Rosalind Franklin University of Medicine and Science Department of Psychology, North Chicago, IL, United States of America.
Rosalind Franklin University of Medicine and Science Department of Psychology, North Chicago, IL, United States of America.
J Pediatr Nurs. 2019 Jul-Aug;47:78-84. doi: 10.1016/j.pedn.2019.04.020. Epub 2019 May 4.
Females with chronic health conditions (CHCs) engage in risky sexual behavior at least as frequently as their healthy counterparts. Among healthy youth, mother-daughter communication about sexual behavior and reproductive health protects against risky sexual behavior. Yet, little is known about the nature of this type of communication in female adolescents with CHCs or factors that contribute to communication. This study described mother-daughter communication frequency, timing, and comfort and examined the role of demographic/disease factors and maternal outcome expectancy (OE), in contributing variance to mother-daughter communication about risky sexual behavior and reproductive health.
One hundred mother-daughter dyads from outpatient clinics located within a hospital participated. Daughters [ages 14-19; M(SD) age = 16.28 (1.53)] provided demographic information and mothers self-reported frequency, timing, comfort, and OE of mother-daughter communication about sexual behavior and reproductive health.
Reproductive health topics were discussed with the greatest frequency. Condom and birth control use were discussed less often. Overall, maternal comfort levels were high across topics. Maternal positive OE was associated with all communication domains, accounting for between 11 and 21% of the variance beyond relevant demographic factors.
Fostering positive maternal OE may enhance multiple domains of mother-daughter communication about sexual behavior and reproductive health in samples of female adolescents with various CHCs.
Since mothers with positive OE talk about sexual behavior earlier, more frequently, and with greater comfort; nurses are in a unique position to empower mother-daughter communication about sexual behavior and reproductive health and enhance mother OE during clinical encounters.
患有慢性健康状况（CHC）的女性进行危险性行为的频率至少与健康女性相同。在健康的年轻人中，母亲与女儿就性行为和生殖健康进行沟通可以预防危险的性行为。然而，对于患有 CHC 的女性青少年中这种类型的沟通的性质，以及促成沟通的因素，人们知之甚少。本研究描述了母女沟通的频率、时间以及舒适度，并考察了人口统计学/疾病因素和母亲结果预期（OE）对沟通关于性行为和生殖健康的风险的作用。
100 对来自医院门诊的母女参与了本研究。女儿（年龄 14-19 岁；M（SD）年龄=16.28（1.53））提供人口统计学信息，母亲则自我报告关于性行为和生殖健康的沟通频率、时间、舒适度和 OE。
生殖健康主题的讨论频率最高。有关避孕套和避孕药使用的讨论较少。总体而言，母亲对各主题的舒适度水平都较高。母亲的积极 OE 与所有沟通领域相关，在相关人口统计学因素之外，解释了 11-21%的差异。
培养积极的母亲 OE 可能会增强患有各种 CHC 的女性青少年在性行为和生殖健康方面的多个母女沟通领域。
由于具有积极 OE 的母亲更早、更频繁、更舒适地谈论性行为；护士在促进性行为和生殖健康方面的母女沟通以及在临床接触中增强母亲的 OE 方面具有独特的地位。
