making sure they’re ready for sex (2 percent). Non -Caucasian- only adolescents were also significantly less likely to mention readiness (5 percent). • The Under 16 age group was significantly more likely to mention the dynamics of the relationship (9 percent). PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS WAITING TO HAVE SEX “Let me wait until I'm ready “It's good to wait till you're older so because only I can decide for you know if you're ready for sure myself.” once you've matured more.” – Rural Female, 16+ – Urban Female, 16+ “Waiting to have sex may be hard, but you are protecting your future. You need to focus on your life now, not a baby.” – Urban Female, 16+ “You don't have to do anything that “Having someone tell me it’s okay. you are not ready for, and if you want Boys not pressuring me into sex.” to wait, you can make that choice for yourself.” – Urban Female, 16+ – Rural Female, 16+ PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS TRYING TO AVOID GETTING PREGNANT 70% 17% 3% 1% Using Abstinence "Pulling Out" Track Menstruation Cycle Contraception/Protection PHASE PHAS E I I RES RESEAR EARCH H REC RECAP AP
DES DESIRE IRED D AD ADVIC VICE E AM AMONG ONG ADOLESC ADOLESCEN ENTS TS TRYING TO AVOID GETTING PREGNANT • At-risk adolescents were significantly less likely to mention using contraception/protection (49 percent) • Male adolescents were significantly less likely to mention using contraception/protection (60 percent) PHAS PHASE E I I RES RESEAR EARCH H REC RECAP AP
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