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  Social context
  Cultural context
 Structural context
 Social context
Recommendations
• Clinicians need requisite training & tools (e.g., educational materials) to assess for & have discussions about infertility with at-risk male populations & their families
• Consider clinician-, parent-, & partner-level interventions to increase young men’s use of infertility care
   Personal context
  Socio-ecology: Cultural context
Male adolescents reflect about healthcare use
“If I was a female or whatever I’d be [expected to be] in the clinic...I ain’t that though...”
20-24 heterosexual African American male focus group
“Yeah...it’s females that go. Most likely females got a good relationship with the[ir] doctor. They talk to the[ir] doctor
  Cultural context
  Structural context
 Social context
about anything.”
15-19 heterosexual African American male focus group
Marcell et al. J Adol Health. 2017.
 Personal context
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 PRECONGRESS COURSE 08 I VIENNA, AUSTRIA – 23 JUNE 2019 27
   












































































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