Reproductive and Sexual Health in Homeless Populations
People experiencing homelessness have frequently reported higher rates of issues involving sexual and reproductive health than their non-homeless counterparts. Sexual and reproductive health is something explored often through healthcare; however, what happens when people do not have the support of those resources? Researchers have conducted many qualitative studies on the reproductive health of homeless populations, and some main themes have appeared. Both adult and adolescent people experiencing homelessness reported experience with unplanned pregnancies, sexually transmitted diseases, as well as sexual exploitation. Adult women experiencing homelessness also reported higher levels of reproductive health-related trauma compared to women not experiencing homelessness. Many women have also reported experience with self-administered abortions, which open up the door to many health issues.
Why Should We Care
Through an intersectional lens, housing, and reproductive health are interconnected human rights. Studies have shown that a person's housing status can affect their ability to access sexual and reproductive health services. Since the two issues are so interwoven, any approach to understanding and working to fix one requires consideration of the other. One method that researchers propose is creating more access to both contraceptives as well as sexual education for groups experiencing homelessness. Health infrastructures working with homeless populations should also create spaces for gender-sensitive models of healthcare to provide the most support. There is a lot of work for policymakers, but there are still ways anyone can help.
How to Help
There are no organizations in the Portland area designed specifically to deal with the sexual and reproductive health of homeless populations. Outside of advocating for proper legislation, donating to organizations that help mitigate reproductive health issues is helpful by providing a place to take care of hygiene and have a safe place to stay. The Rose Haven is an organization that works to provide these resources to those in need. Facing the sexual and reproductive health issues of those in homeless populations is no easy feat, but donating to the link below can start moving the discussion in the right direction.
Rose Haven: https://rosehaven.org/
References
Cronley, C., Hohn, K., & Nahar, S. (2017). Reproductive health rights and survival: The voices of mothers experiencing homelessness. Women & Health, 58(3), 320-333. https://doi.org/10.1080/03630242.2017.1296060
Ensign, J. (2001). Reproductive health of homeless adolescent women in seattle, washington, USA. Women & Health, 31(2-3), 133-151. https://doi.org/10.1300/j013v31n02_07
Ussher, J. M., Chrisler, J. C., & Perz, J. (2020). Routledge international handbook of women's sexual and reproductive health. Routledge.
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