Youth Perspectives on Sexuality Communication With Parents and Extended Family.

OBJECTIVE: To explore extended-family sexuality communication and compare it with parent sexuality communication. BACKGROUND: Family communication about sex can protect teens from sexual risk behavior. However, most studies on this topic focus exclusively on the parent-teen dyad; few capture the broader context of teens' family communication. METHOD: Using a mixed-methods approach, a convenience sample of 22 teens from diverse racial and ethnic backgrounds were interviewed. Participants were asked to identify family members with whom they talk about sex and relationships, topics discussed, messages shared, and the teens' comfort talking about sex and relationships. Thematic analysis was used to explore participants' shared meanings and experiences. RESULTS: Eighty-six percent of teens reported talking with both parents and extended family about sex. Teens were more likely to report that parents than extended family shared messages about delaying sex and avoiding teen pregnancy and gave advice or shared information about sex. Teens were more likely to view extended family than parents as easy to talk with and as having shared life experiences, and some reported avoiding talk with parents about issues related to sexuality due to feeling awkward or fearing a negative reaction. CONCLUSION: Extended family may play a somewhat different role than parents in teens' sexuality communication, but family members showed a largely common set of family values. IMPLICATIONS: Extended family may be a valuable teen resource for sexuality communication, particularly when teens feel uncomfortable talking with parents.

The role of extended family in diverse teens' sexual health.

Despite increasing extended family involvement in childrearing, particularly in minority families, few studies investigate their role in talking with teens about sex or how this relates to teens' sexual behavior. This mixed methods study assesses extended family sexuality communication through a survey of 1492 diverse middle school students and interviews with 32 students. Logistic regression shows that participants who report having had sex are more likely to report talking with extended family than those who report not having had sex. Interview themes explored reasons for and content of teen sexuality conversations with extended family. More sexually active teens' reporting communication with extended family is interpreted as extended family members gaining importance in sexuality communication as teens become sexually active.

Comparing Sexuality Communication Among Offspring of Teen Parents and Adult Parents: a Different Role for Extended Family.

This brief report examined teenagers' sexuality communication with their parents and extended families. It compared who teens of early parents (those who had children when they were adolescents) and teens of later parents (those who were adults when they had children) talk to about sex. Eighth grade students (N=1281) in 24 schools completed survey items about their communication about sex. Structural equation modeling was used to predict communication profiles, while adjusting for the nesting of students within schools. After controlling for teens' age, gender, race/ethnicity, grades, parent/guardian closeness, and social desirability of survey responses, as well as family status and median family income, results showed that teens of early (teen) parents were more likely than teens of later (adult) parents to talk with both parents and extended family about sex and less likely than later parents to talk only with parents. These findings indicate that realities of teen sexuality communication for teens of early parents may extend beyond a parent-teen model to include extended family. Extended family involvement in educational outreach is a potential untapped resource to support sexual health for teens of early parents.

Protective effects of middle school comprehensive sex education with family involvement.

BACKGROUND: School-based comprehensive sex education programs can reduce early adolescents' risky sexual behavior. The purpose of this study was to assess the effectiveness of a 3-year comprehensive sex education program in delaying vaginal sex for middle school students and whether the family component of the intervention contributes to its effectiveness. METHODS: This longitudinal evaluation followed a cohort of 6th graders (N = 2453) through the end of 8th grade. The design used random assignment of 24 schools into treatment and comparison conditions. The analysis included multiple-group logistic regression to assess differences in delay of sex between intervention and comparison groups. RESULTS: In schools where the program was taught, 16% fewer boys and 15% fewer girls had had sex by the end of 8th grade compared to boys and girls at comparison schools. Completing family activities during the first year of the program predicted delayed sexual debut for boys. CONCLUSIONS: Theory-based, developmentally appropriate, comprehensive sex education programs that include parent involvement can be effective in delaying vaginal sex for middle school students. Parent involvement is particularly important for boys, as family activities may encourage parents to talk with their sons earlier and more frequently.

How have researchers studied multiracial populations? A content and methodological review of 20 years of research.

