Patterns of Condom Use Among Adolescents: The Impact of Mother-Adolescent Communication

Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. 30333, USA.
American Journal of Public Health (Impact Factor: 4.55). 11/1998; 88(10):1542-4. DOI: 10.2105/AJPH.88.10.1542
Source: PubMed


The association between the timing of discussions about condoms between mother and adolescent and adolescents' condom use during their first and subsequent sexual encounters was examined.
Sexually active adolescents reported whether and when they discussed condoms with their mother and answered questions about their own condom use.
Mother-adolescent discussions about condoms that occurred prior to sexual debut were strongly associated with greater condom use during first intercourse and most recent intercourse, along with greater lifetime regular condom use.
Discussions about condoms prior to sexual debut are important in promoting condom use among adolescents.

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Available from: Daniel J Whitaker
    • "One important insight from the extant literature is that protective effects of perceived parental monitoring may occur only for young females rather than young males (Sieverding, Adler, Witt, & Ellen, 2005). Similarly, this protective effect may occur with non-Black youth rather than those who identify as Black (Black, Ricardo, & Stanton, 1997; Crosby, DiClemente, et al., 2002; Dutra, Miller, & Forehand, 1999; Li et al., 2000; Miller, Levin, Whitaker, & Xu, 1998; Romer et al., 1994) Unfortunately, perceived parental monitoring has not been well explored within the larger context of risk factors for sexual behaviors that may lead to STI/HIV acquisition nor has it been fully explored as a potential effect modifier of other social determinants of health. The purpose of this study was to conduct an analysis of proximal determinants of health on sexual risk–taking behaviors among high-risk YBM in the context of each other. "
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    ABSTRACT: Young Black men (YBM), aged 13 to 24 years, face a disproportionate burden of sexually transmitted infections (STIs). STI acquisition among YBM is due to incorrect and inconsistent condom use and is exacerbated by multiple sexual partners. Sexual and reproductive health is influenced by a complex interaction of biological, psychological, and social determinants that contribute to increased risk for STI acquisition. However, there are key social determinants of sexual health that play a major role in adolescent sexual risk-taking behaviors: gender norms, environment, peers, and families as well as a desire to impregnate a woman. Associations between contextual factors (risky environmental context, desire to impregnate a woman, and peer norms supportive of unsafe sex) and sexual risk behaviors were examined among a sample of YBM attending adolescent health clinics. This study used baseline data from a randomized controlled trial (N = 702). Parental monitoring was also examined as an effect modifier of those associations. Sexual risk behaviors were the frequency of condomless vaginal sex, number of sexual partners within the previous 2 months, and lifetime number of sexual partners. Mean age was 19.7. In the adjusted model, peer norms was the only significant predictor for all sexual risk outcomes (p < .05). Parental monitoring was an effect modifier for the perceived peer norms and lifetime sexual partners association (p = .053) where the effect of peer norms on lifetime sexual partners was lower for participants with higher levels of perceived parental monitoring.
    No preview · Article · Nov 2015 · American Journal of Men s Health
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    • "Several studies of community based student samples suggest that when parents talk with their teens about sex, adolescents report greater contraceptive use, including condom use [10,11]. For example mother-child discussion about condom use prior to sexual debut has been correlated with adolescent condom use at last sex [12]. Likewise, a similar study found that 76% of sexually active adolescents, who reported having had a conversation with either parent about condoms, used a condom at most recent intercourse and also reported greater lifetime condom use than those who had not discussed condoms with a parent [13]. "
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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.
    Full-text · Article · Feb 2014 · BMC Public Health
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    • "In another study significant associations were found only if parents were open, skilled and comfortable in having those discussions [14]. Miller and associates [13] found maternal condom discussions prior to sexual debut to be associated with greater condom use. Cross-sectional analyses of data from one nation-wide U.S. prospective panel study showed unexpectedly, however, that discussion with parents of the risks and potential negative consequences of sexual activity was associated with greater likelihood of condom non-use [15]. "
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    ABSTRACT: Fostering adolescents' communication on sexuality issues with their parents and other significant adults is often assumed to be an important component of intervention programmes aimed at promoting healthy adolescent sexual practices. However, there are few studies describing the relationship between such communication and sexual practices, particularly in sub-Saharan Africa. This study examined the relationships between adolescents' communication with significant adults and their condom use in three sites in this region. Data stem from a multi-site randomized controlled trial of a school-based HIV prevention intervention implemented in Cape Town and Mankweng, South Africa and Dar es Salaam, Tanzania. Only data from comparison schools were used. The design is therefore a prospective panel study with three waves of data collections. Data were collected in 2004 from 6,251 participants in 40 schools. Associations between adolescents' communication with adults about sexuality issues and their use of condoms were analysed cross-sectionally using analysis of variance, as well as prospectively using multiple ordinal logistic regression analysis. Cross-sectional analyses showed that consistent condom users had significantly higher mean scores on communication (across topics and communication partners) than both occasional users and never-users, who had the lowest scores. After controlling for condom use at the first data collection occasion in each model as well as for possible confounders, communication scores significantly predicted consistent condom use prospectively in all three ordinal logistic regression models (Model R2 = .23 to .31). The findings are consistent with the assertion that communication on sexuality issues between adolescents and significant adults results in safer sexual practices, as reflected by condom use, among in-school adolescents. The associations between communication variables and condom use might have been stronger if we had measured additional aspects of communication such as whether or not it was initiated by the adolescents themselves, the quality of advice provided by adults, and if it took place in a context of positive adult-adolescent interaction. Studies with experimental designs are needed in order to provide stronger evidence of causality.
    Full-text · Article · Sep 2013 · BMC Public Health
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