Parent-child interaction during adolescence, and the adolescent's sexual experience: control, closeness, and conflict

The socialization of attitudes about sex and their role in adolescent pornography use

INTRODUCTION

This study examines the socialization of conservative attitudes about sex and pornography use in later adolescence. We tested a socialization model whereby we anticipated that parent conservative sex attitudes would more strongly predict teen conservative sex attitudes when more frequent and higher quality parent-teen communication was present. We further hypothesized that teen conservative sex attitudes would mediate relations between parent conservative sex attitudes and teen pornography use over time.

METHODS

The data come from three waves of the National Survey of Youth and Religion (N = 3290; ages 13 through 18; M age = 15.5).

RESULTS

Path analyses found that teen sex attitudes mediated the negative link between parent sex attitudes and subsequent teen pornography use, but frequency and quality of parent-teen communication extensiveness (operationalized as frequency) and quality (operationalized as comfort) did not moderate the association between parent and teen sex attitudes. However, communication extensiveness did moderate relations between parent sex attitudes and later teen pornography use. The model was largely consistent across teen gender.

CONCLUSIONS

In short, parent and teen conservative sex attitudes are developmentally linked and predictive of later teen pornography use, but the role of parent-teen communication and teen gender are complex and in need of further research.

Is parenting a determinant of adolescent mental health? - A population based study in South India

BACKGROUND

The transitional phase encompassing the physiological and psychological changes during our lifespan is termed as adolescence. Adolescents get mislead to substance use, violence related activities, dating relationships, unhealthy lifestyle. Minimal studies are conducted in India to identify the parenting factors that affect an adolescent's mind. The aim of our study was to explore the role of parenting and social surroundings on - adolescent's mental health and involvement in violence related activities.

METHODS

Cross sectional study design was adopted. Semi structured questionnaire was used. Data obtained was entered and analyzed using SPSS 15. Proportions were used to report the findings. Chi-square test was used to find associations between mental health issues, involvement in violence related activities and Interpersonal Relationship (IPR) Status. Multiple logistic regressions were done to identify independent predictors of mental health.

RESULTS

A total of 1770 adolescents participated. Proportion of adolescents with good IPR with parents reported to be having a better mental health status and low involvement in violent related activities. Schools also displayed similar effects. Neighborhood, peers did not display any significant effect on adolescent's mental health. Most significant predictor for adolescent mental health was IPR with parents and at school.

CONCLUSION

The study highlights the need of a cordial environment at places which does influence the adolescent's mental health. Interventions enhancing the relationship status of adolescents with parents, at school must be carried out to observe the change in adolescent behavior.

The role of family conflict on risky sexual behavior in adolescents aged 15 to 21

PURPOSE

Family conflict is related to numerous risky behavioral outcomes during adolescence; however, few studies have examined how family conflict is associated with risky sexual behavior during adolescence.

METHODS

Data from 1104 adolescents aged 15 to 21 who completed the 2008 National Longitudinal Survey of Youth were analyzed. Information on family conflict (family fighting and family criticizing) and sexual behavior (number of sexual partners in past year and use of contraception at last intercourse) was self-reported. Logistic regression was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs).

RESULTS

After adjustment, adolescents whose family members often fought had increased odds of not using contraception at last intercourse and having two or more sexual partners in the past year (OR, 1.40 [95% CI, 1.04-1.88] and OR, 1.62 [95% CI, 1.23-2.14], respectively). Adolescents whose family members often criticized each other also had increased odds of not using contraception at last intercourse and having two or more sexual partners in the past year (OR, 1.46 [95% CI, 1.12-1.90] and OR, 1.22 [95% CI, 0.96-1.55], respectively).

CONCLUSIONS

Family conflict was associated with risky sexual behaviors in this racially/ethnically diverse sample of adolescents. If confirmed in other studies, adolescents who experience family conflict may be an important population to target with information regarding safer sex practices.

Cross-cultural variations in adolescents' perceived maternal expectancy and sexual initiation

PURPOSE

This study built on previous findings and compared the effects of maternal influences on adolescents' sexual initiation among four racial and ethnic groups: Asian American Pacific Islanders, African Americans, Hispanic Americans, and Caucasians.

DESIGN

An exploratory, comparative secondary analysis of longitudinal data from 433 Asian American Pacific Islanders, 1,367 African Americans, 1,241 Hispanic Americans, and 4,567 Caucasian adolescents between the ages of 15 and 17 years at Wave 1 was conducted using structural equation modeling. Bronfenbrenner's Social Ecological Model guided the modeling and analyses.

