title: Understanding gender roles in teen pregnancy prevention among American Indian youth.
abstract: OBJECTIVE
  To examine the impact of gender norms on American Indian (AI) adolescents' sexual health behavior.
  
  
  METHODS
  The project collected qualitative data at a reservation site and an urban site through 24 focus groups and 20 key informant interviews.
  
  
  RESULTS
  The reasons that AI youth choose to abstain or engage in sexual intercourse and utilize contraception vary based on gender ideologies defined by the adolescent's environment. These include social expectations from family and peers, defined roles within relationships, and gender empowerment gaps.
  
  
  CONCLUSIONS
  Gender ideology plays a large role in decisions about contraception and sexual activity for AI adolescents, and it is vital to include redefinitions of gender norms within AI teen pregnancy prevention program.
authors.affiliation: Sanford Research, Sioux Falls, SD, USA. jessica.d.hanson@sanfordhealth.org.
authors.forename: Jessica D
authors.initials: JD
authors.lastname: Hanson
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: Tracey R
authors.initials: TR
authors.lastname: McMahon
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: Emily R
authors.initials: ER
authors.lastname: Griese
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: DenYelle Baete
authors.initials: DB
authors.lastname: Kenyon
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology; D000328:Adult; D000368:Aged; D005190:Family / Q000208:ethnology / Q000523:psychology; D005260:Female; D005783:Gender Identity; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology* / Q000523:psychology; D036301:Qualitative Research; D021841:Safe Sex / Q000208:ethnology* / Q000523:psychology; D012736:Sex Education; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology; D055815:Young Adult