Communication Between Asian American Adolescents and Health Care Providers About Sexual Activity, Sexually Transmitted Infections, and Pregnancy Prevention

Zhao, Jessie; Lau, May; Vermette, David; Liang, David; Flores, Glenn

doi:10.1177/0743558416630808

Cited by 10 publications

(11 citation statements)

References 39 publications

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“…According to the study by Zhao, Lai, and Flores (2012), Asian-American adolescents believed that their knowledge on sexual health was lacking compared with other adolescent groups. The study indicated that Asian-American adolescents need more education and conversation with health care providers on sex, contraception, STIs, and pregnancy in a place where their privacy is protected from their parents (Zhao et al, 2012). Study participants preferred to have sex education in a private location where they are able to conceal their sexual activities from their parents.…”

Section: Lack Of Knowledge and Information On Sexmentioning

confidence: 95%

Factors related to sexual behaviors and sexual education programs for Asian-American adolescents

Lee

Flórez

Tariman

et al. 2015

Applied Nursing Research

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Section: Lack Of Knowledge and Information On Sexmentioning

confidence: 95%

Factors related to sexual behaviors and sexual education programs for Asian-American adolescents

Lee

Flórez

Tariman

et al. 2015

Applied Nursing Research

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“…Despite this general societal assumption, AA youth do participate in risky behaviors such as inconsistent use of condoms and alcohol use with sexual activity (Zhao, Lau, Vermette, Liang, & Flores, 2017). AA emerging adults do not see themselves as being at risk for HIV (Hahm, Lee, Rough, & Strathdee, 2012), even though one in five AAs are infected with HIV (Centers for Disease Control and Prevention [CDC], 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Also, recent Asian immigrants to Canada (a country very similar culturally to the U.S.) have more conservative sexual attitudes than long-term Canadian immigrants or Canadian-born Asians (Meston, Trapnell, & Gorzalka, 1998). These conservative sexual attitudes are prominent among East and Southeast Asian families and continue to influence Asian families' ability to openly discuss sexual health today (Lee et al, 2013;Zhao et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…While acculturated AAs are practicing unsafe sexual behaviors, they maintain a strong cultural stigma of avoiding open communication about sexual health topics. Secondary to the general Asian conservative culture and social norm surrounding sexual health (Zhao et al, 2017), AA youth currently continue to refrain from discussing these topics with family and partners. In one subset of Asian families, Filipino American adolescents who are more acculturated are less likely to have open sexual communication with their mothers (Chung et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…However, communication about sex is rare in AA families because of the Asian cultural norm that discussing sex or sexual-related topics is extremely taboo (Okazaki, 2002). This taboo remains an issue today (Zhao et al, 2017). Seventy percent of AA youth reported they have never had sexual health related communication with their parents (Kim, 2009).…”

Section: Introductionmentioning

confidence: 99%

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How Do Acculturation, Maternal Connectedness, and Mother-Daughter Sexual Communication Affect Asian American Daughters’ Sexual Initiation

Kim¹,

Cai²,

Aronowitz³

2020

Asian Pac Isl Nurs Js

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Purpose: There was a growth of approximately ten million Asian American individuals in the United States between 2000 and 2015. Asian Americans have conservative values surrounding sexual health and sexual communication is a cultural taboo. Researchers have shown discrepancies on whether the level of acculturation influences Asian mother-daughter sexual communication. In other minority populations there is evidence that a connected mother–daughter relationship increases sexual communication and delays sexual initiation. The purpose of this study was to examine whether motherdaughter connectedness and level of acculturation predict sexual communication in turn affecting the age of female Asian emerging adult’s sexual initiation. Methods: This was a longitudinal, secondary analysis of AddHealth examining whether mother-daughter connectedness and level of acculturation predict sexual communication. There were 243 Asian American mother-daughter dyads in Wave I with linked data in Wave III who were included in the study. Acculturation, connectedness, and sexual communication were all measured using interval level data. Results: Connectedness did not significantly contribute to the relationship between any of the concepts. Although it was predicted that sexual communication would delay initiation, the opposite was found. Also, communication mediated the relationship between acculturation and initiation. Conclusions: Further studies are needed to explore how connectedness is defined by Asian American mother-daughter dyads. In addition, more detailed operational definitions of acculturation and communication are needed, specifically the timing of sexual communication.

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Data Equity for Asian American and Native Hawaiian and Other Pacific Islander People in Reproductive Health Research

Heyrana,

Kaneshiro,

Soon

et al. 2023

Obstetrics &Amp; Gynecology

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Though racial and ethnic disparities in sexual and reproductive health outcomes are receiving greater interest and research funding, the experiences of Asian American and Native Hawaiian and Other Pacific Islander (NHPI) people are often combined with those of other racial and ethnic minority groups or excluded from data collection altogether. Such treatment is often rationalized because Asian American and NHPI groups comprise a smaller demographic proportion than other racial or ethnic groups, and the model minority stereotype assumes that these groups have minimal sexual and reproductive health needs. However, Asian American and NHPI people represent the fastest-growing racial-ethnic groups in the United States, and they face disparities in sexual and reproductive health access, quality of care, and outcomes compared with those of other races and ethnicities. Disaggregating further by ethnicity, people from certain Asian American and NHPI subgroups face disproportionately poor reproductive health outcomes that suggest the need for culturally targeted exploration of the unique drivers of these inequities. This commentary highlights the evidence for sexual and reproductive health disparities both in and between Asian American and NHPI groups. We also examine the failures of national data sets and clinical studies to recruit Asian American and NHPI people in proportion to their share of the U.S. population or to consider how the cultural and experiential diversity of Asian American and NHPI people influence sexual and reproductive health. Lastly, we provide recommendations for the equitable inclusion of Asian American and NHPI people to promote and systematize the study and reporting of sexual and reproductive health behaviors and outcomes in these culturally, religiously, and historically diverse groups.

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Communication Between Asian American Adolescents and Health Care Providers About Sexual Activity, Sexually Transmitted Infections, and Pregnancy Prevention

Cited by 10 publications

References 39 publications

Factors related to sexual behaviors and sexual education programs for Asian-American adolescents

Factors related to sexual behaviors and sexual education programs for Asian-American adolescents

How Do Acculturation, Maternal Connectedness, and Mother-Daughter Sexual Communication Affect Asian American Daughters’ Sexual Initiation

Data Equity for Asian American and Native Hawaiian and Other Pacific Islander People in Reproductive Health Research

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