The Importance of Fathers

ABSTRACT

The purpose of this study was to explore the relation between self-esteem, sociodemographic factors, father-daughter relationships, and sexual risk-taking in an economically diverse group of late-adolescent African American girls. Participants were 100 African American adolescent girls from the Southeast region of the U.S. Regression analyses revealed that fathers' education was the most powerful predictor of sexual risk, with self-esteem emerging as a significant, yet less powerful predictor. A subset of the initial sample participated in a secondary, qualitative study explicitly examining father-daughter communication about sexuality. Thematic analysis revealed three distinct categories of father-daughter sexual communication. Participants associated directive and insightful communication styles with positive father-daughter relationships and less risky sexual behavior. Absent/avoidant communication was linked to rejection, regret, and more risky sexual behavior. Results suggest that impact of fathers on girls' sexual risk taking is powerful and distinctly different than the effect of the more traditionally explored correlates of risk.     

What does self-esteem have to do with behavioral health among low-income youth in Chicago?

Many studies have examined risk factors associated with poorer behavioral health among low-income African American youth, such as low school engagement, delinquency, mental health problems, drug use, and risky sex. However, fewer studies have examined protective factors for such behavioral health risk behaviors. This study sought to address this gap by examining whether high levels of self-esteem were associated with better behavioral health factors for this population. A survey was administered to a sample of 638 low-income African American adolescents in Chicago to examine the degree to which high self-esteem was associated with less delinquency, substance use, and sexual risk behaviors, and more school engagement, and whether such associations varied by gender. Stepwise linear and logistic regression models were estimated to assess the influence of self-esteem. Higher self-esteem for this sample of low-income African American adolescents was associated with lower rates of delinquency, drug use, and risky sexual behaviors and increased rates of school engagement. Gender moderated only a few of these relationships. These findings suggest that programs that promote high self–esteem alone or in combination with other resilience factors may promote better behavioral health factors for African American adolescents.     

Women’s Sexual Communication with Their Peers and Its Association with Sexual Wellbeing

Abstract

Communication about sex is an important variable in sexual well-being, but sex remains a taboo topic, particularly for women. This study explores women’s peer sexual communication, and its association with their sexual well-being. A survey (N?=?617) showed that women tend to solicit expressive, rather than instrumental, sexual communication from other women. Regression analyses revealed that peer sexual communication is associated with higher sexual self-efficacy, and sexual self-esteem, but also higher risky sexual norms perceptions. Peer sexual communication appears to be a potential vehicle for disseminating sexual information, as long as women have accurate and empowering information to start with.     

Retrospective Paternal and Maternal Parenting Styles,Regulatory Self-Efficacy and Adolescent Risk Taking

This study aims to calculate a scaled risk-taking behavior index and to test a model in which maternal and paternal parenting styles affect risk-taking behavior with a mediation of adolescents’ regulatory self-efficacy. Participants were 816 adolescents (44% males) responding to a self-report questionnaire about their risk-taking behavior, regulatory self-efficacy, and retrospective memories of paternal and maternal parenting styles. Results suggested an item rating in the index showing that behaviors considered less risky referred to alcohol use and the unplanned first sexual intercourse, whereas behaviors considered more risky referred to the lack of use of contraceptives and the age of the first sexual intercourse. Results revealed a significant indirect effect of authoritative and authoritarian styles on risk-taking behavior. These styles shaped the adolescents’ regulatory self-efficacy, which in turn predicted adolescent risk-taking behavior. Results underline the complex interplay of relationships between parents and their children.     

A review of literature: An examination of the correlation between attachment styles and adolescent girls’ sexual behaviors

ABSTRACT

This literature review examines eight studies of parental attachment styles, sexual behavior, and health outcomes among adolescent girls. The review focuses on studies that analyzed the perceived relationships between parents and their adolescent daughters and whether instabilities of life experiences correlated with risky sexual behaviors and if high-risk sexual behaviors were associated with an increase of sexually transmitted infections, unplanned pregnancies, and other poor health outcomes in adolescent girls. Findings show adolescent girls with insecure parental attachment styles were at a higher risk of sexual behaviors, early pregnancies, and transmission of sexually transmitted infections (STI’s). The most common finding in the studies reviewed was the significant association of how higher parental communication and monitoring may prevent risky sexual behaviors at an earlier age. Recommendations for mental and health care providers include the development of treatment programs to address the importance of parent-attachment relationships and multifaceted health needs of adolescents girls. Programs can be strengthened by involving other family members, improving parent-daughter communication and relationships and emphasizing system-level change (policy, procedure, practice). Adding these elements may ultimately lead to sustained improvements over time. Future research on other family social factors (e.g., divorce and separation of attachment figure, poverty, and single-parent homes) associated with attachment and high-risk behaviors is warranted. More research is needed to exam how secure attachments among adolescent girls may prevent earlier sexual encounters, unplanned pregnancies, and STI’s.     

