title: 'If I went to my mom with that information, I'm dead': sexual health knowledge barriers among immigrant and refugee Somali young adults in Ohio.
abstract: Adequate knowledge of sexual health among young adults is a critical step in prevention of sexually transmitted diseases and maintenance of adult sexual health. Knowledge of specific barriers to accessing sexual health knowledge can help tailor approaches appropriately. The purpose of this paper was to identify sexual health knowledge barriers among Somali young adults in Ohio.
  
  
  
  In-depth interviews were conducted with a convenience sample of 27 Somali young adults aged 18-25 years. Using a grounded theory approach, a semi-structured interview guide comprising open-ended questions and probes was utilized to collect data. Data were analyzed and coded using constant comparative analysis.
  
  
  
  Findings revealed sexual health knowledge barriers in the following broad categories: religion, culture and stigma. Cultural and religious norms were deemed an important influence on the community norms largely impacting sexual health knowledge due to stigma and fear of judgment. Participants overcame barriers by seeking information from external sources such as doctors, Internet and peers.
  
  
  
  Study findings support an approach that will address sexual health barriers in the Somali immigrant young community at multiple levels: individual, interpersonal and community levels. A collaborative effort across religious, cultural and educational setting is necessary to tailor approaches that meet the needs of the priority group.
authors.affiliation: a Department of Social and Public Health, College of Health Sciences and Professions , Ohio University , Athens , OH , USA.
authors.forename: Caroline
authors.initials: C
authors.lastname: Kingori
authors.affiliation: b Department of Social Medicine, Heritage College of Osteopathic Medicine , Ohio University , Athens , OH , USA.|c Global Health Initiative, College of Health Sciences and Professions , Ohio University , Athens , OH , USA.
authors.forename: Gillian Harper
authors.initials: GH
authors.lastname: Ice
authors.affiliation: d Dwight Schar College of Education , Ashland University , Columbus , OH , USA.
authors.forename: Qorsho
authors.initials: Q
authors.lastname: Hassan
authors.affiliation: e Luitpold Pharmaceutical , Canal Winchester , OH , USA.
authors.forename: Abdul
authors.initials: A
authors.lastname: Elmi
authors.affiliation: f Department of Social and Public Health, College of Health Sciences and Professions , Ohio University , Athens , OH , USA.
authors.forename: Erin
authors.initials: E
authors.lastname: Perko
mesh_terms: D000293:Adolescent; D000328:Adult; D054626:Consumer Health Information / Q000379:methods; D003268:Contraception Behavior / Q000208:ethnology; D003466:Cultural Characteristics; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D066296:Grounded Theory; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009820:Ohio / Q000453:epidemiology; D010290:Parents / Q000523:psychology; D036301:Qualitative Research; D012036:Refugees / Q000523:psychology*; D012067:Religion; D012736:Sex Education; D012725:Sexual Behavior / Q000208:ethnology; D000074384:Sexual Health / Q000208:ethnology*; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control; D057545:Social Stigma; D012998:Somalia / Q000208:ethnology; D055815:Young Adult
keywords: Somali; culture; immigrants; refugees; religion; sexual health; stigma