A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa.
A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa.
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DOI：
10.1186/1742-4755-8-25
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发表时间：
2011-09-24
影响因子：
3.4
通讯作者：
Muhwezi WW
中科院分区：
文献类型：
--
作者：
Bastien S;Kajula LJ;Muhwezi WW
亲子性行为交流已被确定为青少年性健康和生殖健康的保护因素，包括艾滋病毒感染。撒哈拉以南非洲关于这一专题的现有文献正在增加；然而，尚未对研究进行系统的审查。本文回顾了撒哈拉以南非洲关于性行为和艾滋病毒/艾滋病的父母或照顾者与儿童沟通领域的文献。对1980年至2011年4月发表的同行评议文献进行了审查。讨论的频率、内容、风格、语气、偏好以及与性交流的联系和障碍的交流过程研究被综述。此外，还考察了行为与亲子性行为沟通的关系，以及改善亲子性行为沟通的干预研究。过程研究的结果表明，讨论的频率存在很大差异，与性传播有关的社会人口和其他因素也不同。总体而言，调查结果表明，讨论往往是专制和单向的，其特点是警告含糊，而不是直接、公开的讨论。此外，家长和年轻人报告说，公开对话面临许多障碍，包括缺乏知识和技能，以及文化规范和禁忌。当涉及到父母沟通与青少年性行为和避孕措施使用之间的联系时，研究结果就不那么清楚了。然而，来自干预研究的新迹象表明，积极的发现增加了讨论的频率和舒适度，以及其他结果。本研究发现并讨论了研究中的不足之处，并对今后的研究提出了建议。
Parent-child sexuality communication has been identified as a protective factor for adolescent sexual and reproductive health, including HIV infection. The available literature on this topic in sub-Saharan Africa is increasing; however a systematic review of studies has not been conducted. This article reviews the literature in the area of parental or caregiver and child communication about sexuality and HIV/AIDS in sub-Saharan Africa. A review of peer reviewed literature published between 1980 and April 2011 was conducted. Communication process studies investigating the frequency, content, style, tone of discussions, preferences, as well as associations with and barriers to sexuality communication are reviewed. In addition, studies which examine behavioral associations with parent-child sexuality communication, and intervention studies to improve parent-child sexuality communication are examined. The findings from process studies suggest wide variation in terms of frequency of discussions, with a range of socio-demographic and other factors associated with sexuality communication. Overall, findings demonstrate that discussions tend to be authoritarian and uni-directional, characterized by vague warnings rather than direct, open discussion. Moreover, parents and young people report a number of barriers to open dialogue, including lack of knowledge and skills, as well as cultural norms and taboos. Findings are less clear when it comes to associations between parental communication and adolescent sexual activity and contraception use. However, nascent indications from intervention research suggest positive findings with increases in frequency and comfort of discussions, among other outcomes. Gaps in the research are identified and discussed with implications for future studies.