Hutchinson M Katherine, Jemmott John B, Jemmott Loretta Sweet, Braverman Paula, Fong Geoffrey T
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Adolesc Health. 2003 Aug;33(2):98-107. doi: 10.1016/s1054-139x(03)00183-6.
To prospectively examine the relationship between mother-daughter communication about sex and selected sexual risk behaviors among inner-city adolescent females.
Participants were 219 sexually experienced females, 12 to 19 years of age, recruited from an inner-city adolescent medicine clinic in Philadelphia, PA, and randomly assigned to the control group of an HIV-risk reduction intervention study. Analyses were limited to data from control group participants to avoid confounding intervention effects. Poisson regression was employed to model three self-reported sexual risk behaviors: number of male sexual partners, number of episodes of sexual intercourse, and number of episodes of unprotected intercourse. Mediation effects were evaluated using variables from the Theory of Planned Behavior. Data were analyzed using Poisson regression.
Higher levels of mother-daughter sexual risk communication were associated with fewer episodes of sexual intercourse and unprotected intercourse at 3-month follow-up. There was evidence that the relationship of communication to unprotected intercourse was mediated by condom use self-efficacy. Mother-daughter sexual risk communication was not significantly associated with adolescents' reports of numbers of male sexual partner.
This prospective study supports the notion that mothers who communicate with their daughters about sex can affect their daughters' sexual behaviors in positive ways. These findings lend support for the design and implementation of family-based approaches to improve parent-adolescent sexual risk communication as one means of reducing HIV-related sexual risk behaviors among inner-city adolescent females.
前瞻性地研究城市中心区青春期女性中母女间关于性的沟通与特定性风险行为之间的关系。
参与者为219名有性经历的12至19岁女性，她们从宾夕法尼亚州费城的一家城市中心区青少年医学诊所招募而来，并被随机分配到一项降低HIV风险干预研究的对照组。分析仅限于对照组参与者的数据，以避免干预效果的混杂。采用泊松回归模型来模拟三种自我报告的性风险行为：男性性伴侣数量、性交次数和无保护性交次数。使用计划行为理论中的变量评估中介效应。数据采用泊松回归进行分析。
在3个月的随访中，母女间较高水平的性风险沟通与较少的性交次数和无保护性交次数相关。有证据表明，沟通与无保护性交之间的关系是由使用避孕套的自我效能感介导的。母女间的性风险沟通与青少年报告的男性性伴侣数量没有显著关联。
这项前瞻性研究支持了这样一种观点，即与女儿谈论性的母亲可以以积极的方式影响女儿的性行为。这些发现为设计和实施基于家庭的方法提供了支持，以改善父母与青少年之间的性风险沟通，作为减少城市中心区青春期女性中与HIV相关的性风险行为的一种手段。
