Parental monitoring, parent-adolescent communication about sex, and sexual risk among young men who have sex with men.
Parental monitoring, parent-adolescent communication about sex, and sexual risk among young men who have sex with men.
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DOI：
10.1007/s10461-014-0717-z
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发表时间：
2014-08
影响因子：
4.4
通讯作者：
Huebner, David M.
中科院分区：
文献类型：
--
作者：
Thoma, Brian C.;Huebner, David M.
父母的监控和父母与青少年之间的性交流可以预防异性恋青少年中与艾滋病毒相关的性风险行为，但尚不清楚这些研究结果是否适用于与男性发生性关系的年轻男性（YMSM）。性取向特定的压力源，包括“出来”的父母，复杂的YMSM的家庭环境。我们研究了父母的监控，沟通性，同居父母的外向性和性行为之间的关联。年龄在14-19岁的不同种族的YMSM提供了横截面数据（n = 257）。监测和对父母的外向性相互作用，以预测最近的同性无保护肛交（UAI）。对于YMSM谁报告的混合或不确定的外向父母，更高水平的感知父母的监控与UAI的风险更大。较高水平的性沟通与YMSM向父母的UAI风险更大相关。父母对性的监控和沟通可能不会像保护异性恋青年那样保护YMSM免受性风险。未来的研究应探讨是否适应形式的家庭因素可以保护YMSM，并以家庭为基础的艾滋病毒风险降低YMSM干预措施应调整到独特的方式家庭因素在这个群体中的功能。
Parental monitoring and parent-adolescent communication about sex protect against HIV-related sexual risk behaviors among heterosexual adolescents, but it is unknown if these findings generalize to young men who have sex with men (YMSM). Sexual orientation-specific stressors, including “coming out” to parents, complicate the family context of YMSM. We examined associations between parental monitoring, communication about sex, outness to cohabitating parents, and sexual behaviors. Ethnically diverse YMSM ages 14–19 provided cross-sectional data (n = 257). Monitoring and outness to parents interacted to predict recent same-sex unprotected anal intercourse (UAI). For YMSM who reported mixed or uncertain outness to parents, higher levels of perceived parental monitoring were associated with greater risk of UAI. Higher levels of communication about sex were associated with greater risk of UAI for YMSM out to parents. Parental monitoring and communication about sex might not protect YMSM against sexual risk in the same way they protect heterosexual youth. Future research should examine whether adapted forms of family factors could protect YMSM, and family-based HIV risk-reduction interventions for YMSM should be attuned to the unique ways family factors function within this group.
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