RESULTS

Adolescents' sexual initiation was significantly associated with mother-adolescent interactions and adolescents' perceived maternal sexual expectations. Cross-cultural variations are noted and discussed.

CONCLUSIONS

Nursing interventions designed to delay adolescents' sexual initiation need to focus on familial and cultural variations associated with mother-adolescent interactions.

Condom Use Trajectories in Adolescence and the Transition to Adulthood: The Role of Mother and Father Support

Few studies have investigated how mother and father support differ on predicting youths' sexual risk behavior. We therefore examined the influence of parental support on condom use trajectories and its correlates in a predominantly African American sample [(N=627; 53% female; M = 14.86 years (SD=. 64)] from adolescence to young adulthood. We used hierarchical growth curve modeling to examine the relationship between condom use, substance use, psychological distress and parental support prospectively. We found that consistent condom use decreased over time and was associated negatively with psychological distress and substance use. Furthermore, both maternal and paternal support were associated with more condom use over time. We discuss the implications of our findings for HIV prevention programs.

The first sexual experience among adolescent girls with and without disabilities

First sexual intercourse is an important experience in the young adult life course. While previous research has examined racial, gender, and socioeconomic differences in the characteristics of first sexual intercourse, less is known about differences by disability status. Using a racially diverse (27% Black, 20% Hispanic, and 53% non-Hispanic white) sample of 2,729 adolescent girls aged 12-24 at first sexual intercourse from the National Longitudinal Survey of Youth 1997, this article examines the association between disability and type of first sexual relationship, degree of discussion about birth control, and pregnancy wantedness. Regression analyses indicate that girls with mild or learning or emotional disabilities experience first sexual intercourse in different types of relationships than girls without disabilities. Adolescents with learning or emotional conditions have greater levels of discussion about birth control with their first sexual partners than those without disabilities. In addition, among those who do not use birth control at first sexual intercourse, girls with multiple or seriously limiting conditions are more likely to want a pregnancy-versus not want a pregnancy-at first sexual intercourse. Findings indicate that disability status is important to consider when examining adolescent sexuality; however, not all youth with disabilities have equal experiences.

Parenting and Adolescents’ Sexual Development in Western Societies

This review examines associations between parenting styles and the psychosexual development of adolescents. Methods and results of empirical studies of associations between parental support, control, and knowledge and the sexual behavior and sexual health of adolescents are described and evaluated. The results show that, in general, higher scores on support, control, and knowledge relate to a delay of first sexual intercourse, safer sexual practices, and higher sexual competence. Despite the vast amount of literature on this subject, the majority of these studies focus on single dimensions of parenting and unidirectional parenting influences. This review generates hypotheses regarding interactions of different parenting styles and reciprocal associations between parents and their children. There is a need for more dynamic, dialectical studies of parenting, and children’s sexual development.

Like father, like son: the intergenerational cycle of adolescent fatherhood

OBJECTIVES

Strong evidence exists to support an intergenerational cycle of adolescent fatherhood, yet such a cycle has not been studied. We examined whether paternal adolescent fatherhood (i.e., father of study participant was age 19 years or younger when his first child was born) and other factors derived from the ecological systems theory predicted participant adolescent fatherhood.

METHODS

Data included 1496 young males who were interviewed annually from the National Longitudinal Survey of Youth 1997. Cox regression survival analysis was used to determine the effect of paternal adolescent fatherhood on participant adolescent fatherhood.

RESULTS

Sons of adolescent fathers were 1.8 times more likely to become adolescent fathers than were sons of older fathers, after other risk factors were accounted for. Additionally, factors from each ecological domain-individual (delinquency), family (maternal education), peer (early adolescent dating), and environment (race/ethnicity, physical risk environment)-were independent predictors of adolescent fatherhood.

CONCLUSIONS

These findings support the need for pregnancy prevention interventions specifically designed for young males who may be at high risk for continuing this cycle. Interventions that address multiple levels of risk will likely be most successful at reducing pregnancies among partners of young men.

