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Impact of Parent-Child Communication Interventions on Sex Behaviors and Cognitive Outcomes for Black/African-American and Hispanic/Latino Youth: A Systematic Review, 1988–2012

      Abstract

      Purpose

      We reviewed human immunodeficiency virus (HIV) and sexually transmitted infection (STI)- behavioral interventions implemented with disproportionately affected black/African-American and Hispanic/Latino youth and designed to improve parent-child communications about sex. We compared their effectiveness in improving sex-related behavior or cognitive outcomes.

      Methods

      A search of electronic databases identified peer-reviewed studies published between 1988 and 2012. Eligible studies were U.S.-based parent-child communication interventions with active parent components, experimental and quasiexperimental designs, measurement of youth sexual health outcomes, and enrollment of ≥50% black/African-American or Hispanic/Latino youth. We conducted systematic, primary reviews of eligible papers to abstract data on study characteristics and youth outcomes.

      Results

      Fifteen studies evaluating 14 interventions were eligible. Although youth outcome measures and follow-up times varied, 13 of 15 studies (87%) showed at least one significantly improved youth sexual health outcome compared with controls (p < .05). Common components of effective interventions included joint parent and child session attendance, promotion of parent/family involvement, sexuality education for parents, developmental and/or cultural tailoring, and opportunities for parents to practice new communication skills with their youth.

      Conclusions

      Parent-child communication interventions that include parents of youth disproportionately affected by HIV/STIs can effectively reduce sexual risk for youth. These interventions may help reduce HIV/STI-related health disparities and improve sexual health outcomes.

      Keywords

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      References

        • Satterwhite C.L.
        • Torrone E.
        • Meites E.
        • et al.
        Sexually transmitted infections among U.S. women and men: Prevalence and incidence estimates, 2008.
        Sex Transm Dis. 2013; 40: 187-193
        • Chesson H.W.
        • Blandford J.M.
        • Gift T.L.
        • et al.
        The estimated direct medical cost of sexually transmitted diseases among American youth, 2000.
        Perspect Sex Reprod Health. 2004; 36: 11-19
        • Owosu-Edusei K.
        • Chesson H.W.
        • Gift T.L.
        • et al.
        The estimated direct medical cost of selected sexually transmitted infections in the United States, 2008.
        Sex Transm Dis. 2013; 40: 197-201
        • Centers for Disease Control and Prevention
        Vital signs: HIV infection, testing, and risk behaviors among youths—United States.
        MMWR. 2012; 61: 971-976
        • Centers for Disease Control and Prevention
        Sexually transmitted disease surveillance 2011.
        U.S. Department of Health and Human Services, Atlanta, GA2012 (Available at:) (May 2, 2013)
        • Centers for Disease Control and Prevention
        Youth risk behavior surveillance—United States, 2011.
        MMWR Surveillance Summaries. 2012; 61: 1-45
        • Centers for Disease Control and Prevention
        Trends in HIV-related risk behaviors among high school students—United States, 1991–2011.
        MMWR Weekly Reports. 2012; 61: 556-561
        • DeVore E.
        • Ginsburg K.
        The protective effects of good parenting on adolescents.
        Curr Opin Pediatr. 2005; 17: 460-465
        • Huebner A.J.
        • Howell L.W.
        Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles.
        J Adolesc Health. 2003; 33: 71-78
        • Akers A.Y.
        • Holland C.L.
        • Bost J.
        Interventions to improve parental communication about sex: A systematic review.
        Pediatrics. 2011; 127: 494-510
        • Atienzo E.E.
        • Campero L.
        • Estrada F.
        • et al.
        Interventions with parents to modify sexual behavior in adolescents.
        Méx Public Health. 2011; 53: 160-171
        • Longmore M.
        • Manning W.
        • Giordano P.
        Preadolescent parenting strategies and teens' dating and sexual initiation: A longitudinal analysis.
        J Marriage Fam. 2001; 63: 322-335
        • Hacker K.A.
        • Amare Y.
        • Strunk N.
        • Horst L.
        Listening to youth: Teen perspectives on pregnancy prevention.
        J Adolesc Health. 2000; 26: 279-288
        • Kaiser Family Foundation
        • Nickelodeon
        • Children Now
        Talking with kids about tough issues: A national survey of parents and kids.
        The Foundation, Menlo Park, CA2001 (Available at:) (May 2, 2013)
        • Romero L.M.
        • Galbraith J.S.
        • Wilson-Williams L.
        • Gloppen K.M.
        HIV prevention among African-American youth: How well have evidence-based interventions addressed key theoretical constructs?.
        AIDS Behav. 2011; 15: 976-991
      1. Berdahl T, Friedman BS, McCormick MC, Simpson L. Annual report on health care for children and youth in the United States: Trends in racial-ethnic, income, and insurance disparities over time 2002–2009. Academic Pediatrics 2013; Available at: http://dx.doi.org/10.1016/j.acap.2013.02.003. Accessed May 2, 2013.