The U.S. Census shows that the racial-ethnic makeup of over 9 million people (2.9% of the total population) who self-identified as multiracial is extremely diverse. Each multiracial subgroup has unique social and political histories that may lead to distinct societal perceptions, economic situations, and health outcomes. Despite the increasing academic and media interest in multiracial individuals, there are methodological and definitional challenges in studying the population, resulting in conflicting representations in the literature. This content and methods review of articles on multiracial populations provides a comprehensive understanding of which multiracial populations have been included in research and how they have been studied, both to recognize emerging research and to identify gaps for guiding future research on this complex but increasingly visible population. We examine 125 U.S.-based peer-reviewed journal articles published over the past 20 years (1990 to 2009) containing 133 separate studies focused on multiracial individuals, primarily from the fields of psychology, sociology, social work, education, and public health. Findings include (a) descriptive data regarding the sampling strategies, methodologies, and demographic characteristics of studies, including which multiracial subgroups are most studied, gender, age range, region of country, and socioeconomic status; (b) major thematic trends in research topics concerning multiracial populations; and (c) implications and recommendations for future studies.

Family homework and school-based sex education: delaying early adolescents' sexual behavior.

BACKGROUND: Early sexual activity can undermine adolescents' future school success and health outcomes. The purpose of this study was to assess the role of a family homework component of a comprehensive sex education intervention in delaying sexual initiation for early adolescents and to explore what social and contextual factors prevent adolescents from completing these family homework activities. METHODS: This mixed methods study included 6th- and 7th-grade survey responses from 706 students at 11 middle school schools receiving a sex education intervention, as well as interviews from a subset of 33, 7th-grade students from the larger sample. RESULTS: Adolescents who completed more family homework assignments were less likely to have vaginal intercourse in 7th grade than those who completed fewer assignments, after controlling for self-reports of having had vaginal intercourse in 6th grade and demographic variables. Participants' explanations for not completing assignments included personal, curriculum, and family-based reasons. CONCLUSIONS: Family homework activities designed to increase family communication about sexual issues can delay sex among early adolescents and contribute to school-based sex education programs. Successful sex education programs must identify and address barriers to family homework completion.

"What if you already know everything about sex?" Content analysis of questions from early adolescents in a middle school sex education program.

PURPOSE: To assess sixth graders' knowledge and curiosity about sex-related topics that can guide the development of sexual health education and healthcare delivery. METHODS: Sixth graders (n = 795) in eight ethnically diverse schools participating in an evaluation of a sex education curriculum submitted 859 anonymous questions that were content analyzed. The χ(2) analysis examined whether the themes varied by coed/single-sex environments or by school-level sexual risk. RESULTS: Sexual activity, female anatomy, reproduction, and puberty were the most frequently mentioned topics, whereas, questions on STIs, sexual violence, and drug/alcohol use were fewer. Questions that avoided sexual topics came from lower sexual-risk schools; students at higher-risk schools asked about sexual initiation, contraception, vaginal and anal sex, general health, and pain during sex. Single-sex classrooms elicited more direct and explicit questions about sex. CONCLUSIONS: The results are relevant to educators and healthcare providers who ask and answer questions from early adolescents regarding sexual health.

Measurement Uncertainty in Racial and Ethnic Identification Among Adolescents of Mixed Ancestry: A Latent Variable Approach.

In this article, we operationalize identification of mixed racial and ethnic ancestry among adolescents as a latent variable to (a) account for measurement uncertainty, and (b) compare alternative wording formats for racial and ethnic self-categorization in surveys. Two latent variable models were fit to multiple mixed-ancestry indicator data from 1,738 adolescents in New England. The first, a mixture factor model, accounts for the zero-inflated mixture distribution underlying mixed-ancestry identification. Alternatively, a latent class model allows classification distinction between relatively ambiguous versus unambiguous mixed-ancestry responses. Comparison of individual indicators reveals that the Census 2000 survey version estimates higher prevalence of mixed ancestry but is less sensitive to relative certainty of identification than are alternate survey versions (i.e., offering a "mixed" check box option, allowing a written response). Ease of coding and missing data are also considered in discussing the relative merit of individual mixed-ancestry indicators among adolescents.

Developing Multiple Language Versions of Instruments for Intercultural Research.

