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Adolescent sexual communication

Celia B Fisher, Adam L Fried, Kathryn Macapagal, Brian Mustanski
Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14-17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth do not receive equitable treatment in health care settings...
March 15, 2018: AIDS and Behavior
Geertjan Overbeek, Daphne van de Bongardt, Laura Baams
One main source of sexual socialization lies within family interactions. Especially sexuality-specific parenting may determine adolescents' sexual development-adolescents' sexual behavior and sexual risk behavior, sexualized media consumption and permissive sexual attitudes-to a significant extent, but different ideas exist about how this works. In this longitudinal study, we examined two hypotheses on how sexuality-specific parenting-parenting aimed specifically at children's sexual attitudes and behaviors-relates to adolescents' sexual development...
March 13, 2018: Journal of Youth and Adolescence
Jason M Nagata, Sejal Hathi, B Jane Ferguson, Michele J Hindin, Sachiyo Yoshida, David A Ross
Background: In order to clarify priorities and stimulate research in adolescent health in low- and middle-income countries (LMICs), the World Health Organization (WHO) conducted two priority-setting exercises based on the Child Health and Nutrition Research Initiative (CHNRI) methodology related to 1) adolescent sexual and reproductive health and 2) eight areas of adolescent health including communicable diseases prevention and management, injuries and violence, mental health, non-communicable diseases management, nutrition, physical activity, substance use, and health policy...
June 2018: Journal of Global Health
Christina J Sun, Esther S Seloilwe, Mabel Magowe, Kefalotse S Dithole, Kim S Miller, Janet S St Lawrence
Adolescents in sub-Saharan Africa and in Botswana in particular continue to bear the brunt of the HIV epidemic. This analysis assessed gender differences among theory-based sexual and reproductive health protective and risk factors in a cross-sectional sample of 228 Batswana adolescents. Incongruence between preferred and actual sources of sexual information and several important gender differences in parent-adolescent relationships, psychosocial influences, and adolescent sexual behaviors were identified. Parents were the fourth most common source of information about sex; yet, over three-quarters of adolescents preferred to have parents teach them about sex...
February 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
Richard I Purves, Martine Stead, Douglas Eadie
The consumption of alcohol by young people remains a major public health concern at both the national and international level. Levels of drinking among 15-yearolds in the United Kingdom (UK) remain significantly higher than the European average. This study explored how alcohol brands are used by young people to develop their desired identities and how these acts of consumption extend to young people's profiles on social media. It also deepens understanding of how alcohol brands are connected to young peoples' concerns about image and peer group dynamics...
February 16, 2018: International Journal of Environmental Research and Public Health
Amy Bleakley, Atika Khurana, Michael Hennessy, Morgan Ellithorpe
CONTEXT: Parents, peers and media are informal sources of sexual information for adolescents. Although the content of sexual information communicated by these sources is known to vary, little is known about what adolescents report actually learning from each source. METHODS: Data from 1,990 U.S.14-17-year-olds who participated in an online survey in 2015 were used to assess learning about four topics (sex, condoms, hormonal birth control and romantic relationships) from three informal sources (parents, peers, and television and movies)...
February 20, 2018: Perspectives on Sexual and Reproductive Health
Vincent Guilamo-Ramos, Alex S Bowman, Diane Santa Maria, Francesca Kabemba, Yoyce Geronimo
PURPOSE: The purpose of the research was to examine the feasibility and acceptability of a father-based sexual and reproductive health intervention designed to reduce sexual and reproductive (SRH) disparities and increase correct and consistent condom use among Latino adolescent males. METHODS: The current study conducted in-depth semi-structured interviews with Latino father-son dyads (N=30) designed to elicit perspectives on communication regarding sex and condom use...
March 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Kathya Cordova-Pozo, Andrea J Hoopes, Freddy Cordova, Bernardo Vega, Zoyla Segura, Arnold Hagens
BACKGROUND: Adolescent sexual and reproductive health (SRH), problems such as unplanned pregnancies are complex and multifactorial, thus requiring multifaceted prevention interventions. Evaluating the impact of such interventions is important to ensure efficiency, effectiveness and accountability for project funders and community members. In this study, we propose Results Based Management (RBM) as a framework for project management, using the Community Embedded Reproductive Health Care for Adolescents (CERCA) as a case study for RBM...
