Timing of parent and child communication about sexuality relative to children's sexual behaviors.
Timing of parent and child communication about sexuality relative to children's sexual behaviors.
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DOI：
10.1542/peds.2009-0806
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发表时间：
2010-01
期刊：
影响因子：
8
通讯作者：
Schuster MA
中科院分区：
文献类型：
--
作者：
Beckett MK;Elliott MN;Martino S;Kanouse DE;Corona R;Klein DJ;Schuster MA
研究与儿童报告的性行为相关的亲子性话题讨论的时间。对有工作的父母和他们的孩子进行纵向研究，并在3个月、6个月和12个月后进行初步调查。141名家长和他们的孩子（13-17岁）作为对照参与者，参加了一项随机对照试验，以评估基于工作场所的干预措施，以改善父母与青少年的沟通。父母和孩子报告最多24个性话题的讨论，孩子报告在第一次调查之前和随后两次调查之间发生的性前行为和性行为（从牵手到性交）。根据父母和孩子的报告，性话题往往分为三组。第一类包括女孩的身体和月经等话题，通常与儿童的“性前阶段”（牵手、接吻）相吻合。第二组包括节育效果和拒绝性行为等主题，通常与性交前（生殖器触摸和口交）相吻合。第三期通常发生在孩子开始性交时。样本中超过一半的父母和孩子说，在孩子接触生殖器之前，他们没有讨论过避孕措施的效果、抵制伴侣的性压力、性病症状、使用避孕套、选择避孕措施或伴侣拒绝使用避孕套；超过40%的儿童在没有讨论性病症状、使用避孕套、选择避孕措施或拒绝伴侣使用避孕套之前就发生了性行为。许多父母和青少年在青少年初次性行为之前不会谈论重要的性话题。临床医生可以通过向父母提供有关青少年性行为的信息来促进这种交流。临床医生也可以一对一地解决这些问题，或者考虑其他向青少年提供信息的方式，比如网络项目。
To examine timing of parent-child discussions about sexual topics relative to child-reported sexual behavior. Longitudinal study of employed parents and their children, with an initial survey followed by subsequent surveys 3, 6, and 12 months later. 141 parents, along with their children (13–17 years), who were control participants in a randomized, controlled trial to evaluate a worksite-based intervention to improve parent-adolescent communication. Parent and child reports of discussion of up to 24 sexual topics and child-reports on pre-sexual and sexual acts (ranging from hand-holding to sexual intercourse) that occurred before the first survey and in the intervals between subsequent pairs of surveys. The sexual topics, as reported by both parents and children, tend to group into three sets. The first includes topics such as girls’ bodies and menstruation, and typically coincides with children’s’ presexual stage (handholding, kissing). The second set includes topics such as birth control efficacy and refusing sex, and typically coincides with the pre-coital (genital touching and oral sex). The third set typically occurs when children have initiated intercourse. Over half of parents and children in the sample say that they have not discussed birth control efficacy, resisting partner pressure for sex, STD symptoms, condom use, choosing birth control, or partner condom refusal before a child is engaged in genital touching; more than 40% of children have intercourse before any discussion about STD symptoms, condom use, choosing birth control, or partner condom refusal. Many parents and adolescents do not talk about important sexual topics prior to adolescents’ sexual debut. Clinicians can facilitate this communication by providing parents with information about sexual behavior of adolescents. Clinicians can also address these issues one-on-one or consider other ways of getting the information to adolescents, like web-based programs.
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影响因子：
105.7
作者：
Schuster, Mark A.;Corona, Rosalie;Elliott, Marc N.;Kanouse, David E.;Eastman, Karen L.;Zhou, Annie J.;Klein, David J.
通讯作者：
Klein, David J.
影响因子：
12.7
作者：
Miller, KS;Levin, ML;Xu, XH
通讯作者：
Xu, XH
影响因子：
3.6
作者：
Clawson, CL;Reese-Weber, M
通讯作者：
Reese-Weber, M
影响因子：
5.2
作者：
Beckett, M;DeVanzo, J;Peterson, C
通讯作者：
Peterson, C
影响因子：
8
作者：
Martino, Steven C.;Elliott, Marc N.;Schuster, Mark A.
通讯作者：
Schuster, Mark A.