Parental profiles of sexuality communication: protective effects on youth sexual

描述（由申请人提供）：这项拟议研究的推动力在于需要了解是什么使父母与孩子之间关于性的对话有效地促进性健康。目前的研究显示，父母和青少年之间关于性的对话是否对减少青少年和即将成年的危险性行为有保护作用，结果好坏参半。我们认为，父母性沟通方式的异质性可以帮助解释这些不一致的发现。拟议的工作将根据不同的(1)水平，创建反映父母方法差异的概况。

DESCRIPTION (provided by applicant): The impetus for the proposed study rests on the need to understand what makes parent- child conversations about sexuality effective in promoting sexual health. Current research shows mixed findings as to whether conversations about sex between parents and teens have protective effects of reducing adolescents' and emerging adults' risky sexual behavior. We propose that the heterogeneity of parents' approaches to sexuality communication can help to explain these inconsistent findings. The proposed work will create profiles that reflect the variation in parents' approaches, based on differing levels of (1) approval of teen sex, (2) motivation to talk about sex, and (3) comfort in talking about sex. This work will examine whether specific elements of these profiles not only shape whether parents talk about sex with their children, but also how effective these conversations are at reducing risky sexual behavior. This study will also examine the special case of teen parents (identified as "early parents" in this proposal), and whether they show unique approaches to sexuality communication compared to parents who were older when they had children ("later parents"). The proposed study will use secondary analysis of the Add Health dataset to 1) identify profiles of parent approaches to sexuality communication; 2) longitudinally examine associations among parent approaches to sexuality communication, the content and frequency of parent talk about sex, and adolescents' and emerging adults' sexual behaviors; and 3) longitudinally investigate whether associations between parent approaches to sexuality communication, content and frequency of parent talk about sex, and sexual behavior are similar or different for early and later parents. Profiles will be identified through confirmatory factor analysis and latent profile analysis. Associations among parent profiles, sexual communication, and adolescents' and emerging adults' risky sexual behavior will be assessed through regression analyses within a latent variable mixture modeling framework. The proposed study will produce recommendations for how pediatricians and other health care providers, as well as educators, particularly in the context of teen sex education programs, can support parents in communicating effectively with their children about sex by (1) identifying which parent approaches to sexuality communication reduce youth risky sexual behavior; and (2) targeting supports for early parents' sexuality communication that capitalize on utilizing their own experiences to reduce their children's sexual risk-taking behavior.