Father-adolescent communication and adolescent reproductive health

父亲与青少年的沟通与青少年生殖健康

• 批准号: 10056831
• 负责人: Jennifer Grossman
• 金额: $ 15.33万
• 依托单位: WELLESLEY COLLEGE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10056831
• 关键词: Address; Adolescent; Adult; Affect; Attitude; Behavior; Child; Child Health; Communication; Data; Elements; Equation; Family; Family member; Fathers; Financial cost; Gender; Gynecologic; Health; Health Transition; Health education; High School Student; Interview; Investigation; Latino; Link; Methods; Modeling; Mothers; Multiple Partners; National Institute of Child Health and Human Development; Parents; Perception; Process; Protocols documentation; Public Health; Qualitative Research; Reporter; Reproductive Health; Research; Resources; Role; Sampling; Sex Behavior; Sexual Health; Sexuality; Shapes; Structure; Surveys; Teenagers; Work; adolescent health; communication behavior; comparative; condoms; cost; design; family influence; father role; high risk sexual behavior; improved; innovation; programs; racial and ethnic; reproductive health of adolescents; secondary analysis; sex; sexual risk behavior; social; teenage parents

Risky sexual behaviors have high personal, social, and financial costs. Family communication about sex can reduce risky sexual behaviors, but most research and teen health education programs focus exclusively on mothers and don’t address low rates of father-teen communication about sex. These gaps fail to address the potential of father-teen communication to protect teens from risky sexual behavior as well as barriers to this communication. Few studies assess whether and under what conditions father-teen sexuality communication effects teen sexual health or provide multi-reporter perspectives on father-teen sexuality communication. This mixed-methods study will assess father-teen sexuality communication and its associations with teen sexual behaviors, and investigate multiple family members’ perspectives on father-teen sexuality communication. The proposed study applies an established conceptual model of mother-teen sexuality communication to fathers. The study will assess three aims: 1) Assess associations between father-teen sexuality communication and teens’ sexual behaviors, 2) Investigate contexts of fathers’ direct and indirect sexuality communication, and 3) Triangulate fathers’, second parents’, and teens’ perceptions of father-teen sexuality communication. To address these aims, this study uses an explanatory sequential design in which quantitative findings inform qualitative interviews and analysis. Secondary survey data includes 952 urban high-school students (Aim 1). New interviews will be conducted with a purposive sample of 40 fathers and their families: 20 teens and 20 second parents are expected to participate (Aims 2 & 3). It is hypothesized that father-teen sexuality communication will predict teens’ sexual behaviors, the strength of associations will vary by teens’ gender, fathers’ residential status, and familism, and teens’ attitudes will explain associations between communication and behavior (Aim 1). Content analysis will be used to explore fathers’ perspectives on father-teen sexuality communication and compare them across contexts and for fathers who do and do not talk with teens about sex (Aim 2). A modified constant comparative approach will be used to triangulate multiple family perspectives on father–teen communication (Aim 3). This work is significant in its assessment of whether and under what conditions father–teen sexuality communication predicts teens’ sexual health and its in-depth, multi–reporter assessment of this communication. This study contributes to public health by guiding programs regarding 1) barriers to and supports for father-teen communication 2) how families perceive fathers’ roles in sexuality communication, and 3) under what conditions father-teen communication supports teens’ health. Its innovation lies in a triangulation approach which integrates multiple family perspectives on father-teen sexuality communication and its inclusion of fathers who do not talk with teens about sex. This study’s findings will contribute to research on how fathers can support teens’ sexual health, multi-reporter perspectives on sexuality communication and the roles of gender and culture in this process.

危险的性行为有很高的个人、社会和经济成本。关于性的家庭沟通可以 减少危险的性行为，但大多数研究和青少年健康教育项目只关注 母亲和没有解决父亲和青少年对于性的低交流比率。这些差距未能解决 父亲-青少年沟通在保护青少年免受危险性行为影响方面的潜力以及障碍 沟通。很少有研究评估父亲和青少年的性行为交流是否以及在什么情况下进行 影响青少年的性健康或提供多个记者对父亲-青少年性行为交流的观点。这 混合方法研究将评估父亲-青少年性行为交流及其与青少年性行为的关系 并调查多个家庭成员对父亲-青少年性行为交流的看法。这个 提议的研究将一个已建立的母亲-青少年性行为交流的概念模型应用于父亲。 这项研究将评估三个目标：1)评估父亲-青少年性行为交流和 青少年的性行为，2)调查父亲直接和间接性交流的背景，3) 对父亲、第二父母和青少年对父亲-青少年性行为交流的看法进行三角测量。至 为了达到这些目标，这项研究使用了解释性顺序设计，其中量化结果提供了 定性访谈和分析。二次调查数据包括952名城市高中生(目标1)。 新的访谈将对40名父亲及其家人进行有目的的抽样：20名青少年和20名 预计第二名家长将参与(目标2和3)。据推测，父亲-青少年的性行为 交流将预测青少年的性行为，联想的强度将因青少年的性别而异， 父亲的居住身份、家庭主义和青少年的态度将解释沟通之间的联系 和行为(目标1)。内容分析将被用来探索父亲对父亲-青少年性行为的看法 在不同的背景下进行交流和比较，并为那些与青少年谈论性或不与青少年谈论性的父亲 (目标2)。将使用一种改进的恒定比较法对多个家庭的视角进行三角测量 父子沟通(目标3)。这项工作在评估是否以及在什么情况下具有重要意义 父亲-青少年性行为沟通状况预测青少年性健康及其深度，多记者 对此通信的评估。这项研究通过指导以下项目来促进公共卫生：1) 父子沟通的障碍和支持2)家庭如何看待父亲在性行为中的角色 3)在何种条件下，父子沟通有助于青少年的健康。它的创新 在于一种三角测量方法，它整合了关于父亲-青少年性行为的多个家庭视角 沟通及其包括那些不与青少年谈论性的父亲。这项研究的发现将 为研究父亲如何支持青少年的性健康做出贡献，多名记者对性的观点 传播以及性别和文化在这一过程中的作用。