      2. The National Urban League. Young America's persistent job crisis. Available at: http://www.demos.org/sites/default/files/publications/Stuck(uploaded)_3.pdf. Accessed June 6, 2013.

        • Heckman J.J.
        • LaFontaine P.A.
        The American high school graduation rate: Trends and levels.
        Rev Econ Stat. 2010; 92: 244-262
        • Ford K.
        • Norris A.
        Sexual networks of African-American and Hispanic youth.
        Sex Transm Dis. 1997; 24: 327-333
        • DiLorio C.
        • Kelley M.
        • Hockenberry-Eaton M.
        Communication about sexual issues: Mothers, fathers and friends.
        J Adolesc Health. 1999; 24: 181-189
        • O'Sullivan L.F.
        • Meyer-Bahlburg H.F.L.
        • Watkins B.X.
        Mother-daughter communication about sex among urban African-American and Latino families.
        J Adolesc Res. 2001; 16: 269-292
        • Miller K.S.
        • Kotchick B.A.
        • Dorsey S.
        • et al.
        Family communication about sex: What are parents saying and are their adolescents listening?.
        Fam Plann Perspect. 1998; 30: 218-223
        • Wight D.
        • Fullerton D.
        A review of interventions with parents to promote the sexual health of their children.
        J Adoles Health. 2013; 52: 4-27
        • DeLuca J.B.
        • Mullins M.M.
        • Lyles C.M.
        • et al.
        Developing a comprehensive search strategy for evidence-based systematic review.
        Evid Based Libr Inf Pract. 2008; 3: 3-32
      3. Centers for Disease Control and Prevention. HIV surveillance slide sets: Slide #24-percentages of stage 3 (AIDS) classifications among adults and adolescents with HIV infection by race/ethnicity and year of diagnosis, 1985–2011, United States. Available at: http://www.cdc.gov/hiv/library/slideSets/index.html. Accessed October 18, 2013.

