Homeless youth become pregnant or involved in pregnancies at high rates. There are many ways by which unintended pregnancies may be prevented, including the use of condoms and other contraceptives. However, there is a dearth of research regarding contraceptive use among this vulnerable youth population, and especially through lenses that consider homeless youths’ diverse gender identities, expressions, and sexualities. This study qualitatively explores homeless youths’ attitudes and experiences regarding condom and other contraceptive use. Data were obtained from interviews with 30 youth experiencing homelessness, ages 18–21. Youth reported inconsistent use of condoms and other contraceptives, which youth often attributed to their perceptions of contraceptive inaccessibility and exorbitant cost. Most youth also did not know where to obtain contraceptive information and services, and reported transportation barriers and fear of being stigmatized in health care settings, particularly in relation to their gender identities and sexualities. Findings suggest that reproductive and sexual health information and services are urgently needed by all homeless young people, and from low-barrier, non-judgmental, and empathetic sources.

Youth experiencing homelessness (YEH) face myriad injustices regarding their reproductive and sexual health and rights. Reproductive and sexual health research with YEH often explores condom-use and sexually transmitted infections, potentially contributing to narrow conceptualizations of YEH as “unclean” or in need of disease-screening. A narrative theory perspective was applied to this study, which allowed for the emergence of alternative storylines, or counter-narratives, which attend to manifestations of power and oppression within the lives of marginalized individuals. Qualitative interviews engaged 30 young people (ages 18–21) accessing shelter services. Narrative analyses identified YEHs’ documentations of dominant narratives related to structural oppressions, stigma, and numerous dimensions of reproductive and sexual health including how they create, through their resistance, counter-narratives that include their preferred futures. YEH emphasized systemic sources of stigma and outlined their criticisms of the state. Within-group stigma emerged as a noteworthy theme, with YEH showing both empathy and ambivalence towards other YEH, along with internalization of stigmatizing narratives about pregnancy and homelessness. Approaches to service provision that further amplify youths’ voices in naming and challenging the many oppressions and stigmas they face should be prioritized. Moreover, policies should be implemented to dismantle the actual root causes of challenges faced by YEH, rather than perpetuating them through measures rooted in interlocking oppressions of discrimination, inequity, and judgment.

Homelessness among youths exacerbates an array of challenging life experiences, notable examples of which are pregnancy and parenting. Research is lacking on young men’s attitudes and experiences, and also the influences which homeless youths’ gender identities and sexualities may have on their pregnancy and parenting outcomes and trajectories. This study qualitatively explores gender differentials, including youths’ gender identities and sexual orientations, with regard to their attitudes and experiences of pregnancy and parenting while homeless. Qualitative data were obtained from interviews with a diverse sample of 30 female, male, and transgender homeless youths, ages 18 to 21. Findings revealed that topics of pregnancy and parenting represent a wide range of complexities, different standards, and threats for homeless youths. Although pregnancy is often viewed positively within this community, it is received and experienced differently for each gender and sexuality. Results demonstrate that youths’ unimpeded access to and knowledge of all available reproductive and sexual health care services is essential. These services must be designed and delivered for youths of all gender identities and sexual orientations. Interventions and resources on parenting and co-parenting, particularly models that more inclusively engage a greater diversity of young parents’ involvement, are also urgently needed.

Pregnancy rates among youth experiencing homelessness are much higher than those of their housed peers, yet limited research exists on this population’s abortion experiences. This study examined abortion attitudes, experiences, and decision making through individual interviews with 30 female, male, and gender-fluid youth (ages 18-21 years) experiencing homelessness. Respondents indicated that abortions are common in this population. Many youth also reported they either had, and/or knew of others, who had attempted abortions outside of the formal medical system while experiencing homelessness. Most youth noted that self-inductions resulted from not knowing where or how to access abortions safely, and as many feared stigma, judgment, and violence from family members and serious partners in response to obtaining abortions. Most youth reflected inaccurate perceptions regarding abortion cost, accessibility, and legality. Findings should be considered in developing socially contextualized family planning prevention and outreach efforts among this highly vulnerable youth population.