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Socio-ecological framework*
Influences on male adolescents’ SRH care use
Cultural
Social
Personal
Scripts
Gender role
Access to care; organization of care package
Structural/ Policies
Institutions/Guideline
Healthcare, school, etc.
Interpersonal
Social supports, parents, providers
Individual male
Intrapersonal
Perceived need, enabling, & background factors
Social networks, parent connection, healthcare provider relationship
Personal context
Young men reflect how they make decisions to seek sexual health care
“If it’s not an emergency...you don’t want to go, or maybe you don’t have time..., very simply you don’t need to...”
15-19 heterosexual Hispanic male focus group
“If you’re using a condom, there’s no need for a clinic.”
20-24 gay/bisexual African American male focus group
Marcell et al. J Adol Health. 2017.
Cultural context
Knowledge, beliefs, self-efficacy, insurance, behavior
*Adapted from Bronfenbrenner Marcell AV, et al. J Adolesc Health. 2017.
Structural context
Social context
Personal context
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PRECONGRESS COURSE 08 I VIENNA, AUSTRIA – 23 JUNE 2019 09