        • Goodson P.
        • Buhi E.R.
        • Dunsmore S.C.
        Self-esteem and adolescent sexual behaviors, attitudes, and intentions: A systematic review.
        J Adolesc Health. 2006; 38: 310-319
        • Kennedy M.G.
        • Mizuno Y.
        • Hoffman R.
        • et al.
        The effect of tailoring a model HIV prevention program for local adolescent target audiences.
        Aids Educ Prev. 2000; 12: 225-238
        • O'Donnell L.
        • Myint- U.A.
        • Duran R.
        • Stueve A.
        Especially for Daughters: Parent education to address alcohol and sex-related risk taking among urban young adolescent girls.
        Health Promot Pract. 2010; 11: 70S-78S
        • Prado G.
        • Pantin H.
        • Briones E.
        • et al.
        A randomized controlled trial of a parent-centered intervention in preventing substance use and HIV risk behaviors in Hispanic adolescents.
        J Consulting Clin Psychol. 2007; 75: 914-926
        • Guilamo-Ramos V.
        • Bouris A.
        • Jaccard J.
        • et al.
        A parent-based intervention to reduce sexual risk behavior in early adolescence: Building alliances between physicians, social workers, and parents.
        J Adolesc Health. 2011; 48: 159-163
        • Stanton B.F.
        • Li X.
        • Galbraith J.
        • et al.
        Parental underestimates of adolescent risk behavior: A randomized, controlled trial of a parent monitoring intervention.
        J Adolesc Health. 2000; 26: 18-26
        • Wu Y.
        • Stanton B.F.
        • Galbraith J.
        • et al.
        Sustaining and broadening intervention impact: A longitudinal randomized trial of 3 adolescent risk reduction approaches.
        Pediatrics. 2003; 111: e32-e38
        • DiIorio C.
        • Resnicow K.
        • McCarty F.
        • et al.
        Keepin' it R.E.A.L.!: Results of a mother-adolescent HIV prevention program.
        Nurs Res. 2006; 55: 43-51
        • Dancy B.L.
        • Crittenden K.S.
        • Talashek M.
        Mothers' effectiveness as HIV risk reduction educators for adolescent daughters.
        J Health Care Poor Underserved. 2006; 17: 218-239
        • Lederman R.P.
        • Chan W.Y.
        • Roberts-Gray C.
        Parent-adolescent relationship education (PARE): Program delivery to reduce risks for adolescent pregnancy and STIs.
        Behav Med. 2008; 33: 137-143
        • Forehand R.
        • Armistead L.
        • Long N.
        • et al.
        Efficacy of a parent-based sexual-risk prevention program for African-American preadolescents: A randomized controlled trial.
        Arch Pediatr Adolesc Med. 2007; 161: 1123-1129
        • Jorgensen S.R.
        • Potts V.
        • Camp B.
        Project Taking Charge—6-month follow-up of a pregnancy prevention program for early adolescents.
        Family Relations. 1993; 42: 401-406
        • Anderson N.L.
        • Koniak-Griffin D.
        • Keenan C.K.
        • et al.
        Evaluating the outcomes of parent-child family life education.
        Sch Inq Nurs Pract. 1999; 13 (discussion 235–238): 211-234
        • DiIorio C.
        • McCarty F.
        • Resnicow K.
        • et al.
        REAL men: A group-randomized trial of an HIV prevention intervention for adolescent boys.
        Am J Pub Health. 2007; 97: 1084-1089
        • O'Donnell L.
        • Stueve A.
        • Agronick G.
        • et al.
        Saving Sex for Later: An evaluation of a parent education intervention.
        Perspect Sex Reprod Health. 2005; 37: 166-173
        • Brody G.H.
        • Murry V.M.
        • Gerrard M.
        • et al.
        The strong African-American families program: Translating research into prevention programming.
        Child Development. 2004; 75: 900-917
        • Hamilton B.E.
        • Ventura S.J.
        Birth rates for U.S. teenagers reach historic lows for all age and ethnic groups. NCHS data brief, no 89.
        National Center for Health Statistics, Hyattsville, MD2012
        • Dilorio C.
        • McCarty F.
        • Denzmore P.
        An exploration of social cognitive theory mediators of father-son communication about sex.
        J Pediatr Psychol. 2006; 31: 917-927
        • Dancy B.L.
        • Hseih Y.
        • Crittenden K.S.
        • et al.
        African-American adolescent females: Mother-involved HIV risk-reduction intervention.
        J HIV/AIDS Soc Serv. 2009; 8: 292-307
        • Dancy B.L.
        • Crittenden K.S.
        • Ning H.
        African-American adolescent girls' initiation of sexual activity: Survival analysis.
        Women's Health Issues. 2010; 20: 146-155
        • DiIorio C.
        • Resnicow K.
        • Thomas S.
        • et al.
        Keepin it R.E.A.L.!: Program description and results of baseline assessment.
        Health Educ Behav. 2002; 29: 104-123
        • Lederman R.P.
        • Chan W.
        • Roberts-Gray C.
        Sexual risk attitudes and intentions of youth aged 12–14 years: Survey comparisons of parent-teen prevention and control groups.
        Behav Med. 2004; 29: 155-163
        • Lederman R.P.
        • Chan W.
        • Roberts-Gray C.
        Predictors of middle school youth educational aspirations: Health risk attitudes, parental interactions, and parental disapproval of risk.
        Advances in Psychology Research. 2007; 49: 223-234
        • Murry V.M.
        • Berkel C.
        • Brody G.H.
        • et al.
        The strong African-American families program: Longitudinal pathways to sexual risk reduction.
        J Adolesc Health. 2007; 41: 333-342
        • Murry V.M.
        • Berkel C.
        • Chen Y.
        Intervention induced changes on parenting practices, youth self-pride and sexual norms to reduce HIV-related behaviors among rural African-American youths.
        J Youth Adolesc. 2011; 40: 1147-1163
        • Li X.
        • Stanton B.
        • Galbraith J.
        • et al.
        Parent monitoring intervention: Practice makes perfect.
        J Natl Med Assoc. 2002; 94: 364-370
        • Stanton B.F.
        • Cole M.
        • Galbraith J.
        • et al.
        Randomized trial of a parent intervention: Parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge.
        Arch Pediatr Adolesc Med. 2004; 158: 947-955
        • Jorgensen S.R.
        Project Taking Charge—An evaluation of an adolescent pregnancy prevention program.
        Family Relations. 1991; 40: 373-380
        • Miller K.S.
        • Levin M.L.
        • Whitaker D.J.
        • Xu X.
        Patterns of condom use among adolescents: The impact of mother-adolescent communication.
        Am J Public Health. 1998; 88: 1542-1544
        • Miller K.S.
        • Clark L.F.
        • Fasula A.M.
        • et al.
        Two pre-risk prevention programs to address sexual health disparities among African-American youth.
        J Equity Health. 2009; 2: 42-49
        • Botvin G.J.
        • Griffin K.W.
        • Nichols T.D.
        Preventing youth violence and delinquency through a universal school-based prevention approach.
        Prev Sci. 2006; 7: 403-408
        • Kalmuss D.
        • Davidson A.
        • Cohall A.
        • et al.
        Preventing sexual risk behaviors and pregnancy among teens: Linking research and programs.
        Perspec Sex Repro Health. 2003; 35: 87-93
        • Tortolero S.R.
        • Markham C.M.
        • Peskin M.F.
        • et al.
        It's Your Game. Keep It Real: Delaying sexual behavior with an effective middle school program.
        J Adolesc Health. 2010; 46: 169https://doi.org/10.1016/j.jadohealth.2009.06.008
        • Donaldson A.A.
        • Lindberg L.D.
        • Ellen J.M.
        • Marcell A.V.
        Receipt of sexual health information from parents, teachers, and healthcare providers by sexually experienced U.S. adolescents.
        J Adoles Health. 2013; (Available at:) (Accessed June 8, 2013)
      4. Guttmacher Institute. Facts on American teens' sources of information about sex. Available at: http://www.guttmacher.org/pubs/FB-Teen-Sex-Ed.pdf. Accessed October 27, 2013.

