Predictors of Adolescent Sexual Behavior and Intention: A Theory-Guided Systematic Review

Buhi, Eric R.; Goodson, Patricia

doi:10.1016/j.jadohealth.2006.09.027

Cited by 432 publications

(381 citation statements)

References 82 publications

(166 reference statements)

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“…We used a previously described and validated methodologic quality scoring (MQS) system. 21,22 Scores on the 11-item MQS ranged from 0 to 20. Scores were grouped to denote lower-(score of 0 -6), medium-(score of [7][8][9][10][11][12][13][14], and higher-(score Ն 15) quality studies.…”

Section: Methodologic Qualitymentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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CONTEXT: The relative effectiveness of interventions to improve parental communication with adolescents about sex is not known. OBJECTIVE:To compare the effectiveness and methodologic quality of interventions for improving parental communication with adolescents about sex. METHODS:We searched 6 databases: OVID/Medline, PsychInfo, ERIC, Cochrane Review, Communication and Mass Media, and the Cumulative Index to Nursing and Allied Health Literature. We included studies published between 1980 and July 2010 in peer-reviewed English-language journals that targeted US parents of adolescents aged 11 to 18 years, used an experimental or quasi-experimental design, included a control group, and had a pretest/posttest design. We abstracted data on multiple communication outcomes defined by the integrative conceptual model (communication frequency, content, skills, intentions, selfefficacy, perceived environmental barriers/facilitators, perceived social norms, attitudes, outcome expectations, knowledge, and beliefs). Methodologic quality was assessed using the 11-item methodologic quality score. RESULTS:Twelve studies met inclusion criteria. Compared with controls, parents who participated in these interventions experienced improvements in multiple communication domains including the frequency, quality, intentions, comfort, and self-efficacy for communicating. We noted no effects on parental attitudes toward communicating or the outcomes they expected to occur as a result of communicating. Four studies were of high quality, 7 were of medium quality, and 1 was of lower quality. Funded by the National Institutes of Health (NIH). CONCLUSIONS: 494AKERS et al by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from Adolescent sexual behavior is a normal developmental milestone. However, the social and public health consequences of adolescent sexual activity are tremendous. Of the 18 million sexually transmitted infections diagnosed in the United States each year, 1,2 half occur in adolescents. [3][4][5] Pregnancy affects 750 000 adolescents annually, 80% of which are unintended. 6 Despite recent declines in the number of sexually active adolescents, engagement in risky sexual behaviors remains problematic. 7 Adolescents who recall a parent talking with them about sex are more likely to report delaying sexual initiation [8][9][10] and increasing condom 8,11,12 and contraceptive 11,13 use. In light of these findings, interventions for improving parental communication about sex have been developed. 14 Although dozens of interventions exist, they have not been rigorously compared. We sought to examine whether interventions for improving parental communication with adolescents about sex are effective at strengthening multiple communication domains and to assess the methodologic quality of these interventions. METHODSWith the assistance of health science librarians, 6 databases were searched: OVID/Medline (1980 to July 2010), PsychInfo (1980 to July 2010), ERIC (1980 to July 2010), Cochrane Review (until...

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Section: Methodologic Qualitymentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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“…Although some studies have found that parental monitoring during later adolescence serves as a protective factor in relation to HRSB, the current results lend support to researchers who have found conflicting results suggesting that parental monitoring is not associated with HRSB after accounting for other proximal risk factors. 47 Furthermore, some researchers have posited that other aspects of positive parenting are more influential than monitoring 11 in mitigating risk for HRSB. These have included parental warmth, 48 parentchild communication, 49 and relationship quality, 50 which have all been linked to decreased rates of HRSBs.…”

Section: Figurementioning

confidence: 99%

Developmental Pathways to Sexual Risk Behavior in High-Risk Adolescent Boys

Sitnick¹,

Brennan²,

Forbes

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Investigations of adolescents' sexual risk behavior have focused on factors such as parental monitoring, deviant peer affiliation, and daring that occur during early and midadolescence. Less is known about early childhood precursors to adolescent sexual risk behavior. WHAT THIS STUDY ADDS:This prospective longitudinal study identifies parenting practices and mothers' depressive symptomatology during early childhood as precursors to later sexual risk behavior and involvement in pregnancy in adolescent boys, with deviant peer affiliation during emerging adolescence mediating these relationships. abstract OBJECTIVE: Adolescent boys' involvement in pregnancy and sexual risk behavior is a public health concern. Although research has identified predictors of sexual risk behavior during adolescence, few studies have investigated precursors to boys' sexual risk behavior beginning in early childhood, the identification of which could serve to inform interventions and help reduce involvement in pregnancy. Our goal was to identify early developmental pathways associated with sexual risk behavior in a sample of low-income adolescent boys. METHODS:Data from a prospective longitudinal study in 310 at-risk boys were used to examine externalizing problems, mothers' depressive symptoms, and low-nurturant parenting in early childhood (1.5, 2, and 3.5 years old) and daring, externalizing, parental monitoring, and deviant peer affiliation during emerging adolescence (11 and 12 years old) as precursors of sexual risk behavior between the ages 15 and 20 years. Structural equation modeling was used to explore pathways associated with later high-risk sexual behavior (HRSB). RESULTS:In multivariate analyses, adolescent daring and deviant peer affiliation at age 12 were associated with later HRSB. Furthermore, deviant peer affiliation during emerging adolescence mediated the relationship between mothers' depressive symptoms and nurturant parenting during early childhood and later adolescent HRSB. CONCLUSIONS:Family-based risk factors in early childhood are predictive of HRSB in adolescence but are also influenced, and in some cases mediated, by relationships with peers and child characteristics during emerging adolescence.

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“…45,46 Consequently, not accounting for these time-varying covariates may result in misestimated time parameters for condom use (i.e., rate of change in condom use over time) and a biased estimate of the association between condom use and neighborhood disadvantage.…”

Section: Social Disorganization Theory: a Conceptual Framework To Examentioning

confidence: 99%

Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents

2010

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Neighborhood context may influence youth sexual decision-making. We examined the association between neighborhood characteristics and condom use in a sample of African American youth followed across the high school years (N=681; 51% female). Using a three-level hierarchical linear model, we modeled inconsistent condom use over time and then examined its association with youth's sexual risk trajectories (sexual intercourse frequency, number of partners, and pregnancy concerns) and individual-level characteristics (sex, age, SES, and household composition), and neighborhood disadvantage. While sexual intercourse frequency was associated with inconsistent condom use over time, youth reporting greater pregnancy concerns and number of partners reported more consistent condom use over time. Females were more likely to report more inconsistent condom use over time. Neighborhood disadvantage characteristics were associated with less baseline condom use, but did not have an association with changes in youth's condom use over the high school years. We discuss the implications for community-based HIV/AIDS prevention for youth.

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Predictors of Adolescent Sexual Behavior and Intention: A Theory-Guided Systematic Review

Cited by 432 publications

References 82 publications

Interventions to Improve Parental Communication About Sex: A Systematic Review

Interventions to Improve Parental Communication About Sex: A Systematic Review

Developmental Pathways to Sexual Risk Behavior in High-Risk Adolescent Boys

Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents

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