Maternal Influences on Asian American-Pacific Islander Adolescents' Perceived Maternal Sexual Expectations and Their Sexual Initiation

Maternal influences on adolescents' sexual initiation have been examined over two time points in 433 Asian American-Pacific Islander (AAPI) adolescents in a secondary analysis of the Add Health data set using structural equation modeling. A longitudinal model built on a preliminary qualitative study is used to examine the fit between data and model. Maternal perceived connectedness and adolescents' perceived maternal sexual expectations in sexual timing are found to be protective for delaying AAPI adolescents' sexual initiation. Unexpectedly, mothers' perceptions of sexual discussion are not protective for delaying adolescents' sexual initiation. The results suggest interventions should focus on promoting AAPI mothers' perceptions of connectedness with their adolescents and adolescents' perceptions of their mothers' sexual expectations (as measured by adolescents' perceived maternal disapproval attitudes and affects) in delaying sexual initiation.

Character as a predictor of reproductive health outcomes for youth: a systematic review

To review research examining the influence of character on adolescent sexual and reproductive health (ASRH). We defined character as comprising two positive youth development constructs: prosocial norms and spirituality. We conducted a systematic review of behavioral research published from 1985 through 2007 that examined the association between two character constructs (prosocial norms and spirituality) and ASRH outcomes. We coded results as showing a protective association, risk association, or no association, and as longitudinal, or cross-sectional. We considered consistent associations from at least two longitudinal studies for a given outcome to be sufficient evidence for a protective or risk association. There is sufficient evidence to indicate that prosocial norms and spirituality can be protective factors for some ASRH outcomes including intention to have sex, early sex or ever having sex, contraceptive and condom use, frequency of sex, and pregnancy. The generalizability of findings by age, race/ethnicity, and gender was unclear. Findings suggest that some character sub-constructs are associated with a reduced likelihood of several adverse ASRH outcomes and with an increased likelihood of using contraceptives and intending to use condoms. Further research is needed to better understand mixed results and results showing some character sub-constructs, such as religious affiliation, to be associated with adverse ASRH outcomes.

Connectedness as a predictor of sexual and reproductive health outcomes for youth

To review research examining the influence of "connectedness" on adolescent sexual and reproductive health (ASRH). Connectedness, or bonding, refers to the emotional attachment and commitment a child makes to social relationships in the family, peer group, school, community, or culture. A systematic review of behavioral research (1985-2007) was conducted. Inclusion criteria included examination of the association between a connectedness sub-construct and an ASRH outcome, use of multivariate analyses, sample size of >or=100, and publication in a peer-reviewed journal. Results were coded as protective, risk, or no association, and as longitudinal, or cross sectional. Findings from at least two longitudinal studies for a given outcome with consistent associations were considered sufficient evidence for a protective or risk association. Eight connectedness sub-constructs were reviewed: family connectedness (90 studies), parent-adolescent general communication (16 studies), parent-adolescent sexuality communication (58 studies), parental monitoring (61 studies), peer connectedness (nine studies), partner connectedness (12 studies), school connectedness (18 studies), and community connectedness (four studies). There was sufficient evidence to support a protective association with ASRH outcomes for family connectedness, general and sexuality-specific parent-adolescent communication, parental monitoring, partner connectedness, and school connectedness. Sufficient evidence of a risk association was identified for the parent overcontrol sub-construct of parental monitoring. Connectedness can be a protective factor for ASRH outcomes, and efforts to strengthen young people's pro-social relationships are a promising target for approaches to promote ASRH. Further study regarding specific sub-constructs as well as their combined influence is needed.

Influence of family type and parenting behaviours on teenage sexual behaviour and conceptions

BACKGROUND

Longitudinal data were used to explore relations between teenage pregnancy, sexual behaviour, and family type. The study examined whether students from lone parent and/or teenage mother initiated families more commonly report sex, lack of contraception at first sex, and/or conceptions by age 15/16, and whether such associations can be explained by low parental strictness, difficult parent-child communication, and/or low parental input into sex education. Up to date longitudinal UK research on family influences on conceptions is lacking, as is longitudinal research on family influences on sexual behaviour. No previous studies have comprehensively examined effects of parenting behaviours. Unlike previous research, this study tested theories suggesting that parenting deficits among lone parent and teenage initiated families increase risk of teenage pregnancy among their children.

METHODS

Secondary analysis of data from a trial of sex education.

RESULTS

Girls and boys from lone parent families or having mothers who were teenagers when they were born were more likely to report sex but not lack of contraception at first sex by age 15/16. Girls and boys with mothers having them as teenagers, and boys but not girls from lone parent families, were more likely to report being involved in conceptions by age 15/16. Only the association between teenage mother family and girls' conceptions was reduced by adjusting for a parenting behaviour measure.

