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

DiClemente, Ralph J.; Wingood, Gina M.; Crosby, Richard A.; Cobb, Brenda K.; Harrington, Kathy; Davies, Susan L.

doi:10.1067/mpd.2001.117075

Cited by 252 publications

(209 citation statements)

References 19 publications

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“…To the best of our knowledge, this multivariate finding has not been previously reported in the peer-reviewed literature. This finding is intriguing, and it is consistent with those of other studies suggesting that parents play a pivotal role in the sex-related decision process of young women (Crosby & Miller, 2002;DiClemente et al, 2001). However, it is critical to note that this effect only applied to clinic-recruited women.…”

Section: Discussionsupporting

confidence: 79%

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

et al. 2013

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Women in Appalachian Kentucky experience a high burden of cervical cancer and have low rates of human papillomavirus (HPV) vaccination. The purpose of this study was to identify normative influences predicting initial HPV vaccine uptake among a sample of young women in southeastern Kentucky. Women (N = 495), ages 18 through 26 years, were recruited from clinics and community colleges. After completing a questionnaire, women received a free voucher for HPV vaccination. Whether women redeemed the voucher for Dose 1 served as the primary outcome variable. Hierarchical logistic regression was used to estimate the influence of healthcare providers, friends, mothers, and fathers on vaccine uptake. One-quarter of the total sample (25.9 %) received Dose 1. Uptake was higher in the clinic sample (45.1 %) than in the college sample (6.9 %). On multivariate analysis, women indicating that their healthcare provider suggested the vaccine, that their friends would "definitely" want them to be vaccinated, and that their fathers would "definitely" want them to receive the vaccine all were 1.6 times more likely to receive Dose 1. Interaction effects occurred between recruitment site (clinic vs. community college) and all three of the normative influences retaining multivariate significance, indicating that the associations only applied to the clinic sample. HPV vaccine interventions may benefit from highlighting paternal endorsement, healthcare provider recommendation, and peer support.

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Section: Discussionsupporting

confidence: 79%

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

et al. 2013

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“…[12][13][14][15] Research has largely concentrated on mothers, in part because mothers have been perceived to be the parent primarily responsible for providing directed education about sexuality. 16 When research has explored paternal influences on adolescent behavior, issues of father absence and economic support have dominated the research. [17][18][19] Consequently, research on father involvement has tended to conceptualize fathers with a limited perspective.…”

Section: Discussionmentioning

confidence: 99%

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

et al. 2012

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BACKGROUND AND OBJECTIVE: To date, most parent-based research has neglected the role of fathers in shaping adolescent sexual behavior and has focused on mothers. The objective of this study was to conduct a structured review to assess the role of paternal influence on adolescent sexual behavior and to assess the methodological quality of the paternal influence literature related to adolescent sexual behavior. METHODS:We searched electronic databases: PubMed, PsychINFO, Social Services Abstracts, Family Studies Abstracts, Sociological Abstracts, and the Cumulative Index to Nursing and Allied Health Literature. Studies published between 1980 and 2011 that targeted adolescents 11 to 18 years and focused on paternal parenting processes were included. Methodological quality was assessed by using an 11-item scoring system. RESULTS: Thirteen articles were identified and reviewed. Findings suggest paternal factors are independently associated with adolescent sexual behavior relative to maternal factors. The most commonly studied paternal influence was emotional qualities of the father-adolescent relationship. Paternal communication about sex was most consistently associated with adolescent sexual behavior, whereas paternal attitudes about sex was least associated. Methodological limitations include a tendency to rely on cross-sectional design, nonprobability sampling methods, and focus on sexual debut versus broader sexual behavior. CONCLUSIONS:Existing research preliminarily suggests fathers influence the sexual behavior of their adolescent children; however, more rigorous research examining diverse facets of paternal influence on adolescent sexual behavior is needed. We provide recommendations for primary care providers and public health practitioners to better incorporate fathers into interventions designed to reduce adolescent sexual risk behavior.

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“…[24][25][26] Some research has demonstrated that poor parentadolescent communication and a lack of parental supervision are associated with potentially risky sexual behavior outcomes in diverse groups. [27][28][29] We hypothesized that increased family and school connectedness would be negatively associated with our behavioral outcomes. Similarly, peer attitudes can be an important predictor of young people's behavior because of social identity development during adolescence.…”

Section: Factors Associated With the Sexual Behavior Of Canadian Abormentioning

confidence: 99%

Factors Associated With the Sexual Behavior of Canadian Aboriginal Young People and Their Implications for Health Promotion

et al. 2009

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Objectives. We examined factors associated with having ever had sex, having more than 1 lifetime sexual partner, and condom nonuse at last incident of sexual intercourse among Canadian Aboriginal young people. Methods. We conducted a secondary analysis of data from the 2003 British Columbia Adolescent Health Survey, a cross-sectional survey of young people in grades 7 through 12. Results. Of 1140 young Aboriginal men, 34% had ever had sex; of these, 63% had had more than 1 sexual partner, and 21% had not used a condom at their last incident of sexual intercourse. Of 1336 young Aboriginal women, 35% had ever had sex; of these, 56% had had more than 1 sexual partner, and 41% had not used a condom at their last incident of sexual intercourse. Frequent substance use, having been sexually abused, and having lived on a land reservation were strongly associated with sexual behavior outcomes. Feeling connected to family was strongly associated with increased condom use. Conclusions. Sexual behavior change interventions for Aboriginal young people must move beyond the individual and incorporate interpersonal and structural dimensions. Interventions to reduce substance use and sexual abuse and promote feelings of family connectedness in this population should be explored. Young people living on land reserves need special attention.

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

Cited by 252 publications

References 19 publications

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

Factors Associated With the Sexual Behavior of Canadian Aboriginal Young People and Their Implications for Health Promotion

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