Normative Sexual Health Development in Non-Normative Circumstances: Exploring Healthy Intimate Relationships Among Young People in Foster Care

Abstract

While the sexual health risks among young people of color in foster care have been well-documented, healthy sexual development in this population has been less examined. The current study explored the experiences of Black youth in foster care and the factors that influenced their safer sex practices. Qualitative interviews were conducted with 18 sexually active Black participants (18–22 years old) in foster care from a large, Midwestern city in the United States. Grounded theory methods were used to (a) construct a conceptual framework illustrating the conditions the youth experienced that influenced their safer sex efforts, and (b) describe different types of intimate relationships that reflected their sexual health practices. Using specific strategies, the majority of the youth overcame obstacles and participated in positive sexual health practices. More than half (59%) reported they were in an intimate relationship for at least 6 months and either abstained from sex, used condoms 100% of the time, or employed safer sex methods. The findings suggest Black youth in state care can engage in positive sexual health practices and form healthy intimate relationships.