This article examines the strengths and weaknesses of several translation techniques currently in use through the lens of emerging opinions on the science and ethics of intercultural research. Broad scientific and ethical dimensions relevant to translating instruments and a distinction between generating multiple language forms of two kinds of instruments are introduced: those in which wording in the source language cannot be altered and those in which constraints of the target language can lead to changes in the original instrument's wording. Developmental psychologists engaged in intercultural research can consider techniques for minimizing the influence of Western perspectives while pursuing conceptual equivalence in order to satisfy science's concern for internal validity of translated instruments.

A framework for studying minority youths' transitions to fatherhood: the case of Puerto Rican adolescents.

A theoretical framework is proposed for studying minority young men's involvement with their babies that combines the integrative model of minority youth development and a life course developmental perspective with Lamb's revised four-factor model of father involvement. This framework posits a relationship between demographic and family background variables (such as education, employment, income, and family of origin) and fatherhood outcomes moderated by personal characteristics (such as sex-role ideology, acculturation, risk taking, and alienation) and mediated by definitions of fatherhood, life priorities normative for the culture under study, and sexual behavior. Once there is an acknowledged infant, a father's involvement is influenced by child characteristics, perceived fathering competence, social support, and quality of the relationship with the mother.

Discrimination and Puerto Rican children's and adolescents' mental health.

Two studies of Puerto Rican youths' development on the U.S. mainland examined the consequences of perceived racial/ethnic discrimination on mental health. In Study I, children were found to have a low likelihood of perceiving discrimination, whereas in Study 2, nearly half of the adolescent sample reported perceiving racial/ethnic discrimination. Although both groups scored high on multiple indicators of mental health, perceiving discrimination and worrying about discrimination were negatively associated with some dimensions of self-esteem and positively associated with depression and stress. Adolescents were aware of negative stereotypes about Puerto Ricans, and nearly half of them related discriminatory instances. Results suggest that both perceiving discrimination and anxiety regarding discrimination can serve as risk factors for the mental health of this population.

Predicting Adolescent Self-Esteem From Participation in School Sports Among Latino Subgroups.

Data from the in-school survey of the National Longitudinal Study of Adolescent Health on girls and boys who claim a Mexican, Puerto Rican, or Cuban heritage were employed to test two hypotheses: (1) Participating in a school-based sport is associated with self-esteem, and (2) school attachment and a sense of physical well-being mediate this relationship. The first hypothesis was partially confirmed in that participation in school sports was associated with self-esteem among Mexican American adolescent girls and boys, Puerto Rican girls, and Cuban American boys, but not among Cuban American girls nor Puerto Rican boys. The second hypothesis was confirmed in that, where there was a significant relationship between participating in a school sport and self-esteem, school attachment and physical well-being mediated this relationship. The results underscore the need to study psychosocial processes separately among Latino subgroups and to examine gender within each subgroup.

GENDER AND RACE PATTERNS IN THE PATHWAYS FROM SPORTS PARTICIPATION TO SELF-ESTEEM.

Athletics is the most prominent extracurricular activity in U.S. secondary schools in terms of student participation and school budgets. The latter is often justified on the grounds that healthy bodies produce healthy minds, that school sports boost school spirit, and that participation in school-based sports increases students' self-esteem. In this article we examine the interrelationships among participation in a school-based sport and the benefits assumed to be associated with it. Specifically, we test a model that postulates that school spirit, operationalized as attachment to school, and healthy bodies, operationalized as a sense of physical well-being, mediate the relationship between school sports and self-esteem. Data from the National Longitudinal Study of Adolescent Health on Caucasian and African American girls and boys were employed to test the model. School attachment and physical well-being absorbed the statistical effect of participating in a sport for all four gender-by-race groups. Among Caucasian girls a negative residual effect of sports participation was observed, which suggests that sports participation encapsulates multiple effects with contradictory influences. For African American girls school attachment by itself was not a significant mediator of the effect of sports participation on self-esteem. For all groups a sense of physical well-being was the more powerful mediator.

Puerto Rican Early Adolescents' Self-Esteem Patterns.