CONCLUSIONS

Students from lone parent families or having mothers who were teenagers when they were born are more likely to report early sexual debut and conceptions by age 15/16, but this is not generally explained by parenting style.

Scales measuring psychosocial antecedents of coital initiation among adolescents in a rural southern state

The psychometric properties of psychosexual scales designed to examine intentions toward sexual intercourse were examined. Participants from 22 schools in central Alabama provided data on demographics, knowledge, attitudes, beliefs, and intentions toward sexual intercourse. Theoretical constructs from Theory of Reasoned Action and Social Cognitive Theory guided the development of items assessing psychosocial aspects of sexual intercourse. Findings indicated that approximately half of the conceptual items (13 items) loaded on four factors. The four scales were (a) Coital Intentions, (b) Attitudes toward Negative Sexual Outcomes, (c) Social Norms toward Premature Sex, and (d) Self-efficacy of Sexual Refusal Skills. These factors showed adequate independence and explained 46% of the variance in the data. Cronbach alpha ranged from .69 to .78. Scales show acceptable evidence for evaluation; however, additional research from other geographical districts and other ethnic groups is needed to confirm their generalizability.

Sexual at-risk behaviors of sexually abused adolescent girls

The present study investigated sexual at-risk behaviors of sexually abused adolescent girls. Variables of interest were presence of consensual sexual activity, age at first consensual intercourse, number of sexual partners, condom use, and pregnancies. Participants were 125 sexually abused adolescent girls aged 12 to 17 years. Results showed that severity of sexual abuse (e.g., penetration, multiple perpetrators, physical coercion, multiple incidents of abuse) was related to a greater number of sexual at-risk behaviors. For instance, adolescents with a history of sexual abuse involving penetration were 13 times as likely to have been pregnant. Although family characteristics were significantly associated with being sexually active, their effect proved non-significant in the final hierarchical regression. Regression analyses clearly showed that the likelihood of engaging in sexual at-risk behaviors increased as a function of the number of severity factors.

Rural parents' communication with their teen-agers about sexual issues

This survey assessed rural parents' (n = 374) perceptions of the characteristics, content, and comfort level of discussions about sexual issues with their teens. Almost all parents (94%) reported they had talked with their teens about sex. Two-thirds (65%) reported being comfortable talking with their teens about sexual issues. From a list of 17 potential topical areas in sexual communication, parents were most likely to discuss with their teens the responsibilities of being a parent (46%), sexually transmitted diseases (40%), dating behavior (37%), and not having sex until marriage (36%). Most parents (80%) believed that the majority of sexuality education should be provided by the family and supplemented by outside organizations, preferably schools. Almost all parents (92%) believed sexuality education should include information on birth control methods including condoms. Almost two of three parents (64%) believed schools should begin teaching sexuality education before students reach seventh grade. Parents (52%) claimed they could best be helped in communicating with their teens by receiving a regular newsletter regarding teen sexual issues.

Quality of mother-child interaction and the intergenerational transmission of sexual values: a panel study

The role of mothers as socializing agents was examined in a longitudinal study. It was assumed that mothers can transmit their own values to their children, especially if the quality of their interaction is good. Whether children influence their mothers' values was also examined. The hypotheses were tested using analysis of variance and structural equation modeling, drawing on data from 253 English adolescent-mother pairs. The results provided little support for the hypotheses. There was some evidence that mothers influenced their children's sexual attitudes, but this effect was found for the families characterized by a low quality of parent-child interaction, rather than for the families characterized by a high quality of interaction. No evidence was found for the assumption that children influence their mothers' sexual attitudes and beliefs. Implications of the study for future research are discussed.

The effect of quality of family interaction and intergenerational transmission of values on sexual permissiveness

Quality of family interaction as a moderator of the relation between mothers and their adolescent children's sexual permissiveness was examined. Mothers were expected to be able to influence their children's sexual standards, but this effect was expected to be stronger when the family interaction was characterized by mutual understanding and respect. This hypothesis was tested by means of multiple-group structural equation modeling, with a sample of 323 adolescent-mother pairs that were representative of the Brighton and Hove (UK) area. The adolescents were 14 to 18 years old. The results supported our hypothesis that intergenerational transmission of values benefits from good mother-child relations. In addition, we found that socioeconomic status was less strongly related to adolescent permissiveness and age was more strongly related in high quality of interaction groups than in low quality of family interaction groups. Implications of the study are discussed.