Thread by @abbyliberty1

Today's closing session is entitled Hablamos Español: Why Language & Culture Matters in Family Planning

#SFP2022

Speakers are from @PPFA where they lead the strategy and content that aims to to increase inclusivity and culturally appropriate care among Spanish speaking populations

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They recognize that this is a HUGE task because of the immense diversity among Latinx populations. However, they report that language can be unifying across these cultural differences.

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.@PPFA's Spanish language website experienced an the largest increase in the traffic on pages with information about abortion, but also increases in pages about contraception and HPV

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They use SEO data in order to optimize finding evidence based care and did thematic analysis to understand what people are searching.

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Themes included side effects:
- Misoprostol efectos secundarios

Privacy concerns:
- Un ginecologo puede saber si tuve un aborto provocado?

Self managed abortion:
- Medicamentos abortivos de venta libre
- Abortion provocado pdf

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Searches also included herbal and tea mythologies for self managed abortions.

Searches are looking for brand names from other countries such as cyclofem.

A common theme was searching for health information *cost*.

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Their Spanish language blog Sexo sin-vergüenza has had over 8 million hits of direct traffic from google and they have no budget for paid marketing.

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Haz tu pregunta feature has received >200 questions, about 80% of submissions from people ages 13-24!

Check it out: bit.ly/3unBmOl

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Most popular Sexo sin-vergüenza blog posts:
- Can I use herbs to have an abortion?
- How long does an abortion take?
- Where can I get an abortion?

Hablamos Espanõl at #SFP2022

Most common user questions are about pregnancy. These questions are generally are either about risk of pregnancy based on cycle time or accuracy/timing of home pregnancy tests

Hablamos Espanõl at #SFP2022

Another project from the @PPFA team is Chatea, which allows users to ask questions any time of day and receive evidence based answers from bilingual experts.

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They explain that these chat based methods have been shown to *increase* the chance that someone comes to clinic for the care that they need and are an important first impression for cultural inclusive care.

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While the English language resources found that users wanted a "cool aunt" to be their trusted source, in Latinx communities, the trusted voice was that of an older sister or a prima if no sister.

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Many of the Chatea exchanges are exclusively in Spanish and even among bilingual users, they expressed a preference for discussing sensitive things in Spanish. This kept these discussions "in the family" which was an important community of trust for users.

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The primary users are 15-29 years old. However, the team found that the group of users return to the Chatea as a trusted source they age and therefore the content has grown with the users to address different reproductive health needs through the life course

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One bottleneck to this care is having enough appropriately trained bilingual experts employed. At times, only 30% of chats could be answered due to staffing.

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The last resource they highlight is translating the @PPFA app Spot On en Español!

bit.ly/3P08fdn

Right now the app is only available in the US, but users have asked for access in other countries.

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The app had different user trends than the blog or live chat. On the App, users most frequently viewed pages about:
- Pleasure
- Condom use
- Fertility awareness

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On Chatea, there were more questions about HIV due to stigma that people brought from other countries. Many people don't know about #PrEP because it might not have been available where they lived before.

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The panel concludes with best practices:
- Latinx communities are not a monolith, talk with the communities your serve
- Don't make Spanish resources an afterthought!
- Hire and pay native speakers
- Transcreate, don't just translate

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Audience Q: @EstelaVasquezG from @ohsufamilymed asking about how to balance the short and long term health needs?
Answer: Chats are aimed at acute, targeted concerns. The blog gets at the larger themes/questions including immigration & religion.

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Audience Q: What research would you like to see in this area?
Answer: Research should differentiate needs of recent immigrants & monolingual Spanish speakers. Older studies have bilingual or first generation Spanish speakers but these are different populations!

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Audience Q: How do you manage the dialect differences across cultures who speak Spanish?

Answer: We aim for a neutral Mexican vocabulary but we always encourage @PPFA affiliates to know the communities they serve as there may be unique cultural needs.

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