Atienzo Erika E, Walker Dilys M, Campero Lourdes, Lamadrid-Figueroa Héctor, Gutiérrez Juan Pablo
Division of Reproductive Health, Centre for Research on Population Health, National Institute of Public Health, Cuernavaca, México.
Eur J Contracept Reprod Health Care. 2009 Apr;14(2):111-9. doi: 10.1080/13625180802691848.
Parent-adolescent communication about sexuality has been shown to influence adolescents' sexual behaviour. This study aims to describe communication about sex between Mexican parents and adolescents, and its relation to age at first intercourse and condom use.
Cross-sectional study with self-administered questionnaires of first year students at 23 high schools. Communication was divided into three themes: biological aspects, risks associated with sexual behaviour, and prevention. For sexually active adolescents, discussion timing was determined to have occurred prior to, or after sexual initiation. Analysis included logistic regression models stratifying by discussion timing.
Overall 5,461 questionnaires were analysed. Among male respondents 24.3% and among females 10.6% stated that they were sexually active. As many as 83.1% reported having spoken with parents about sexual relations. Communication was more common with mothers. Discussions about risk and prevention prior to sexual initiation was associated with condom use at first intercourse (Odds ratio [OR] = 2.05); late discussion was associated with younger age (<15) at first intercourse (OR = 3.51).
Communication before onset of sexual activity about risk and prevention is associated with safe sex practices. Improving parent-adolescent communication is a poorly studied strategy to influence adolescents' behaviour. Interventions should promote early parent-adolescent communication.
研究表明，父母与青少年之间关于性的交流能够影响青少年的性行为。本研究旨在描述墨西哥父母与青少年之间关于性的交流情况，以及这种交流与首次性交年龄和避孕套使用之间的关系。
对23所高中一年级学生进行自填式问卷调查的横断面研究。交流内容分为三个主题：生物学方面、性行为相关风险以及预防措施。对于有性行为的青少年，确定讨论是在开始性行为之前还是之后进行的。分析包括按讨论时间分层的逻辑回归模型。
共分析了5461份问卷。在男性受访者中，24.3%表示有性行为；在女性受访者中，这一比例为10.6%。多达83.1%的人报告称与父母谈论过性关系。与母亲的交流更为普遍。在开始性行为之前讨论风险和预防措施与首次性交时使用避孕套有关（优势比[OR]=2.05）；讨论较晚与首次性交年龄较小（<15岁）有关（OR=3.51）。
在性活动开始前就风险和预防措施进行交流与安全性行为有关。改善父母与青少年之间的交流是一项研究较少的影响青少年行为的策略。干预措施应促进父母与青少年尽早进行交流。