College women’s sexual and reproductive health screening behaviors and the role of mother–daughter communication

Abstract

Objective: The study investigated the role of mother–daughter communication and race in college women’s decisions to pursue sexual health screening services. Participants: Participants were 301 college women who primarily identified as White and Asian American (M_age = 19?years). Methods: Participants completed an online survey that assessed mother–daughter communication about sex and responded to items pertaining to pursuing sexual health screening services. Results: Maternal communication predicted daughters’ screening behaviors and sexual anxiety mediated the negative association between conservative communication from mothers and screening behaviors. Asian American college women were less likely than White college women to report that they received frequent and open communication about sex from their mothers and reported higher levels of sexual anxiety. Conclusions: Mothers should be aware of the implications their communication patterns may have on their daughters’ sexual and reproductive health, and college women’s sexual anxiety should be addressed in order to increase utilization of screening services.     

Self-Esteem,Locus of Control,and Suicide Risk

Abstract

Past research suggests that African American clients in need of mental health services are less likely to be properly diagnosed and receive appropriate treatment compared to White Americans. It has been further suggested that this may be even a greater problem for those who are both African American and female. In the current study, 2 groups of hospitalized clinically depressed females (92 African American females; 99 White females) were administered the Self-Esteem Rating Scale, Internal Control Index, and Suicide Risk Scale. Results indicated more similarities than differences between the two groups. For instance, there were no differences in locus of control or suicide risk between groups. In addition, although there were differences in self-esteem between groups, self-esteem was the best predictor of suicide risk within groups (White, R² =42%; African American, R² = 19%). African American females possessed higher self-esteem than White females (p = .05). For African American females age and self-esteem were positively correlated (r = .27, p =.01). Clinically depressed females could benefit from treatment focusing on improving self-esteem within a context of multicultural sensitivity.     

Urban African American Pre-Adolescent Social Problem Solving Skills

Summary

The results of two studies focusing on the social problem solving skills of African American preadolescent youth are detailed. In the first study data from a sample of 150 African American children, ages 9 to 11 years, was used to examine the association between type of youth social problem solving approaches applied to hypothetical risk situations and time spent in unsupervised peer situations of sexual possibility. Findings revealed that children with more exposure to sexual possibility situations generated a wider range of social problem solving strategies, but these approaches tended to be unrealistic and ambiguous. Further, there was a positive association between the amount of time spent unsupervised and youth difficulty formulating a definitive response to hypothetical peer pressure situations. Children with less exposure to sexual possibility situations tended to be more aggressive when approaching situations of peer pressure. In the second study, data from a non-overlapping sample of 164 urban, African American adult caregivers and their 9 to 11 year old children was examined in order to explore the associations between child gender, family-level factors including family communication frequency and intensity, time spent in situations of sexual possibility, and youth social problem solving approaches. Results revealed that children were frequently using constructive problem solving and help seeking behaviors when confronted by difficult social situations and that there was a significant relationship between the frequency and intensity of parent child communication and youth help seeking social problem solving approaches. Implications for research and family-based interventions are highlighted.     

High-Risk Sexual Behavior in Postmenopausal Women

Individuals who participate in sexual behavior indeed expose themselves to multiple risks, including social, emotional, and physical risks. Outcomes associated with risk behavior can have detrimental consequences on one’s interpersonal relationships, self-esteem, and overall health and well-being. This study examined how four factors (relational, decision-making, sexual variables, and safety) operate in a postmenopausal women’s decision to engage in risky sexual behavior. Data were collected online from 44 women, ranging in age from 34 to 68. Results indicate this model explains 62.6% of the variance in risky decision-making for postmenopausal women. Implications and directions for future research are addressed.     

Communication With Parents and Body Satisfaction in College Students

Abstract

Objective: This study examined how communication with parents is related to college students’ body satisfaction. Participants and Methods: Participants (N = 134; 58 males and 76 females) completed a survey in March 2011 assessing body satisfaction and perceptions of communication with mothers and fathers. Results: Daughters’ body satisfaction was negatively correlated with perceptions of problematic communication with mothers and fathers. Sons’ body satisfaction was positively correlated with open communication with their mothers and negatively correlated with problematic communication with their mothers. Conclusions: Findings indicated problematic communication with mothers was the most powerful predictor of daughters’ body satisfaction, whereas open communication with mothers was the best predictor of sons’ body satisfaction.     

Identities and Social-Psychological Well-Being among African American College Students

Abstract

This study investigates African American college students to show the impact of role, social, and personal identities on social-psychological well-being, and compares the relationship between identity processes and academic achievement for black and white college students attending a large, urban, predominantly white public university. The findings confirm that student, ethnic, and personal identities influence self-esteem, self-efficacy, and self-authenticity, but that relationships vary both in direction and strength. Turning to our comparison of black and white college students, the findings do not support claims that black students' self-esteem is less dependent than whites' on getting good grades or that black students' academic identity is less important to their self-esteem than it is for white students.     

