“…Earlier studies also cite a relationship between the child's age and the amount of communication about sexuality, as well as a change in the content of the messages when parents believed their adolescent was or had been sexually involved [33,34], even though evidence suggests that parents often are not aware when their children become romantically involved or sexually active [35][36][37] and that communication about sexual behavior, particularly condom use, is more likely to influence teen behavior when the conversation takes place before the behavior is initiated [38]. Informing parents about the importance of talking with their teens about these issues before they become romantically involved may encourage more timely conversations.…”