Learning Objective #1: Describe the research process that was used in the focus groups by discussing the research purpose, methodology, sample, procedure, risks, and benefits

Learning Objective #2: Describe the interview guide and discuss the findings of the recurrent themes during the taped interview sessions from informants of focus groups

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The purpose is to determine through focus group interviews of adolescents (a) the meaning of sexual abstinence and (b) the value of sexual education prevention programs, specifically abstinence-only versus comprehensive, safe sex prevention programs. The perceptions of at-risk male and female teens in residence at the Youth Challenge Program at Camp Shelby, Mississippi will be used. Background—Heterosexual transmission continues to be the predominant mode of transmission in the rural South, particularly Mississippi, (Hu et al., 1992). Traditionally teens have equated “having sex” with intercourse alone. A focus in research and prevention has been on teens and reducing risky behaviors. Teens have sought more creative ways to express sexual intimacy, such as mutual masturbation, oral and anal sex (Remez, 2000). These behaviors are not considered “sex” in the traditional sense yet some non-traditional behaviors, when unprotected, can lead to HIV/STDs. The term “sexual abstinence” among teens has lead to ambiguous opinions. Clarity of “sexual abstinence” needs to be communicated. Teens need answers to these questions: Is abstinence not having vaginal penetration, or anal penetration? Is abstinence only referring to no vaginal intercourse? Could abstinence be defined these days as simply not exchanging body fluids? There are numerous studies on HIV/STDs and abstinence-only versus comprehensive safe sex prevention programs. Method—Two 90-minute focus groups with 8 teens in each group were interviewed, one group each of males and females, totaling 16 participants. Findings—Themes included sexual abstinence may not mean the same for everyone; just say no doesn't work because teens need more explanation as to what will work; teach comprehensive sexual education starting at the 4th grade (this was prominent), and several more.