February 8, 2018: Reproductive Health
Caroline Gibbs, Diane Melvin, Caroline Foster, Michael Evangeli
Young people with perinatally acquired HIV are now surviving into late adolescence and adulthood. We explored HIV communication within mother/adolescent dyads following naming of the adolescents' HIV. Five adolescents with perinatally acquired HIV (14-16 years) and their biological mothers were interviewed separately. HIV communication between mothers and children was rare. Discussion most commonly related to biomedical aspects of HIV. Onward HIV disclosure was discouraged by mothers, which often contrasted with adolescents' beliefs...
February 1, 2018: Journal of Health Psychology
Arpaporn Powwattana, Pimrat Thammaraksa, Sroy Manora
Teenage pregnancy-prevention interventions have fallen short in significantly decreasing risk of pregnancy for Thai populations. The "breaking the voice" ("rak luk khun tong pood") culture-appropriate teenage pregnancy-prevention program was developed using community-based research. Qualitative analyses of focus group data identified salient factors related to sexual communication and behavior. The integration of focus group results with theoretical constructs guided the development of an intervention to reduce risky sexual behavior by increasing communication between mothers and their adolescent daughters...
February 5, 2018: Nursing & Health Sciences
Stephen B Kennedy, Katherine Atwood, Albert O Harris, Curtis H Taylor, Steve Shamblen, Wede M Nagbe, Mawen E Gobeh, Fred Sosu, Jemee K Tegli, Cecelia A Morris
Adolescents in Sub-Saharan Africa account for greater HIV/STI (human immuno defiency virus/sexually transmitted infection) burdens and difficult-to-reach populations. This study implemented a community-based HIV/STI program to reach at-risk youth aged 15 to 17 years in postconflict Liberia. Using a randomized controlled trial, community youths were assigned to an adapted version of an effective HIV/STI program, Making Proud Choices, or attention-matched comparison curriculum, General Health Program. Both programs were of similar doses, reach and coverage, and administered in classroom settings by trained health educators...
2018: Global Pediatric Health
Marni Sommer, Miguel Munoz-Laboy, Emily Wilkinson Salamea, Johanna Arp, Kathryn L Falb, Nadine Rudahindwa, Lindsay Stark
Numerous social factors shape girls' lives in conflict-affected settings, affecting their vulnerability to gender-based violence (GBV). Qualitative research methods were used to examine spaces of perceived safety and risk for girls living in two conflict-affected populations: camps in Ethiopia hosting primarily South Sudanese and Sudanese refugees and communities in eastern Democratic Republic of Congo. Three major themes emerged: (a) challenges around caregiver-child communication regarding development, sex, and sexual violence; (b) a typology of safe/risky spaces; and (c) the influence of male-dominated spaces on experiences and fear of GBV...
June 1, 2017: Violence Against Women
Katekaew Seangpraw, Rattana Somrongthong, Monchanok Choowanthanapakorn, Ramesh Kumar
BACKGROUND: Currently, the problem of sexual risk behaviour of adolescents has increased worldwide, including Thailand. This study compared the effectiveness of promoting life skills to prevent sexual risk behaviours among university students in the Phayao Province of Thailand. METHODS: A quasi-experimental design was employed with a pre- and post-test study for a sample of freshmen university students. The students were then split into an intervention group comprised of 300 students, with a second group of 250 students from the same faculty as the control group...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
Rita de Cássia Andrade Neiva Santos, Raimunda Magalhães da Silva, Maria Veraci Oliveira Queiroz, Herla Maria Furtado Jorge, Aline Veras Morais Brilhante
OBJECTIVE: to understand the trajectory of adolescents regarding the first pregnancy, contemplating realities and perspectives. METHOD: qualitative study, based on the Schütz theoretical framework, with 30 adolescents assisted in an outpatient clinic for adolescents in Fortaleza, Ceará, Brazil. From the narrative interviews carried out in the first semester of 2013, in the return for the first consultation of the puerperium, the communicative processes were identified, the central ideas and units of meanings expressed in the themes were abstracted: I was dating and became pregnant; realities and perspectives...
