Parents' attitudes towards the content of sex education in the USA: Associations with religiosity and political orientation.

While most parents support their adolescents receiving school-based sex education, there is variability in which sex education topics receive the most support from parents. Conservative political orientation and greater religiosity have been independently associated with parents' lack of support for school-based sex education; however, no studies have examined the intersection of these two factors. The three goals of this study were to: 1) identify how specific sexual education topics cluster together to form content areas; 2) examine if religiosity and political orientation are uniquely associated with these content areas; and 3) examine if political orientation moderates the relationship between parents' religiosity and their perceived importance for the specific sex education content areas. Participants were a national sample of 881 US parents. The sex education topics clustered into three content areas: Factual Knowledge (e.g., STI transmission), Practical Skills (e.g., how to access condoms), and Pleasure and Identity (e.g., pleasurable aspects of sex). Politically conservative and more religious parents reported the lowest perceived importance for each content area. Importantly, these main effects were qualified by a significant interaction: parents who reported both political conservativism and high levels of religiosity reported the lowest perceived importance for these three content areas being taught.

Sexual self-efficacy and sexual communication among adolescent girls: moderated mediation results from a randomized controlled trial.

OBJECTIVE: Guided by the Operating Conditions Framework, the goal of this study was to identify how and for whom an online sexual health program called Health Education and Relationship Training (HEART) worked. DESIGN: Data come from a randomized controlled trial among 198 U.S. high school girls who completed HEART or an attention-matched control. We conducted mediation and moderated mediation models to determine if sexual self-efficacy was a mediator and if program acceptability and sexual activity status were moderators of HEART efficacy. MAIN OUTCOME MEASURE: Sexual communication skills were assessed with a behavioral role-play task. RESULTS: HEART significantly improved sexual communication skills. These effects were fully mediated through sexual self-efficacy. Specifically, HEART improved sexual self-efficacy which in turn increased sexual communication skills. Also, when participants liked the program more, the effect of HEART on sexual self-efficacy was stronger. Further, among girls who had engaged in sexual activity, sexual self-efficacy was significantly associated with sexual communication skills. CONCLUSION: This study provides insights into the mechanisms of behavior change underlying HEART. Results highlight the need to further 'unpack' the effects of other sexual health programs, as we showed that programs may work better under certain conditions.

Behavioral Measures to Assess Adolescent Sexual Communication with Partners: A Scoping Review and Call for Further Studies.

Sexual communication with partners is important for adolescents' sexual and socioemotional well-being. Behavioral assessments of partner sexual communication capture the complex and nuanced process of communication and are commonly used with adults, yet the existing literature among adolescents overwhelmingly relies on self-report measures. In the current paper, we reviewed the literature on adolescent partner sexual communication, identifying 14 studies including 2,043 participants (M age = 16) that used behavioral assessments (i.e., dyadic observations, role-plays with confederates, role-plays with vignettes). We also identify key gaps in the current literature: First, only one study recruited couples; studies that assessed dyadic interactions largely relied on confederates. Second, assessments often assumed that participants engaged in heterosexual sex, and no studies specifically recruited LGBTQ+ adolescents. Third, behavioral tasks often involved assumptions of participants' sexual goals (e.g., desire to refuse sex) and focused almost exclusively on sexual refusal and condom negotiation. Additionally, coding schemes lacked standardization and micro-analytic strategies (e.g., coding change over time). Finally, observational methods have been almost exclusively used to assess intervention efficacy, rather than to understand associations between behaviorally-assessed communication skills and sexual outcomes or self-reported communication in basic research. We discuss recommendations for future research, including regular use of behavioral observation methods with diverse samples, to triangulate across multiple methodologies and identify correspondence between behavioral and self-report measures.

Development and Testing of the Parent-Child Sex Communication Inventory: A Multidimensional Assessment Tool for Parent and Adolescent Informants.

Parent-child sex communication is a complex and multidimensional construct, and effective measurement tools that reflect this complexity are scarce. The purpose of this study was to develop and test an assessment tool of parent-child sex communication that reflects the multidimensional nature of the construct and which can be flexibly administered between both parent and adolescent informants. Using two large national samples from the United States involving adolescents (N = 2,044; Mage = 16.19, SD = 1.71) and unrelated parents of adolescents (N = 2,081), we psychometrically tested the Parent-Child Sex Communication Inventory (PCSCI). Validity evidence (i.e., construct, discriminant, convergent, and divergent) supported a 30-item measure that consisted of three overarching dimensions distributed along seven subscales: Frequency of sex communication (about sexual risk, about sex physiology, and about the positive aspects of sex); the Quality of sex communication (open communication versus parent controlled communication); and Child Managed sex communication (involving disclosure and secrecy). The PCSCI is an assessment tool for tapping multiple fundamental dimensions of parent-child sex communication that is quick and easy to administer. Further, it can be administered to both parent and adolescent informants. Therefore, it represents a significant methodological advancement for continuing research on parent-child sex communication.

