Skip to main content

Advertisement

Log in

Parent–Adolescent Sexual Communication: Associations of Condom Use with Condom Discussions

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

This study investigated the relationship between parent–teen sexual communication, discussion of condoms, and condom use among adolescents in mental health treatment. Adolescents with a history of sexual intercourse and their parents completed questionnaires assessing adolescent sexual risk behavior, sexual communication, and discussion of sexual topics. Greater condom use by adolescents was associated with parent–adolescent condom discussion but was not associated with openness in sexual communication. Seventy-six percent of adolescents reported that parents had discussed condoms with them and these discussions were significantly associated with protected sexual acts. In a logistic regression, accounting for age, gender, race, and psychiatric diagnosis teens that discussed condoms with their parent were more likely to report condom use at last sex. Increasing direct communication about condoms may be an important step in increasing adolescent’s safer sex behavior. Mental health disorders and family distress may make such discussions challenging but are not an insurmountable barrier to direct discussions about condoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Brown, L., Danovsky, M., Lourie, K., DiClemente, R., & Ponton, L. (1997a). Adolescents with psychiatric disorders and the risk of HIV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1609–1617. doi:10.1097/00004583-199703000-00009.

    Article  PubMed  CAS  Google Scholar 

  • Brown, L., Reynolds, L., & Lourie, K. (1997b). A pilot HIV prevention program for adolescents in a psychiatric hospital. Psychiatric Services (Washington, DC), 48, 531–533.

    CAS  Google Scholar 

  • Casper, L. (1990). Does family interaction prevent adolescent pregnancy? Family Planning Perspectives, 22, 109–114. doi:10.2307/2135640.

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control and Prevention. (2006). HIV/AIDS Surveillance Report, 2005, Vol 17, pp 1–54.

  • Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.

    Article  Google Scholar 

  • DiClemente, R. J., Wingood, G. M., Crosby, R. A., Sionean, C., Cobb, B. K., Harrington, K., et al. (2001). Parent–adolescent communication and sexual risk behaviors among African American adolescent females. The Journal of Pediatrics, 139, 407–412. doi:10.1067/mpd.2001.117075.

    Article  PubMed  CAS  Google Scholar 

  • DiIorio, C., Kelley, M., & Hockenberry-Eaton, M. (1999). Communication about sexual issues: Mothers, fathers, and friends. The Journal of Adolescent Health, 24, 181–189. doi:10.1016/S1054-139X(98)00115-3.

    Article  PubMed  CAS  Google Scholar 

  • DiIorio, C., Resnicow, K., Thomas, S., Wang, D. T., Van Marter, D. F., & Lipana, J. (2002). Keepin’ it R.E.A.L.!: Program description and results of baseline assessment. Health Education & Behavior, 29, 104–123.

    Google Scholar 

  • Donenberg, G. R., Bryant, F. B., Emerson, E., Wilson, H., & Pasch, K. E. (2003). Tracing the roots of early sexual debut among adolescents in psychiatric care. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 594–608. doi:10.1097/01.CHI.0000046833.09750.91.

    Article  PubMed  Google Scholar 

  • Donenberg, G. R., Emerson, E., Bryant, F. B., Wilson, H., & Weber-Shifrin, E. (2001). Understanding AIDS-risk behavior in clinically disturbed adolescents: Links to psychopathology and peer relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 642–653. doi:10.1097/00004583-200106000-00008.

    Article  PubMed  CAS  Google Scholar 

  • Donenberg, G. R., Wilson, H. W., Emerson, E., & Bryant, F. B. (2002). Holding the line with a watchful eye: The impact of perceived parental monitoring on risky sexual behavior among adolescents in psychiatric care. AIDS Education and Prevention, 14, 138–157. doi:10.1521/aeap.14.2.138.23899.

    Article  PubMed  Google Scholar 

  • 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, 59–66. doi:10.1023/A:1025419519668.

    Article  Google Scholar 

  • Fisher, L., & Feldman, S. (1998). Familial antecedents of young adult health risk behavior: A longitudinal study. Journal of Family Psychology, 12, 66–80. doi:10.1037/0893-3200.12.1.66.

    Article  Google Scholar 

  • Fisher, T. D. (1993). A comparison of various measures of family sexual communication: Psychometric properties, validity, and behavioral correlates. Journal of Sex Research, 30, 229–238.

    Article  Google Scholar 

  • Fisher, T. D. (2001). An exploratory study of parent–child communication about sex and the sexual attitudes of early, middle, and late adolescents. The Journal of Genetic Psychology, 147, 543–557.

    Google Scholar 

  • Guzman, B. L., Schlehofer-Sutton, M. M., Villanueva, C. M., Dello Stritto, M. E., Casad, B. J., & Feria, A. (2003). Let’s talk about sex: How comfortable discussions about sex impact teen sexual behavior. Journal of Health Communication, 8, 583–598. doi:10.1080/716100416.

    Article  PubMed  Google Scholar 

  • Huebner, A. J., & Howell, L. W. (2003). Examining the relationship between adolescent sexual risk taking and perceptions of monitoring, communication, and parenting styles. The Journal of Adolescent Health, 33, 71–78. doi:10.1016/S1054-139X(03)00141-1.

