Abstract
The present study examined factors that promote parent–child discussions about sex topics. A sample of 1,066 dyads of African American mothers and their 9–12-year-old children participated completing computer-administered surveys. After controlling for all other covariates, mother’s sexual communication responsiveness (i.e., knowledge, comfort, skills, and confidence) was the most consistent predictor of discussions. Mothers with higher responsiveness had significantly increased odds of discussions about abstinence, puberty, and reproduction, based on both mother and child reports. In addition, child’s age, pubertal development, readiness to learn about sex, and being female were positively associated with an increase in the odds of discussions in most models. Findings indicate that encouraging parents to talk with their children early may not be sufficient to promote parent–child sex discussions. Parents also need the knowledge, comfort, skills, and confidence to communicate effectively and keep them from avoiding these often difficult and emotional conversations with their children.
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Ball, J., Pelton, J., Forehand, R., Long, N., & Wallace, S. A. (2004). Methodologial overview of the Parents Matter! Program. Journal of Child and Family Studies, 13(1), 21–34.
Bandura, A. (1989). Social cognitive theory. Annals of Child Development, 6, 1–60.
CDC. (2006a). Sexually transmitted disease surveillance, 2005. Atlanta: U.S. Department of Health and Human Services.
CDC. (2006b). Youth risk behavior surveillance—United States, 2005. Morbidity and Mortality Weekly Report, 55(SS-5), 1–78.
CDC. (2007). Racial/ethnic disparities in diagnoses of HIV/AIDS—33 states, 2001–2005. Morbidity and Mortality Weekly Report, 56(9), 189–193.
Crosby, R. A., DiClemente, R. J., Wingood, G. M., Cobb, B. K., Harrington, K., Davies, S. L., Hook, E. W., & Oh, M. K. (2001). HIV/STD-protected benefits of living with mothers in perceived supportive families: A study of high-risk African American female teens. Preventive Medicine, 33, 175–178.
DiIorio, C., Hockenberry-Eaton, M., Maibach, E., Rivero, T., & Miller, K. S. (1996). The content of African American mothers’ discussions with the adolescents about sex. Journal of Family Nursing, 2(4), 365–382.
DiIorio, C., Pluhar, E., & Belcher, L. (2003). Parent–child communication about sexuality: A review of the literature from 1980–2002. Journal of HIV/AIDS Prevention & Education for Adolescents & Children, 5(3/4), 7–32.
DiIorio, C., Resnicow, K., Dudley, W. N., Thomas, S., Wang, D. T., Van Marter, D. F., Manteuffel, B., & Lipana, J. (2000). Social cognitive factors associated with mother–adolescent communication about sex. Journal of Health Communication, 5, 41–51.
Dittus, P. J., Jaccard, J., & Gordon, V. V. (1997). The impact of African-American fathers on adolescent sexual activity. Journal of Youth and Adolescence, 26, 445–465.
Dittus, P. J., Jaccard, J., & Gordon, V. V. (1999). Direct and nondirect communication of maternal beliefs to adolescents: Adolescent motivation for premarital sexual activity. Journal of Applied Social Psychology, 29, 1927–1963.
Dutra, R., Miller, K. S., & Forehand, R. (1999). The process and content of sexual communication with adolescents in two-parent families: Associations with sexual risk-taking behavior. AIDS and Behavior, 3(1), 59–66.
Fasula, A. M., & Miller, K. S. (2006). African-American and Hispanic adolescents’ intentions to delay first intercourse: Parental communication as a buffer for sexually active peers. Journal of Adolescent Health, 38(3), 193–200.
Forehand, R., Miller, K. S., Armistead, L., Kotchick, B. A., & Long, N. (2004). The Parents Matter! program: An introduction. Journal of Child and Family Studies, 13(1), 1–3.
Jaccard, J., Dittus, P. J., & Gordon, V. V. (2000). Parent-teen communication about premarital sex: Factors associated with the extent of communication. Journal of Adolescent Research, 15(2), 187–208.
Kaiser Family Foundation. (1999). Kids ready to talk about today’s tough issues before their parents are: Sex, AIDS, violence, and drugs/alcohol. Retrieved April 4, 2007, from http://www.kff.org/youthhivstds/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=14687.
