Parental Monitoring and Its Associations With Adolescent Sexual Risk Behavior: A Meta-analysis

Dittus, Patricia; Michael, Shannon L.; Becasen, Jeffrey S.; Gloppen, Kari M.; McCarthy, Katharine; Guilamo‐Ramos, Vincent

doi:10.1542/peds.2015-0305

Cited by 147 publications

(104 citation statements)

References 62 publications

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“…55, 56 Yet many parents do not communicate with adolescents because of embarrassment, lack of confidence, and uncertainty about what to say. 57 Implementing a brief and effective intervention such as the FTT model is a way to improve parent–child communication and effectively monitor adolescent behavior, leading to delayed sexual debut and reduced frequency of sex.…”

Section: Calls For Improvementmentioning

confidence: 99%

Nurses on the Front Lines

Maria

Guilamo‐Ramos

Jemmott

et al. 2017

AJN, American Journal of Nursing

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Nurses care for adolescents in a variety of settings, including communities, schools, and public health and acute care clinics, which affords them many opportunities to improve adolescents’ sexual and reproductive health and reduce the rates of unplanned pregnancy and sexually transmitted infections. To ensure that adolescents have access to sexual and reproductive health care (which includes both preventive counseling and treatment) in all nursing practice sites, nurses need to gain the knowledge and hone the skills required to deliver evidence-based counseling and services to adolescents and parents. Collectively, nurses can use their unique combination of knowledge and skills to make a positive impact on adolescent sexual and reproductive outcomes. Nurses have the capacity and opportunity to disseminate information about sexual and reproductive health to adolescents and their parents in communities, schools, public health clinics, and acute care settings. This article discusses the Society for Adolescent Health and Medicine’s goals and recommendations, which address adolescent sexual and reproductive health as both a health care and a human rights issue.

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Section: Calls For Improvementmentioning

confidence: 99%

Nurses on the Front Lines

Maria

Guilamo‐Ramos

Jemmott

et al. 2017

AJN, American Journal of Nursing

Self Cite

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“…Research has shown that positive family processes, like parental monitoring and family social support, decrease risk-taking among adolescents (3), whereas negative family processes, like family conflict, often have the opposite effect (16). Parental monitoring is consistently linked with lower levels of risk behaviors, including substance use and sexual risk behaviors, and protects against early initiation (17–22). Although the beneficial effects of parental monitoring are well established (3), there may be gender differences in the impact of parental monitoring on risk-taking among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Relations among Perceived Family Characteristics and Risky Health Behaviors in Urban Adolescents

et al. 2016

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Background Research regarding the role of gender in relations between family characteristics and health risk behaviors has been limited. Purpose To investigate gender differences in associations between family processes and risk-taking in adolescents. Methods Adolescents (N = 249; mean age = 14.5 years) starting their first year at an urban high school in the northeastern U.S. completed self-report measures that assessed family characteristics (i.e., parental monitoring, family social support, family conflict) and health behaviors (i.e., tobacco use, alcohol use, marijuana use, sex initiation) as part of a prospective, community-based study. Multivariate logistic regression models were used to investigate gender differences in associations between the family characteristics and health behaviors. Results Among males, higher levels of perceived parental monitoring were associated with lower odds of using tobacco and having ever engaged in sex. Among females, higher levels of perceived parental monitoring were associated with lower odds of marijuana use, alcohol use, and having ever engaged in sex. However, in contrast to males, among females (a) higher levels of perceived family social support were associated with lower odds of alcohol use and having ever engaged in sex and (b) higher levels of perceived family conflict were associated with higher odds of marijuana use and having ever engaged in sex. Conclusion Family processes were more strongly related to health behaviors among adolescent females than adolescent males. Interventions that increase parental monitoring and family social support as well as decrease family conflict may help to protect against adolescent risk-taking, especially for females.

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“…Moderation analyses revealed larger effects for girls (r = .12) than boys (r = .04), which raises questions about the effectiveness of parent-child communication about sex for promoting boys’ sexual health. The second meta-analysis included 30 studies of over 40,000 adolescents and found that higher parental knowledge about the adolescent’s activities and whereabouts was associated with increased condom use, but parental monitoring, or tracking and enforcing rules for adolescent behaviors (e.g., homework, using drugs or alcohol), was not 27 . There was significant heterogeneity in effect sizes across studies, suggesting further research is needed that can help build a literature where effect moderators can be identified.…”

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confidence: 99%

Effects of Parental Monitoring and Knowledge on Substance Use and HIV Risk Behaviors Among Young Men Who have Sex with Men: Results from Three Studies

et al. 2017

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Young men who have sex with men (YMSM) are disproportionately impacted by HIV/AIDS and have elevated rates of substance use. Parenting practices, such as knowledge of child whereabouts and monitoring of behavioral rules, protect against these outcomes among heterosexual youth. This article examined the relationship between these parenting practices and substance use and HIV risk behaviors among YMSM. Data are reported from three similar studies of YMSM: ChiGuys (ages 14-18), Crew 450 (ages 16-22), and RADAR (ages 16-29). The ChiGuys and RADAR studies report cross-sectional analyses, whereas Crew 450 reports latent growth curve analyses. In ChiGuys and Crew 450, participants reported significantly higher scores for parental knowledge of general activities than parental knowledge of gay-specific activities. Parental knowledge of general activities was significantly associated with less binge drinking in both samples and with condomless sex in the ChiGuys sample. Parental monitoring was significantly associated with less marijuana use and condomless sex in younger RADAR participants (16-18 years) and with less drug use in older participants (>18 years). Findings support the need for further research on the influences of parents on YMSM health risk behaviors and the value of exploring family- and parent-interventions to address YMSM health.

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Parental Monitoring and Its Associations With Adolescent Sexual Risk Behavior: A Meta-analysis

Cited by 147 publications

References 62 publications

Nurses on the Front Lines

Nurses on the Front Lines

Gender Differences in Relations among Perceived Family Characteristics and Risky Health Behaviors in Urban Adolescents

Effects of Parental Monitoring and Knowledge on Substance Use and HIV Risk Behaviors Among Young Men Who have Sex with Men: Results from Three Studies

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