Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University.
Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park.
J Fam Psychol. 2023 Jun;37(4):464-474. doi: 10.1037/fam0001058. Epub 2023 Jan 19.
Black young adults have disproportionately high rates of HIV and sexually transmitted infections (STIs) when compared with the national average. Although parent-child sexual health communication among Black families has been shown to reduce sexual risk-taking behaviors, far less is known about father-daughter sexual health communication when compared with communication among gender-congruent dyads and mothers. This dearth of knowledge hinders the development of sexual health interventions involving fathers that are sensitive to both the gendered and cultural context. Using constructivist-grounded theory, the present study explores the context surrounding sexual health communication between Black women aged 19-21 ( = 20.3) years and their biological fathers aged 52-60 ( = 56.7) years. Seven father-daughter ( = 7) dyads and an additional five ( = 5) daughters completed individual in-depth semistructured interviews lasting on average 84 min in length. Analysis revealed several social, cultural, and familial contexts impacting father-daughter communication, in addition to factors that either motivate or hinder communication. Daughters who did not engage in sexual health communication with their fathers expressed an interest in doing so, and participants highlighted varying behavioral, emotional, and relational outcomes resulting from father-daughter sexual health communication or the lack thereof. Study findings can inform future intervention development and strengthen the positive role fathers play in ensuring daughters' healthy sexual development. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
与全国平均水平相比，黑人青年的艾滋病毒和性传播感染 (STI) 发病率极高。尽管已经证明黑人家庭中的亲子性健康沟通可以减少性冒险行为，但与性别一致的二人组和母亲相比，关于父女性健康沟通的了解要少得多。这种知识的匮乏阻碍了涉及父亲的性健康干预措施的发展，这些干预措施既要考虑到性别，也要考虑到文化背景。本研究使用建构主义扎根理论，探讨了 19-21 岁黑人女性（n=20.3）与其 52-60 岁生物学父亲（n=56.7）之间性健康沟通的背景。7 对父女（n=7）和另外 5 名女儿（n=5）完成了平均时长为 84 分钟的个人深入半结构化访谈。分析揭示了影响父女沟通的几个社会、文化和家庭背景，以及促进或阻碍沟通的因素。没有与父亲进行性健康沟通的女儿表示有兴趣进行沟通，参与者强调了父女性健康沟通或缺乏沟通会带来不同的行为、情感和关系结果。研究结果可以为未来的干预措施的发展提供信息，并加强父亲在确保女儿健康性发展方面的积极作用。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
