A Qualitative Analysis About Sexual Health of Foster Teenagers: What Concerns Do Their Caregivers Have?

Abstract

Abstract Introduction The social environment of children in foster care is one of the factors that impact on their sexual and reproductive development. Understanding these aspects is essential for the development of effective prevention strategies informed by research. Our aim is to explore the primary concerns of caregivers regarding the sexual development of teenagers in foster care. Methods The participants, 24 teenage foster caregivers, aged 32 to 55 years, were recruited through a social service network collaborating with foster families.Three focus groups’ discussion was conducted with foster caregivers using a semi-structured interview between April and June 2023. A qualitative reflexive thematic analysis was employed, focusing on themes related to foster caregivers’ concerns and challenges regarding the sexual development of the foster teenagers. Researchers conducted line-by-line coding inductively using NVIVO 14 software. Results The findings revealed that caregivers are concerned about teenagers’ exposure to sexual risks, challenges in establishing healthy relationship boundaries, dominant behaviors, and early expressions of sexuality. However, certain inaccuracies in attribution and interpretation were identified, which may be attributed to a lack of knowledge and information about normative sexual development, attachment, resilience, and insufficient training as an affective-sexual educator. The participating foster caregivers often linked sexual behaviors and distorted thoughts of teenagers with past childhood experiences. Conclusions The gathered information contributes to a deeper understanding of the needs and deficiencies of this group. Policy Implications This data lays the groundwork for designing more targeted interventions tailored to the needs identified by caregivers, which demand an immediate response.