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，需要了解是什么使亲子性行为对话在促进性健康方面有效。目前的研究显示，关于父母和青少年之间的性行为对话是否具有减少青少年和新兴成年人危险性行为的保护作用，研究结果褒贬不一。我们认为，父母在性交流方式上的异质性可以帮助解释这些不一致的发现。这项拟议的工作将根据(1)的不同水平，创建反映父母态度差异的简档。 对青少年性行为的认可，(2)谈论性的动机，以及(3)谈论性时的舒适感。这项研究将考察这些资料中的特定元素是否不仅会影响父母是否与孩子谈论性，还会影响这些对话在减少危险性行为方面的有效性。这项研究还将审查青少年父母(在本提案中被确定为“早期父母”)的特殊情况，以及与有孩子时年龄较大的父母(“后来的父母”)相比，他们是否表现出独特的性行为交流方式。这项拟议的研究将使用Add Health数据集的二次分析来1)确定父母的性沟通方式的概况；2)纵向检查父母的性沟通方式、父母谈论性的内容和频率以及青少年和初出茅庐的成年人的性行为之间的联系；3)纵向调查父母的性沟通方式、父母谈论性的内容和频率以及早晚父母的性行为之间的联系是否相似或不同。资料将通过验证性因素分析和潜在资料分析来确定。通过潜在变量混合建模框架内的回归分析，将评估父母概况、性交流以及青少年和新兴成年人危险的性行为之间的关联。这项拟议的研究将为儿科医生和其他卫生保健提供者以及教育工作者，特别是在青少年性教育计划的背景下，如何通过以下方式支持父母与子女有效地就性问题进行沟通提出建议：(1)确定哪些父母的性沟通方式减少了青少年危险的性行为；以及(2)有针对性地支持早期父母的性沟通，利用他们自己的经历来减少他们孩子的性风险行为。

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.