    Article  PubMed  Google Scholar 

  • Jaccard, J., Dittus, P. J., & Gordon, V. V. (1998). Parent–adolescent congruency in reports of adolescent sexual behavior and in communications about sexual behavior. Child Development, 69, 247–261.

    PubMed  CAS  Google Scholar 

  • King, B. M., & Lorusso, J. (1997). Discussion in the home about sex: Different recollections by parents and children. Journal of Sex and Marital Therapy, 23, 52–60.

    PubMed  CAS  Google Scholar 

  • Kotva, H. J., & Schneider, S. C. (1990). Those “talks”-general and sexual communication between mothers and daughters. The Journal of Social Psychology, 5, 603–613.

    Google Scholar 

  • 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, 218–222. doi:10.2307/2991607.

    Article  PubMed  CAS  Google Scholar 

  • 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, 1542–1544.

    Article  PubMed  CAS  Google Scholar 

  • Newcomer, S. F., & Udry, J. R. (1985). Parent–adolescent communication and adolescent sexual behavior. Family Planning Perspectives, 17, 169–174. doi:10.2307/2135242.

    Article  PubMed  CAS  Google Scholar 

  • Pequegnat, W., & Szapocznik, J. (2000). The role of families in preventing and adapting to HIV/AIDS: Issues and answers. Working with families in the era of HIV/AIDS. Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Raffaelli, M., Bogenschneider, K., & Flood, M. F. (1998). Parent–teen communication about sexual topics. Journal of Family Issues, 19, 315–333. doi:10.1177/019251398019003005.

    Article  PubMed  CAS  Google Scholar 

  • Romer, D., Stanton, B., Galbraith, J., Feigelman, S., Black, M. M., & Li, X. (1999). Parental influence on adolescent sexual behavior in high-poverty settings. Archives of Pediatrics and Adolescent Medicine, 153, 1055–1062.

    PubMed  CAS  Google Scholar 

  • Schwab-Stone, M. (1996). Criterion validity of the NIMH diagnostic interview schedule for children. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878–888.

    Article  PubMed  CAS  Google Scholar 

  • Shaffer, D. (1991a). Diagnostic interview for children (DISC 2.3)—parent version (Version 2.3—Parent) [Computer software]. New York: Columbia University.

    Google Scholar 

  • Shaffer, D. (1991b). Diagnostic interview for children (DISC 2.3)—child version (Version 2.3—Child) [Computer software]. New York: Columbia University.

    Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. doi:10.1097/00004583-200001000-00014.

    Article  PubMed  CAS  Google Scholar 

  • Ullman, J. B. (1996). Structural equation modeling. In B. G. Tabachnick & L. S. Fidell (Eds.), Using multivariate statistics (3rd ed., pp. 709–811). New York: Harper Collins.

    Google Scholar 

  • Whitaker, D., & Miller, K. S. (2000). Parent–adolescent discussions about sex and condoms: Impact on peer influences of sexual risk behavior. Journal of Adolescent Research, 15, 251–273. doi:10.1177/0743558400152004.

    Article  Google Scholar 

Download references

Acknowledgment

Research supported by NIMH grant R01MH 63008 to Rhode Island Hospital (PI: Brown).

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to Wendy Hadley.

Appendix

Appendix

Project STYLE Study Group

Principal Investigators

Larry Brown, M.D.—Rhode Island Hospital (RIH), Providence, RI

Ralph DiClemente, Ph.D.—Emory University, Atlanta, GA

Geri Donenberg, Ph.D.—University of Illinois at Chicago (UIC), Chicago, IL

Site Investigators

Chinmayee Barve, Ph.D.—UIC, Chicago, IL

Richard Crosby, Ph.D.—Emory University, Atlanta, GA

Wendy Hadley, Ph.D.—RIH, Providence, RI

Delia Lang, Ph.D.—Emory University, Atlanta, GA

Celia Lescano, Ph.D.—RIH, Providence, RI

Cami McBride, Ph.D.—Rosalind Franklin University of Medicine and Science,

Chicago, IL

Consultants

Nancy Beausoleil, M.S.—RIH, Providence, RI

Angela Caliendo, M.D., Ph.D—Emory University, Atlanta, GA

David Pugatch, M.D.—RIH, Providence, RI

Ron Seifer, Ph.D.—RIH, Providence, RI

Project Coordinators

RIH

    Renee Johnson, B.S.

    Harrison Kell, A.B.

    Erika Litvin, B.S.

    Jonathon Thompson, B.S.

UIC

    Gloria Coleman, M.A.

    Emily Hasselquist, B.A.

    Chisina Kapungu, M.A.

    Charu Thakral, Ph.D.

Emory University

    Cara Averhart, M.A.

    Wayne Baudy, MPH

    Emily Higgins, MPH

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hadley, W., Brown, L.K., Lescano, C.M. et al. Parent–Adolescent Sexual Communication: Associations of Condom Use with Condom Discussions. AIDS Behav 13, 997–1004 (2009). https://doi.org/10.1007/s10461-008-9468-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-008-9468-z

Keywords

Navigation