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In 2020, about 151,610 homeless youth reported experiencing homelessness on a single night. Due to lack of stable housing, homeless youth are at a higher risk for developing various physical and mental health issues. Most notably, homeless youth experience their sexual debuts at an earlier age and are more likely to engage in risky sexual behaviors. Despite the availability of services to facilitate the practice of safe sex, these services are scarcely utilized. In order to understand this underutilization of services, this review aims to identify the barriers and facilitators that influence contraceptive utilization among this population. Between March 2021 and April 2021, a single researcher conducted database searches on PubMed and Scopus databases to find studies that discussed factors that influenced contraceptive use among homeless youth. The 15 articles chosen for final analysis were published in English, published between 2015 and present day, geographically diverse, and were either quantitative or qualitative studies. Analysis showed that the most common contraceptive utilized by homeless youth was the male-condom. Findings also revealed that youth reported more barriers to contraceptive utilization compared to facilitators. Additionally, analysis revealed that some factors could act as both barriers and facilitators for contraceptive utilization and that some factors were gender specific. These findings highlight the need for further research assessing the factors that influence contraceptive utilization in this population, especially in terms of facilitators of contraceptive utilization and exploring the gender power gap in relation to contraceptive utilization decisions.