Parent-adolescent communication and sexual risk behaviors among African American adolescent females

Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Atlanta, Georgia 30322, USA.
Journal of Pediatrics (Impact Factor: 3.79). 10/2001; 139(3):407-12. DOI: 10.1067/mpd.2001.117075
Source: PubMed


To examine associations between parent-adolescent communication about sex-related topics and the sex-related communication and practices of African American adolescent females with partners, as well as their perceived ability to negotiate safer sex.
A theory-guided survey and structured interview were administered to 522 sexually active African American females 14 to 18 years old. Recruitment sites were neighborhoods with high rates of unemployment, substance abuse, violence, and sexually transmitted diseases. Multivariate analyses, controlling for observed covariates, were used to identify the association of less frequent parent-adolescent communication with multiple assessed outcomes.
Less frequent parent-adolescent communication (scores below the median) was associated with adolescents' non-use of contraceptives in the past 6 months (adjusted odds ratio [AOR] = 1.7) and non-use of contraceptives during the last 5 sexual encounters (AOR = 1.6). Less communication increased the odds of never using condoms in the past month (AOR = 1.6), during the last 5 sexual encounters (AOR = 1.7), and at last intercourse (AOR = 1.7). Less communication was also associated with less communication between adolescents and their sex partners (AOR = 3.3) and lower self-efficacy to negotiate safer sex (AOR = 1.8).
The findings demonstrate the importance of involving parents in human immunodeficiency virus/sexually transmitted disease and pregnancy prevention efforts directed at female adolescents. Pediatricians and other clinicians can play an important role in facilitating parent-adolescent communication about sexual activity.

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    • "Behavioral and cognitive-behavioral family interventions are effective in modifying child emotional and behavioral problems (De Graaf et al. 2008; Kaslow et al. 2012; Thomas and Zimmer- Gembeck 2007). Positive family communication about sexual behavior, moreover, was found in a number of studies to be associated with improved sexual safety among adolescents, including increased contraception use and delayed initiation of sexual activity (Aspy et al. 2007; DiClemente et al. 2001; Whitaker et al. 1999; Wight and Fullerton 2013). The fact that parents can be taught to communicate effectively with children about topics related to sexuality (Schuster et al. 2008) suggests potential for teaching parents how to talk with their children about CSA and ways to prevent it. "
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    ABSTRACT: Child sexual abuse (CSA) is a serious public health issue. Current after-the-fact approaches to treating victims and punishing offenders are not adequate to address a problem of this magnitude; development and rigorous evaluation of CSA prevention strategies are critical. We propose that CSA prevention efforts should target parents of young children. Parents have been neglected as a focus of CSA prevention; they merit attention given their potential to improve children's safety via effective communication and monitoring. This paper provides an overview of current strategies for reducing CSA prevalence and their limitations, presents a rationale for parent-focused CSA prevention, and discusses considerations pertinent to development of an effective parent-focused approach. Parent-focused CSA prevention offers potential as a public health approach to prevention of CSA, and it is time that we devote resources toward developing and studying this important area.
    Prevention Science 03/2015; 16(6). DOI:10.1007/s11121-015-0553-z · 2.63 Impact Factor
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    • "In this study, parent–adolescent communication was found to be at an overall lower level than that reported in other studies done elsewhere. For example, DiClemente et al. (2001) reported a parent–adolescent communication median score of 16 amongst African American female adolescents. This indicates that by comparison, parent–adolescent communication in South Africa is at a lower level. "
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    ABSTRACT: In the HIV context, risky sexual behaviours can be reduced through effective parent–adolescent communication. This study used the Parent Adolescent Communication Scale to determine parent–adolescent communication by ethnicity and identify predictors of high parent–adolescent communication amongst South African adolescents post-apartheid. A cross-sectional interviewer-administered survey was administered to 822 adolescents from Johannesburg, South Africa. Backward stepwise multivariate regressions were performed. The sample was predominantly Black African (62%, n = 506) and female (57%, n = 469). Of the participants, 57% (n = 471) reported high parent–adolescent communication. Multivariate regression showed that gender was a significant predictor of high parent–adolescent communication (Black African OR:1.47, CI: 1.0–2.17, Indian OR: 2.67, CI: 1.05–6.77, White OR: 2.96, CI: 1.21–7.18). Female-headed households were predictors of high parent–adolescent communication amongst Black Africans (OR:1.49, CI: 1.01–2.20), but of low parent–adolescent communication amongst Whites (OR:0.36, CI: 0.15–0.89). Overall levels of parent–adolescent communication in South Africa are low. HIV prevention programmes for South African adolescents should include information and skills regarding effective parent–adolescent communication.
    Journal of Adolescence 04/2014; 37(3):313–324. DOI:10.1016/j.adolescence.2014.01.006 · 2.05 Impact Factor
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    • "Previous studies on parent-adolescent communication about sexual issues mostly in the United States of America (USA) have shown some associations with condom use [10-13]. However the process of parent-adolescent communication is different from the individual perceptions of family support for condom use. "
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    ABSTRACT: HIV/AIDS prevention programs rooted in the social cognitive models are based on the theoretical assumptions that adoption of preventive behaviour (condom use) depends on the individual's perceptions of their susceptibility to HIV/AIDS and the benefits of condom use. However some studies contend that applying such models in the African setting may not be that simple considering that in many societies, people's capacity to initiate health enhancing behaviour are mediated by power relations (parents/guardians) and socialisation processes that are beyond the control of individuals. The relative influence of these family forces on condom use is however unknown in Cameroon. In this study it is hypothesized that adolescents' perceptions of family support for condom use, would encourage condom use among female students in Limbe urban city of Cameroon. A cross-sectional study of a probability sample of 210 female students selected from three participating secondary school was adopted, using a self-administered questionnaire to collect data. Pearson Chi-square statistics was used to test association between perceived family support for condom use and condom use. Statistics were calculated using SPSS version 20 software program. Of the respondents, 56.2% reported being sexually active. Of these, 27.4% reported using condoms consistently; 39.1% reported having used condoms during their first sexual intercourse, while 48.7% reported having used condoms during their last sexual intercourse. Majority of the female students exhibited positive perceptions regarding family support for condom use. Respondents who agreed that they feel themselves free to discuss condom use with their parents or any adult member of the family, reported more condom use during first sex than those who disagreed (X2 = 13.021; df = 6; p = 0.043). Likewise respondents who agreed that they feel themselves free to discuss condom use with their parents or any adult member of the family, reported more condom use at least once, than those who disagreed (X2 = 8.755; df = 3; p = 0.033). Significant associations between perceptions of family support for condom use and condom use were established in this study. This finding suggests that regardless of the sexual communication patterns within the family, techniques that increase the occurrence of parent and female student's discussion concerning condoms and HIV/AIDS will prove useful in preventing HIV/AIDS among female students in Limbe Urban City of Cameroon.
    BMC Public Health 02/2014; 14(1):173. DOI:10.1186/1471-2458-14-173 · 2.26 Impact Factor
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