This study examines self-esteem as a multidimensional construct in 1 Latino subgroup, Puerto Rican girls and boys during early adolescence, using Harter's (1985b) Self-Perception Profile for Children. The results show that in its English and Spanish versions-the latter developed by the present research team-the Self-Perception Profile for Children has adequate reliability for use with 13- to 14-year-old Puerto Rican youth living on the mainland. Results obtained in this study of Puerto Rican early adolescents, which contrasts with the results from the combined data of "Hispanics" in the American Association of University Women (1991) survey of 3,000 youth, strongly suggests that Latino subgroups need to be studied separately. The mean levels of self-esteem found among Puerto Rican girls and boys were generally similar to those found among Harter's sample of predominantly Anglo middle school students from the suburbs of Denver except that Puerto Rican youth did not show gender differences in overall self-esteem. Gender differences in mean levels of self-esteem in different domains were similar to those of Anglo youth, regardless of the Puerto Rican youth's individual level of psychological or behavioral acculturation. When differences by acculturation emerged, psychological acculturation appeared to play a more protective role for girls (Hispanic- or Latino-oriented girls reported being better behaved and having greater confidence in their scholastic abilities) and behavioral acculturation operated as a risk factor for boys (boys with preference for English reported low Behavioral Conduct and Scholastic Competence scores). On the other hand, greater acculturation (both psychological and behavioral) was associated with girls' lower confidence in their physical attractiveness. Finally, the structure of self-esteem varied by gender, and psychological and behavioral acculturation.

The Color of My Skin: A Measure to Assess Children's Perceptions of Their Skin Color.

The Color of My Skin is an instrument developed to assess children's internalized idea (abstraction) of the color of their skin; their satisfaction with that color; the desire, if any, to change the color of their skin; and their affect regarding their skin color. The assessment is part of a questionnaire utilized in a 3-year longitudinal study that examines psychosocial development, physical health, and behavioral adjustment of Puerto Rican children (N = 257) reared in the Greater Boston area. The results demonstrate that children's internalized representation of their skin color is a construct that can be reliably and validly measured. The children's ratings of their skin color were not associated with their sex, school grade, ethnic identity, the child's or the parent's nativity, or the racial or ethnic compositions of 3 social contexts: their neighborhood, their classmates, and their closest friends. Puerto Rican children did not show a preference for light-colored skin. Moreover, there were no significant differences in self-esteem based on the child's self-reported skin color. The lack of association between self-esteem and skin color was interpreted in light of a developmental tendency prevalent in early to middle childhood to place a positive value on different aspects of one's self. Whereas almost all children (96%) reported being happy or very happy with their color, 16% of the children would like to change their skin color if they could (51% to a lighter and 46% to a darker color).

PSYCHOLOGICAL ACCULTURATION: DEVELOPMENT OF A NEW MEASURE FOR PUERTO RICANS ON THE U.S. MAINLAND.

Most instruments designed to measure acculturation have relied on specific cultural behaviors and preferences as primary indicators of acculturation. In contrast, feelings of belonging and emotional attachment to cultural communities have not been widely used. The Psychological Acculturation Scale (PAS) was developed to assess acculturation from a phenomenological perspective, with items pertaining to the individual's sense of psychological attachment to and belonging within the Anglo-American and Latino/Hispanic cultures. Responses from samples of bilingual individuals and Puerto Rican adolescents and adults are used to establish a high degree of measurement equivalence across the Spanish and English versions of the scale along with high levels of internal consistency and construct validity. The usefulness of the PAS and the importance of studying acculturation from a phenomenological perspective are discussed.

THE DUAL-FOCUS APPROACH TO CREATING BILINGUAL MEASURES.

The dual-focus approach to creating bilingual research protocols requires a bilingual/bicultural research team, including indigenous researchers from the cultures being studied. The presence of indigenous researchers as full and equal members of the research team can guard against an unexamined exportation of ideas and methods developed in one culture to other cultural/linguistic communities. The team develops the research plan and a research protocol that express a given concept with equal clarity, affect, and level of usage simultaneously in two languages. The dual-focus method employs a concept-driven rather than a translation-driven approach to attain conceptual and linguistic equivalence. Examples of the application of this approach to creating new measures in Spanish and English, adapting existing measures, revising instructions to research participants, and correcting official translations are provided.