Miller Kim S, Fasula Amy M, Dittus Patricia, Wiegand Ryan E, Wyckoff Sarah C, McNair Lily
Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Mail Stop E-45, Atlanta, GA 30333, USA.
AIDS Behav. 2009 Apr;13(2):365-74. doi: 10.1007/s10461-007-9324-6. Epub 2007 Nov 6.
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.
本研究考察了促进亲子间性话题讨论的因素。抽取了1066对非裔美国母亲及其9至12岁孩子组成的样本参与完成计算机管理的调查。在控制了所有其他协变量后，母亲的性沟通反应能力（即知识、舒适度、技能和信心）是讨论最一致的预测因素。根据母亲和孩子的报告，反应能力较高的母亲进行禁欲、青春期和生殖话题讨论的几率显著增加。此外，在大多数模型中，孩子的年龄、青春期发育、学习性知识的准备程度以及性别为女性与讨论几率的增加呈正相关。研究结果表明，鼓励父母尽早与孩子交谈可能不足以促进亲子间的性话题讨论。父母还需要知识、舒适度、技能和信心来进行有效沟通，并避免与孩子回避这些往往困难且情绪化的对话。
