Father-adolescent communication and adolescent reproductive health

危险的性行为会带来很高的个人、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计划只集中在 母亲和不解决低比率的父亲和青少年的沟通有关性。这些差距未能解决 父亲与青少年沟通的潜力，以保护青少年免受危险的性行为，以及这方面的障碍 通信很少有研究评估父亲与青少年之间的性交流是否以及在什么条件下 影响青少年的性健康或提供多个记者对父亲-青少年性沟通的看法。这 一项混合方法的研究将评估父亲与青少年的性交流及其与青少年性行为的关系。 行为，并调查多个家庭成员对父亲-青少年性沟通的看法。的 拟议的研究适用于一个既定的概念模型的母亲和青少年的性沟通的父亲。 这项研究将评估三个目标：1）评估父亲与青少年之间的性交流与 调查父亲直接和间接性沟通的情境; 三角形的父亲，第二父母，和青少年的看法父亲-青少年性沟通。到 为了解决这些目标，本研究采用了解释性序贯设计，其中定量研究结果表明， 定性访谈和分析。二级调查数据包括952名城市高中学生（目标1）。 新的访谈将进行有目的的样本40名父亲和他们的家庭：20名青少年和20名 希望第二位家长参加（目标2和3）。据推测，父亲与青少年的性行为 交流会预测青少年的性行为，关联的强度会因青少年的性别而异， 父亲的居住状况，家庭主义，和青少年的态度将解释之间的联系沟通 行为（Aim 1）内容分析将用于探讨父亲对父亲-青少年性行为的看法 沟通，并比较他们在不同的背景下，为父亲谁做，不谈论青少年的性 (Aim 2）。将采用经修改的持续比较方法，对下列问题的多种家庭观点进行三角分析： 父亲与青少年的沟通（目标3）。这项工作是重要的，在其评估是否和根据什么 条件父亲-青少年性沟通预测青少年的性健康及其深入，多记者 评估这一沟通。这项研究有助于公共卫生的指导方案，1） 父亲与青少年沟通的障碍和支持2）家庭如何看待父亲在性行为中的角色 沟通，以及3）在什么条件下，父亲与青少年的沟通支持青少年的健康。其创新 在于一种三角测量方法，它整合了关于父亲-青少年性行为的多种家庭观点 沟通和包括不与青少年谈论性的父亲。这项研究的结果将 有助于研究父亲如何支持青少年的性健康，多记者对性的看法 在这一过程中，性别和文化的作用。

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.