Patterns of condom use among adolescents: the impact of mother-adolescent communication.

Abstract

Efforts to promote condom use by sexually active young people are an important component of the public health strategy to We hypothesized that early mother-adolescent condom discussions would promote condom use at first intercourse and that condom use at first intercourse would promote subsequent condom use. Methods Study PopulationThe sample was composed of 372 sexually active adolescents from the Family and Adolescent Risk Behavior Study, a crosssectional interview study conducted in New York, Alabama, and Puerto Rico among 14-to 17-year-old adolescents and their mothers. A fuller description of the sample and methodology has been provided elsewhere.23'24 The research instrument included items assessing various demographic, social, and psychological factors, but only the relevant measures are discussed here. All measures for this research were based on the adolescent's responses, since the adolescent's behavior was being examined. Timing ofCondom DiscussionsAdolescents reported the age at which they first discussed condoms with their mother, along with their age at first sexual intercourse. A 4-category measure of the timing of the condom use discussion was developed: (1) discussed condoms before the year of first intercourse (n = 122), (2) discussed condoms during the year of first intercourse (n = 78), (3) discussed condoms after the year of first intercourse (n = 63), and (4) did not discuss condoms (n = 109).Three binary measures of condom use were included: condom use during first intercourse (yes or no), condom use during most recent intercourse (yes or no), and lifetime regular condom use (more than 50% of the time or less than 50% of the time). Only participants who had engaged in sexual interKim S. Miller and Daniel J. Whitaker are with the

Tracing the Roots of Early Sexual Debut Among Adolescents in Psychiatric Care

“…Instrumental parenting characteristics such as permissiveness and monitoring are also related to teens' sexual experience. Later sexual debut is associated with more parental monitoring, less parental permissiveness, and the presence of household routines and rules (Danziger, 1995;Li et al, 2000;Metzler et al, 1994;Miller et al, 1998Miller et al, , 1999Romer et al, 1994Romer et al, , 1999. Parental monitoring reduces opportunities for early sexual activity by limiting adolescents' exposure to sexual possibility situations (Paikoff, 1995).…”

Relación entre comportamientos de riesgo en sexualidad y familia en adolescentes escolarizados, 2015-2016

“…A pesar de lo anterior y de lo hallado en esta investigación, autores como Miller (15) afirman encontrar relación directa entre la comunicación (especialmente materna) y la promoción del uso del condón en la primera relación y que esto favorece la utilización del preservativo en las relaciones posteriores asegurando una vida sexual sana (15). Lavielle (9) encontró que la comunicación y la expresión del afecto en la familia como componentes de la funcionalidad familiar influyen de manera positiva en el adolescente al favorecer un nivel adecuado de autoestima y de calidad de vida.…”

The Role of Parents in Early Adolescent Sexual Risk-Taking Behavior

“…Timing of these discussions also seems to be relevant to adolescent sexual behavior. For example, Miller, Levin, Whitaker, and Xu (1998) [9] found that mothers' discussion of condom use with adolescents before adolescents' sexual debut was more strongly related to condom use among adolescents than was mothers' discussion of this topic after the onset of sexual activity among adolescents.…”