Parent-child communication and adolescent sexual decision making: An application of family communication patterns theory.

Family communication patterns theory proposes two dimensions of family communication-conversation orientation and conformity orientation-that can impact adolescent decision making. The purpose of this study is to examine how family communication patterns, above and beyond the frequency of parent-child sexual communication, are associated with adolescents' (a) sexual self-efficacy, (b) intentions to communicate about sex with partners, and (c) intentions to use condoms. Participants were 452 U.S. adolescents (Mage = 15.06; 59% girls; 35% White, 33% Latinx, 25% Black). Controlling for the frequency of parent-child sexual communication and gender, we found the interaction between conversation and conformity orientation was associated with adolescent sexual self-efficacy and intentions to communicate about sex with partners. When families were high on conversation and low on conformity, adolescents had statistically significantly higher sexual self-efficacy than any other family communication patterns. When families were low on conversation and low on conformity, adolescents had statistically significantly lower intentions to communicate with future sex partners than any other family communication pattern. Findings highlight the importance of understanding general communication processes beyond the frequency of parent-child sexual communication. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Suicide Risk in Emerging Adulthood: Associations with Screen Time over 10 years.

Suicide rates have increased over the past decade, and screen media (and social media in particular) are often blamed for this marked increase. However, there is little longitudinal research on this topic. The current study examined the link between various types of screen media use over a 10-year period (from adolescence to emerging adulthood) to suicide risk in emerging adulthood. Participants included 500 adolescents (51% female) who were first surveyed in 2009, when they were an average of 13.82 years old (range 12-15 years). For girls, a high level of social media or television use in early adolescence followed by a marked increase over time was most predictive of suicide risk in emerging adulthood. Additionally, video game use that increased over time was also associated with a higher risk for developing suicide risk for girls. A passive sensing measurement was also included at the final wave of data collection to obtain a more accurate and complete picture of phone use in particular. The use of entertainment apps was risky for girls while reading apps were risky for boys. Additionally, video game use (for boys) was associated with suicide risk when cyberbullying was also high. Identifying nonnormative patterns of media during adolescence may be instructive in terms of suicide prevention efforts.

Trajectories of Perceived Parental Psychological Control across Adolescence and Implications for the Development of Depressive and Anxiety Symptoms.

Theory and research indicate considerable changes in parental control across adolescence (e.g., declining behavioral control), but the developmental course and significance of psychological control remains largely unknown. This study examined trajectories of adolescents' reports of mothers' and fathers' psychological control from ages 12 to 19, predictors of occupying distinct trajectories, and the developmental significance of these trajectories for adolescents' development of depressive and anxiety symptoms. It used eight waves of survey data on 500 adolescents (Mage = 11.83, SD = 1.03; 52% female; 67% White, 12% African American) and their parents from the Pacific Northwest United States. Most adolescents (about 90%) reported low but increasing levels of parental psychological control over time, with a small but significant subset (about 10%) perceiving perpetually elevated levels. Mothers' (but not fathers') depressive symptoms, reported at the age 12 assessment, predicted adolescents' membership in the elevated psychological control trajectory. Adolescents occupying these elevated trajectories showed more problematic growth in depressive and anxiety symptoms across adolescence. Taken together, the findings suggest that many adolescents experience increased parental psychological control as they age, and that variability in these trends indicates individual differences in their development of depressive and anxiety symptoms over time.

The socialization of attitudes about sex and their role in adolescent pornography use.

INTRODUCTION: This study examines the socialization of conservative attitudes about sex and pornography use in later adolescence. We tested a socialization model whereby we anticipated that parent conservative sex attitudes would more strongly predict teen conservative sex attitudes when more frequent and higher quality parent-teen communication was present. We further hypothesized that teen conservative sex attitudes would mediate relations between parent conservative sex attitudes and teen pornography use over time. METHODS: The data come from three waves of the National Survey of Youth and Religion (N = 3290; ages 13 through 18; M age = 15.5). RESULTS: Path analyses found that teen sex attitudes mediated the negative link between parent sex attitudes and subsequent teen pornography use, but frequency and quality of parent-teen communication extensiveness (operationalized as frequency) and quality (operationalized as comfort) did not moderate the association between parent and teen sex attitudes. However, communication extensiveness did moderate relations between parent sex attitudes and later teen pornography use. The model was largely consistent across teen gender. CONCLUSIONS: In short, parent and teen conservative sex attitudes are developmentally linked and predictive of later teen pornography use, but the role of parent-teen communication and teen gender are complex and in need of further research.