title: When adolescent girls say, "I don't know".
abstract: OBJECTIVE
  To understand adolescent girls' use of "I don't know" within the context of discussing information related to sexual attitudes and behaviors.
  
  
  METHODS
  Qualitative analysis of seven focus groups with adolescent girls.
  
  
  METHODS
  Urban primary care clinic.
  
  
  METHODS
  Adolescent girls (n = 23) with a mean age of 16.4 years (range 14 to 18 years). Fifty-two percent were African-American, 26% were Caucasian, 17% were Hispanic/Latino, and 5% were Asian.
  
  
  RESULTS
  The use of "I don't know" served three functions: (1) place holder, (2) lack of commitment to an opinion; and (3) reduction of commitment to an opinion or belief.
  
  
  CONCLUSIONS
  These results suggest that girls use "I don't know" when asked about their thoughts and opinions related to sexual health, and that its use can have varying implications. Discriminating the intent may help providers respond appropriately. Responses should include providing a safe and nonjudgmental environment in which girls can express their feelings and opinions regarding their sexual health.
authors.affiliation: University of Houston-Clear Lake, Houston, Texas, USA. shortmb@uhcl.edu
authors.forename: Mary B
authors.initials: MB
authors.lastname: Short
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Mills
authors.forename: Susan L
authors.initials: SL
authors.lastname: Rosenthal
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001741:Black or African American / Q000523:psychology; D003142:Communication; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D000297:Psychology, Adolescent; D012725:Sexual Behavior / Q000523:psychology*; D044465:White People / Q000523:psychology