Kann, L., Brener, N., & Allensworth, D. (2001). Health education: Results from the school health policies and programs study 2000. Journal of School Health, 71, 266–278.
Karofsky, P. S., Zeng, L., & Kosorok, M. R. (2000). Relationship between adolescent-parental communication and initiation of first intercourse by adolescents. Journal of Adolescent Health, 28, 41–45.
Kirby, D. D. (1999). Sexuality and sex education at home and school. Adolescent Medicine, 10(2), 195–209, v.
Kotchick, B. A., Dorsey, S., Miller, K. S., & Forehand, R. (1999). Adolescent sexual risk-taking behavior in single-parent ethnic minority families. Journal of Family Psychology, 13(1), 93–102.
Lefkowitz, E. S., Romo, L. F., Corona, R., Au, T. K, & Sigman, M. (2000). How Latino American and European adolescents discuss conflicts, sexuality, and AIDS with their mothers Developmental Psychology, 36, 315–325.
Lehr, S. T., Demi, A. S., DiIorio, C., & Facteau, J. (2005). Predictors of father-son communication about sexuality. Journal of Sex Research, 42(2), 119–129.
Leland, N., & Barth, R. (1993). Characteristics of adolescents who have attempted to avoid HIV and who have communicated with parents about sex. Journal of Adolescent Research, 8, 58–76.
Mickey, R. M., & Greenland, S. (1989). The impact of confounder selection criteria on effect estimation. American Journal of Epidemiology, 129(1), 125–137.
Miller, K. S., Forehand, R., & Kotchick, B. A. (1999). Adolescent sexual behavior in two ethnic minority samples: The role of family variables. Journal of Marriage and the Family, 61, 85–98.
Miller, K. S., Forehand, R., & Kotchick, B. A. (2000). Adolescent sexual behavior in two ethnic minority samples: A multi-system perspective. Adolescence, 35(138), 313–333.
Miller, K. S., Kotchick, B. A., Dorsey, S., Forehand, R., & Ham, A. Y. (1998a). Family communication about sex: What are parents saying and are their adolescents listening? Family Planning Perspectives, 30(5), 218–235.
Miller, K. S., Levin, M. L., Whitaker, D. J., & Xu, X. (1998b). Patterns of condom use among adolescents: The impact of mother–adolescent communication. American Journal of Public Health, 88(10), 1542–1544.
Miller, B. C., Norton, M. C., Fan, X., & Christopherson, C. R. (1998c). Pubertal development, parental communication, and sexual values in relation to adolescent sexual behaviors. Journal of Early Adolescence, 18, 27–52.
Petersen, A. C., Crockett, L. J., Richards, M., & Boxer, A. (1988). A self-report measure of pubertal status: Reliability, validity, and initial norms. Journal of Youth and Adolescence, 17(2), 117–133.
Pluhar, E., Jennings, T., & DiIorio, C. (2006). Getting and early start: Communication about sexuality among mothers and children 6–10 years old. Journal of HIV/AIDS Prevention in Children & Youth, 7(1), 7–35.
Rosenthal, D. A., Feldman, S. S., & Edwards, D. (1998). Mum’s the word: Mothers’ perspectives on communication about sexuality with adolescents. Journal of Adolescence, 21, 727–743.
Whitaker, D. J., Miller, K. S., May, D. C., & Levin, M. L. (1999). Teenage partners’ communication about sexual risk and condom use: The importance of parent-teenager discussions. Family Planning Perspectives, 31(3), 117–121.
White, C. P., Wright, D. W., & Barnes, H. L. (1995). Correlates of parent–child communication about specific sexual topics: A study of rural parents with school-aged children. Personal Relationships, 2, 327–343.
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Miller, K.S., Fasula, A.M., Dittus, P. et al. Barriers and Facilitators to Maternal Communication with Preadolescents about Age-Relevant Sexual Topics. AIDS Behav 13, 365–374 (2009). https://doi.org/10.1007/s10461-007-9324-6
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DOI: https://doi.org/10.1007/s10461-007-9324-6