January 2018: Revista Brasileira de Enfermagem
Jennifer M Grossman, Lisa J Jenkins, Amanda M Richer
Parents' conversations with teens about sex and relationships can play a critical role in improving teenage reproductive health by reducing teens' risky sexual behavior. However, little is known about how teen-parent communication changes from early to middle adolescence and how parents can tailor their communication to address their teens' changing development and experiences during these periods. In this longitudinal qualitative study, U.S. parents (N = 23) participated in interviews when their teens were in early adolescence, then again when the teens were in middle adolescence...
January 10, 2018: International Journal of Environmental Research and Public Health
Geri Donenberg, Erin Emerson, Mary Ellen Mackesy-Amiti, Faith Fletcher
OBJECTIVE: This study examined individual and social factors associated with sexual risk behavior among African American girls seeking outpatient mental health services across 2 years and key developmental transitions. METHOD: African American females 12-16 years old (M = 14.5; SD = 1.15; n = 266) were recruited from eight outpatient mental health clinics and completed interviewer-administered and computer-assisted measures at baseline, 12, and 24 months. Analyses tested individual attributes (externalizing and internalizing problems) and family context (maternal acceptance-rejection, mother-daughter communication about sex) at baseline, peer influences (peer support of substance use, girlfriend dating behavior) and partner relationship characteristics (rejection sensitivity, partner risk communication frequency and openness) at 12 months, and girls' sexual behavior at 24 months...
January 2018: Journal of Consulting and Clinical Psychology
Brian A Feinstein, Matthew Thomann, Ryan Coventry, Kathryn Macapagal, Brian Mustanski, Michael E Newcomb
Close parent-adolescent relationships and specific parenting practices (e.g., communication about sex, monitoring) are associated with reduced sexual risk behavior among heterosexual youth. Despite gay/bisexual male youth being at increased risk of HIV, little is known about parental influences on their sexual behavior. As such, the goal of the current study was to examine parent-adolescent relationships and parenting practices related to teen sex and dating from the perspective of gay/bisexual adolescent boys...
December 26, 2017: Archives of Sexual Behavior
Martine Hébert, Cyndi Boisjoli, Martin Blais, Essaïd Oussaïd
BACKGROUND: Understanding factors influencing mental health of sexually abused teenagers is essential to orient treatment with this vulnerable population. The purpose of this study was to explore alexithymia as a mediator of the relationship between child sexual abuse and psychological distress using a representative sample of teenagers, while considering gender as a potential moderator. METHODS: Teenagers participating in the Quebec Youths' Romantic Relationships Survey completed measures evaluating a history of child sexual abuse and alexithymia at baseline while psychological distress was evaluated 6 months later...
December 14, 2017: Psychiatry Research
Suzanne Petroni, Mara Steinhaus, Natacha Stevanovic Fenn, Kirsten Stoebenau, Amy Gregowski
Despite increasing global attention and commitments by countries to end the harmful practice of child marriage, each year some 15 million girls marry before the age of 18. The preponderance of the evidence produced historically on child marriage comes from South Asia, where the vast majority of child brides live. Far less attention has been paid to child marriage in sub-Saharan Africa, where prevalence rates remain high. The International Center for Research on Women (ICRW) recently conducted research in Kenya, Senegal, Uganda, and Zambia to contribute to greater understanding of the drivers of child marriage in each of these contexts...
September 2017: Annals of Global Health
Rebecca M Lutz
BACKGROUND: Human trafficking is a crime resulting in serious negative health outcomes for the victims. To provide optimal care, thus improving health outcomes, healthcare providers must be able to identify victims as they seek care for acute and chronic physical illness, communicable diseases, sexually transmitted infections, and mental health disorders (Lederer and Wetzel, 2014; Oram et al., 2012). Unfortunately, healthcare providers lack appropriate knowledge of clues that would lead to victim identification...
February 2018: Nurse Education Today
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