Youth Development Program Area, Child Trends, 7315 Wisconsin Ave, Suite 1200W, Bethesda, MD 20814, USA.
Reproductive Health and Family Formation Program Area, Child Trends, 7315 Wisconsin Ave, Suite 1200W, Bethesda, MD 20814, USA.
Int J Environ Res Public Health. 2019 Mar 7;16(5):833. doi: 10.3390/ijerph16050833.
Parent-teen discussions about sexual and reproductive health (SRH) are associated with delayed sex and higher contraceptive use among teens. Using the National Survey of Family Growth, we conducted bivariate and multivariate analyses of different types of parent-teen SRH discussions among two cohorts of teens. We describe differences in patterns for males and females by race/ethnicity and nativity, and test for racial/ethnic interactions within each cohort. Analyses found that the prevalence of parent-teen discussions about SRH increased across cohorts. For males and females, there were increases in parent-teen discussions about condoms, and for males only, there were increases in any SRH discussions and discussions about contraception and STIs. Based on interactions, parent-teen discussions and STI discussions increased most for Hispanic females, and among Hispanics, increased most for the foreign-born. These data indicate increases in different types of parent-teen SRH discussions, particularly for males and foreign-born teens overall, and for Hispanic teen females regarding condom use. Future research should examine what factors are driving these changes, including changes in the structure of U.S. Hispanic communities and expansion of evidence-based teen pregnancy prevention programs.
父母与青少年之间关于性与生殖健康（SRH）的讨论与青少年推迟性行为和提高避孕措施使用率有关。本研究使用全国家庭增长调查（National Survey of Family Growth），对两代青少年中不同类型的父母与青少年 SRH 讨论进行了双变量和多变量分析。我们按种族/民族和出生地描述了男性和女性在模式上的差异，并在每个队列中测试了种族/民族间的相互作用。分析发现，两代青少年中关于 SRH 的讨论普遍增多。对于男性和女性来说，关于避孕套使用的讨论有所增加，而对于男性来说，关于任何 SRH 问题的讨论以及关于避孕和性传播感染（STI）的讨论也有所增加。基于相互作用，关于父母与青少年讨论和 STI 讨论的增加主要发生在西班牙裔女性中，而在西班牙裔中，增加主要发生在那些外国出生的人身上。这些数据表明，不同类型的父母与青少年 SRH 讨论有所增加，特别是对于男性和所有外国出生的青少年，以及关于使用避孕套的西班牙裔青少年女性。未来的研究应该探讨是什么因素推动了这些变化，包括美国西班牙裔社区结构的变化和基于证据的青少年怀孕预防计划的扩展。
