“The Medical System Is Not Built for Black Women’s Bodies”: Qualitative Insights from Young Black Women in the Greater Toronto Area on Their Sexual Health Care Needs

While often framed as historical or ‘post’colonial, the pervasive legacies of anti-Black racism, rooted in the afterlives of slavery and the dehumanization of African, Caribbean, and Black (ACB) voices, continues to shape the health experiences of young ACB women in Ontario, Canada. Using an intersectional framework, this qualitative study utilized focus groups (n = 24) to understand factors influencing access to sexual and reproductive health services for young ACB women in southern Ontario. The findings reveal that fostering ACB youth engagement in the design and facilitation of healthcare programs will be vital for creating more responsive spaces to fully express sexual health concerns. It also demonstrates that Eurocentric biomedical frameworks continue to obscure young ACB women’s needs, emphasizing the necessity for culturally relevant care. Lastly, the findings indicate that internalized colonial narratives around health practices perpetuate intergenerationally, further complicating young ACB women’s access to adequate sexual and reproductive healthcare. This examination illuminates the need to address the colonial legacies within healthcare systems that continue to pathologize and hypersexualize young ACB women’s bodies. The study concludes by advocating for intersectional, youth-centered, and culturally competent approaches to dismantling the barriers young ACB women face in accessing sexual and reproductive health services.