        • Robert A.C.
        • Sonenstein F.L.
        Adolescents' reports of communication with their parents about sexually transmitted diseases and birth control: 1988, 1995, and 2002.
        J Adolesc Health. 2010; 46: 532-537
        • Martin J.A.
        • Hamilton B.E.
        • Sutton P.D.
        • et al.
        Births: Final data for 2006.
        Natl Vital Stat Rep. 2009; 57: 1-102
        • Randolph S.M.
        • Banks D.H.
        Making a way out of no way: The promise of Africentric approaches to HIV prevention.
        J Black Psychol. 1993; 19: 204-214
        • Fullilove R.E.
        • Green L.
        • Fullilove M.
        The Family to Family program: A structural intervention with implications for the prevention of HIV/AIDS and other community epidemics.
        AIDS. 2000; 14: S63-S67
        • Nobles W.
        • Goddard L.
        • Gilbert D.
        The African-centered behavior change model: The needed paradigm shift in HIV prevention for African-American women.
        National HIV Prevention Conference, Atlanta, Georgia2007
        • Marin B.V.
        HIV prevention in the Hispanic community: Sex, culture, and empowerment.
        J Transcult Nurs. 2003; 14: 186-192
        • Lescano C.M.
        • Brown L.K.
        • Raffaelli M.
        • Lima L.A.
        Cultural factors and family-based HIV prevention intervention for Latino youth.
        J Pediatr Psychol. 2009; 34: 1041-1052
      5. Office of National AIDS Policy. National HIV/AIDS strategy for the United States. 2010. Available at: http://www.whitehouse.gov/administration/eop/onap/nhas. Accessed June 8, 2013.

        • Society for Adolescent Health and Medicine
        Promoting equity and reducing health disparities among racially/ethnically diverse adolescents: A position paper of the Society for Adolescent Health and Medicine.
        J Adolesc Health. 2013; 52: 804-807
        • Flay B.R.
        • Graumlich S.
        • Segawa E.
        • et al.
        Effects of 2 prevention programs on high-risk behaviors among African-American youth—A randomized trial.
        Arch Pediatr Adolesc Med. 2004; 158: 377-384
        • Savin-Williams R.C.
        • Ream G.L.
        Sex variations in the disclosure to parents of same-sex attractions.
        J Fam Psychol. 2003; 17: 429-438
      6. Ryan C. Helping families support their lesbian, gay, bisexual, and transgender (LGBT) children. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development. Available at: http://nccc.georgetown.edu/documents/LGBT_Brief.pdf. Accessed June 7, 2013.

        • Centers for Disease Control and Prevention
        Estimated HIV incidence in the United States, 2007–2010.
        HIV Surveill Supplem. 2012; 17 (Available at:) (Accessed October 27, 2013)
        • Johnson W.D.
        • Semaan S.
        • Hedges L.V.
        • et al.
        A protocol for the analytical aspects of a systematic review of HIV prevention research.
        JAIDS. 2002; 30: S62-S72