Cammock, RadilaitePousini, TengihiaAndrews, Malcolm2025-03-262025-03-262025-01-10Sexual and Reproductive Health Matters, ISSN: 2641-0397 (Print); 2641-0397 (Online), Taylor & Francis Group, 32(1), 2445934-. doi: 10.1080/26410397.2024.24459342641-03972641-0397http://hdl.handle.net/10292/18945Pacific understandings of sexual and reproductive health (SRH) encompass beliefs and practices reflective of Pacific values systems. These are integral to cultural understandings of safety, relationships, and intimacy. Research processes and practices that appropriately address these values and sensitives are scarcely available in the literature, leading to limited use and understanding of culturally appropriate methods and procedures. Pacific methodologies like Talanoa are useful in ensuring that cultural perspectives unique to Pacific youth are addressed and appropriately represented in the research. This paper describes how cultural factors associated with sexual and reproductive health influenced the Talanoa research processes in a study of Pacific youth and SRH education. Key cultural considerations are discussed focussing on the positionality of the researchers, cultural sensitivities and protocols, communication strategies and the role of flexibility in privileging Pacific youth voices.© 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.http://creativecommons.org/licenses/by/4.0/Pacific sexual cultural sensitivitiesPacific youth sexual and reproductive healthsexual and reproductive health educationsexual taboosTalanoa methodsPacific sexual cultural sensitivitiesPacific youth sexual and reproductive healthTalanoa methodssexual and reproductive health educationsexual taboos3213 Paediatrics32 Biomedical and Clinical Sciences42 Health SciencesInfectious DiseasesClinical ResearchSexually Transmitted InfectionsPreventionContraception/ReproductionGeneric health relevanceReproductive health and childbirthAdolescentFemaleHumansMaleYoung AdultHealth Knowledge, Attitudes, PracticeNew ZealandReproductive HealthSex EducationSexual BehaviorSexual HealthPacific Island PeopleHumansHealth Knowledge, Attitudes, PracticeSexual BehaviorSex EducationAdolescentNew ZealandFemaleMaleYoung AdultReproductive HealthSexual HealthPacific Island PeopleAdolescentFemaleHumansMaleYoung AdultHealth Knowledge, Attitudes, PracticeNew ZealandReproductive HealthSex EducationSexual BehaviorSexual HealthPacific Island PeopleJournal ArticleOpenAccess10.1080/26410397.2024.2445934