Patterns of Parent-Teen Sexual Risk Communication: Implications for Intervention

Hutchinson, M. Katherine; Cooney, Teresa M.

doi:10.2307/585623

Cited by 167 publications

(160 citation statements)

References 24 publications

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“…The importance of role modeling, or observational learning, in facilitating behavioral change has also been suggested in the social cognitive theory (Bandura 1986;McAlister et al 2008). Studies have documented the importance of parental role modeling on various health-related behaviors (Golan and Crow 2004;Skouteris et al 2011) and the benefit of good parental communication skills in facilitating communication among their children (Hutchinson and Cooney 1998), suggesting the presence of cascading effects (Perrino et al 2000). Thus, individuals who have previous experience receiving FHH information from their own parents may be more motivated to share this information with their family members and the younger generations.…”

Section: Sharing Family Health History (Fhh) Informationmentioning

confidence: 99%

Family health information sharing among older adults: reaching more family members

Ashida

Schafer

2014

J Community Genet

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Although family health history (FHH) information has tremendous potential in the prevention of common complex diseases such as heart disease and cancer, lack of knowledge about one's own FHH among the public hinders its utility. Older individuals often desire to contribute to the well-being of younger generations and also play critical roles in disseminating this information. This study evaluated psychosocial factors associated with the extent of FHH communication within families. Older adults (N = 110) were interviewed at three senior centers in an urban community. Multivariate Poisson regression analysis showed that respondents who received FHH from a parent reported 41 % more family members with whom they shared FHH (b=0.34, p < 0.001) controlling for the family network size. Furthermore, one unit increase in the number of family members with whom respondents exchange reciprocal emotional support (b=0.04, p<0.01), perceived familiarity with own FHH (b=0.14, p=0.01), and self-efficacy to share FHH (b= 0.18, p=0.02) were associated with 4, 15, and 20 % increases in the number of family members with whom respondents shared FHH, respectively. Future efforts may inform older adults about their important role in modeling FHH communication behavior to encourage information sharing in future generations while providing information about how to collect and disseminate FHH to increase their familiarity and ability to share FHH within the family.

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Section: Sharing Family Health History (Fhh) Informationmentioning

confidence: 99%

Family health information sharing among older adults: reaching more family members

Ashida

Schafer

2014

J Community Genet

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“…There were 10 questions regarding general communication between parents and adolescents (Hutchinson, 1999), eight about parent/adolescent communication on sexual topics (Hutchinson, 1999;Hutchinson & Cooney, 1998), and nine about how comfortable parents or adolescents feel when talking about sexual topics (DiIorio, Kelley, & Hockenberry-Eaton, 1999). All items were measured with 5-point Likert scales, where a higher score means more communication or comfort when talking about sexual topics.…”

Section: Instrumentsmentioning

confidence: 99%

Research Brief: Sexual Communication and Knowledge Among Mexican Parents and Their Adolescent Children

Gallegos

Villarruel²,

Gomez³

et al. 2007

Journal of the Association of Nurses in AIDS Care

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This study describes the sexual knowledge and communication of Mexican parents and adolescents. Pre-intervention data was analyzed from 829 high school students (ages 14-17) and one of their parents. Differences were found between parents and adolescents in sexual knowledge (M = 16.16 vs. M = 14.92; t = 7.20; p < 0.001); specifically parents had higher knowledge related to STD's, HIV/ AIDs, and condom use. Parents perceived more general communication (t (787) = 6.33 p < .001), and less discomfort talking about sex (t (785) = 4.69, p < .001) than adolescents. Parents with higher education levels scored higher in HIV knowledge and general communication. Fathers had higher total sexual knowledge while mothers perceived higher sexual communication than fathers. There were no differences in knowledge and communication by parental socioeconomic level. Results suggest health care providers need to assist parents in developing specific knowledge and skills to support their adolescents' sexual decision making.

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“…We recruited mothers because they are the primary communicators and health care coordinators in the family arena, 30 and because data collection from multiple informants increases the value of the information. 31 We included older adolescent daughters because they are more likely than younger girls to be sexually active and to have reproductive health needs.…”

Section: Recruitmentmentioning

confidence: 99%

Perspectives on Confidential Care for Adolescent Girls

McKee¹,

O’Sullivan²,

Weber³

2006

The Annals of Family Medicine

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PURPOSE We wanted to obtain perspectives of mothers and daughters on facilitators of and barriers to with adolescent girls' timely access to risk-appropriate reproductive care. METHODSWe conducted 5 separate focus groups with Latina and black mothers and their adolescent daughters. All participants resided in impoverished neighborhoods of New York City. Participants addressed mothers' roles in helping girls initiate gynecologic care, perceived role of physicians in daughters' sexual health, including the provision of confi dential care, and perceived need for girls' gynecologic care. Data were analyzed using qualitative data analysis methods.RESULTS Mothers see themselves as their daughters' primary protectors against daughters' poor reproductive outcomes. Many believe that confi dential care promotes risky behavior and undermines mothers' efforts to protect girls. Mothers endorse facilitating gynecologic care and entering alliances with physicians but see the need for care as arising only after girls' sexual debut. Unfortunately, maternal awareness of sexual activity is low. Adolescent girls express considerable discomfort around reproductive health care and negotiating maternal involvement, and they fear breaches in confi dentiality.CONCLUSIONS A lack of trust in health care clinicians and the mother's gatekeeper role are key barriers to girls' transition to reproductive care. Consistently including a confi dential component to health care visits in early adolescence, with preparation for both mothers and daughters, may reduce the distrust and discomfort.

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Patterns of Parent-Teen Sexual Risk Communication: Implications for Intervention

Cited by 167 publications

References 24 publications

Family health information sharing among older adults: reaching more family members

Family health information sharing among older adults: reaching more family members

Research Brief: Sexual Communication and Knowledge Among Mexican Parents and Their Adolescent Children

Perspectives on Confidential Care for Adolescent Girls

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