Beyond the "Big Talk": The roles of breadth and repetition in parent-adolescent communication about sexual topics
Beyond the "Big Talk": The roles of breadth and repetition in parent-adolescent communication about sexual topics
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DOI：
10.1542/peds.2007-2156
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发表时间：
2008-03-01
期刊：
影响因子：
8
通讯作者：
Schuster, Mark A.
中科院分区：
文献类型：
--
作者：
Martino, Steven C.;Elliott, Marc N.;Schuster, Mark A.
objective.大多数关于父母与青少年性沟通的研究都集中在沟通的频率上，而没有区分所涵盖主题的广度和重复。本研究的目的是评估性讨论的广度和重复性对青少年与父母的关系和沟通的看法的独立影响。数据来自312名青少年，他们沿着他们的父母，是一项随机对照试验的对照参与者，旨在评估一种旨在改善父母与青少年性沟通的基于工作场所的干预措施。青少年在干预前（第1次）和干预后1周、3个月和9个月（分别为第2、3和4次）完成了调查。在每次调查中，青少年报告他们是否与父母讨论了22个与性有关的话题。广度被定义为在1到4次之间第一次讨论的主题数量，重复被定义为在此期间重复的先前讨论的主题数量。与父母进行重复性交流的青少年感觉更接近父母，感觉更能够与父母进行一般性交流，特别是关于性的交流，并且认为与父母进行性交流的讨论比与父母进行性交流的青少年更开放。沟通的广度仅与父母-青少年性沟通的感知容易度相关：在1到4次之间与父母讨论更多新话题的青少年认为他们的性讨论比讨论较少话题的青少年更开放。临床医生可能会建议父母与孩子反复讨论性话题的价值，因为这可能会为父母提供一个机会来加强和建立他们教给孩子的东西，并为孩子提供机会，在他们试图将父母的性教育付诸实践时提出澄清问题。
OBJECTIVE. Most studies of parent-adolescent communication about sexuality focus on the frequency of communication without distinguishing between the breadth of topics covered and repetition. The goal of this study was to assess the independent influence of breadth and repetition of sexual discussion on adolescents' perceptions of their relationship and communication with their parents.METHODS. Data came from 312 adolescents who, along with their parents, were control participants in a randomized, controlled trial to evaluate a worksite-based intervention designed to improve parent-adolescent sexual communication. Adolescents completed surveys before the intervention (time 1) and at 1 week, 3 months, and 9 months after the intervention (times 2, 3, and 4, respectively). At each survey, adolescents reported whether they had discussed each of 22 sex-related topics with their parent. Breadth was defined as the number of topics discussed for the first time between times 1 and 4, and repetition was defined as the number of previously discussed topics repeated during that period.RESULTS. Adolescents whose sexual communication with their parents involved more repetition felt closer to their parents, felt more able to communicate with their parents in general and about sex specifically, and perceived that discussions with their parents about sex occurred with greater openness than did adolescents whose sexual communication with their parents included less repetition. Breadth of communication was associated only with the perceived ease of parent-adolescent sexual communication: adolescents who discussed more new topics with their parents between times 1 and 4 felt that their sexual discussions occurred with greater openness than did adolescents who discussed fewer topics.CONCLUSIONS. Clinicians may want to advise parents about the value of discussing sexual topics repeatedly with their children, because this may provide parents an opportunity to reinforce and build on what they have taught their children and provide children the opportunity to ask clarifying questions as they attempt to put their parents' sexual education into practice.