Finding their voice: How cultural background shapes sexual and reproductive health communication among college women

Background: Cultural background may influence how college women access and communicate about sexual and reproductive health (SRH). This study examined how cultural contexts shape SRH information-seeking behaviors and healthcare engagement among college women. Methods: Forty female undergraduates (20 Asian American, 20 White) at a Southern U.S. university participated in four culturally homogeneous focus groups exploring SRH information-seeking, family communication, healthcare access, and provider relationships. Using the Social Determinants of Health (SDOH) framework and constant comparative analysis, qualitative themes were identified. A post-session survey assessed healthcare utilization patterns. Results: Five themes emerged: health information-seeking behaviors, cultural implications, familial support networks, SDOH influences, and patient-physician dynamics. Many Asian American participants relied on online research due to limited family communication about sexuality, while White participants reported greater engagement with family and healthcare providers. Survey results revealed notable disparities in healthcare utilization, with 75% of White participants reporting prior OB/GYN visits compared with fewer than 10% of Asian American participants. Conclusions: Cultural and familial contexts appear to shape SRH information-seeking behaviors and healthcare engagement among college women. These findings highlight the importance of culturally responsive approaches that address structural barriers and communication norms in college health settings.