Factors Influencing the Sexual Relationships of Lesbians and Gay Men

ABSTRACT

This study examined the rewards and costs that lesbians and gay men experience in their sexual relationships. Participants were 23 lesbians and 15 gay men who completed questionnaires and participated in a semi-structured interview. Frequently identified sexual rewards included emotional and physical intimacy, feeling accepted and supported, communication, and a positive view of self. Sexual costs included feeling vulnerable and negative social and cultural attitudes toward same-sex relationships. Sexual rewards and costs tended to cluster into three main categories: relationship factors, sexual factors, and factors related to being a sexual minority. The participants' responses illustrate the limitations of applying conventional (biomedical) models of sexual response to men as well as to women. Moreover, they strengthen calls for theories of sexual functioning that are based on diverse experiences and that consider sociocultural, political, economic, relational, psychological, and medical factors.     

Dimensions of ethnic identity as protective factors for substance use and sexual risk behaviors in African American college students

Objective: To examine ethnic identity and ethnic socialization as potential protective factors for risk behaviors among US college students. Participants: Participants were 398 African American and Afro-Caribbean students recruited from 30 colleges and universities during September 2008–October 2009. Methods: Data on hazardous alcohol use, substance use, sexual behaviors, ethnic identity, and ethnic/racial socialization were collected. Hierarchical linear and negative binomial regression analyses were conducted to determine the degree to which ethnic identity and ethnic/racial socialization predicted the risk behaviors. Results: Ethnic Identity affirmation, belonging, and commitment (EI-ABC) significantly predicted lower substance use and hazardous alcohol use. Ethnic/racial socialization was not a significant predictor of substance use or sexual risk behaviors. Conclusions: Components of ethnic identity are potentially protective against alcohol and substance use behaviors. Additional research is recommended to determine effective intervention strategies.     

Risky sexual behavior in low‐income African American women: The impact of sexual health variables

In a sample of 163 low‐income African American women, we used logistic regression analyses to test for associations between (a) 5 operationalized constructs theorized in the Sexual Health Model to impact one's overall sexual health (barriers to healthy sexuality, sexual anatomy and functioning, positive sexuality, sexual health care, and cultural identity) and (b) several measures of risky sexual behavior (consistent condom use, multiple concurrent partnerships, and overall sexual risk). No significant relationship was found between acculturation and risky sexual behaviors. Having sexual difficulties was positively associated with overall sexual risk and multiple concurrent partnerships. Favorable attitudes toward condoms were positively associated with consistent condom use. Desiring or intending pregnancy was positively associated with inconsistent condom use and overall sexual risk behavior. This is only the second study linking sexual difficulties and risky sexual behavior. The exact nature of this correlational relationship needs to be studied and replicated in different and more heterogeneous populations.     

Taking risks when communicating on the Internet: the role of offline social-psychological factors in young people's vulnerability to online risks

Children and young people encounter a range of risks on the internet relating to communication. Making friends online has attracted particular attention as a risky behaviour, especially when this leads to offline meetings, as has giving out personal information online. This article, based on the 'UK Children Go Online' survey, seeks to explain the online communication of 9-19-year-olds in terms of their offline socio-psychological characteristics (shyness, life satisfaction, risk-taking), family communication patterns and online behaviour/skills. Findings show that older teens engage in more online communication activities than do younger children and so encounter more communication risks. Although girls communicate more on the internet, this seems not to put them more at risk. It was found that children's offline social psychological characteristics, particularly their levels of life satisfaction and risk-taking, influence their online communication, with different online communication activities being predicted by different patterns of off- and online characteristics. There are weak indications that, in families which have a more conversational style of communication, teens may take fewer risks online, including a lower likelihood of meeting online friends offline. Multiple regression analyses show that those children and teens who are less satisfied with their lives and who have become more frequent and skilled internet users are more likely to value the internet as a communicative environment in which they feel more confident than they do offline, particularly in relation to the potential for anonymous communication. Since this in turn leads some into risky activities, the implications for research and policy are discussed.     

Structural Interpretation of Suicide

Abstract

Drawing upon longitudinal data collected from the same boys and girls in their early (13–14) and later (18–19) years of adolescence, this research models age at sexual debut, contraceptive risk-taking, and teenage pregnancy on the basis of family background and delinquency involvement during the early years of adolescence. The data also allow for control over the influence of social class while studying the effects of race, and vice-versa. Regression analyses showed that both race and delinquency independently predict age at sexual debut, but that SES, with race controlled, does not. Further analysis showed that contraceptive risk-taking was predicted by both age at sexual debut and early delinquency. With these variables controlled, however, neither SES nor race was predictive of contraceptive risk-taking. Finally, contraceptive risk-taking emerged as a substantial predictor of pregnancy.     

Relative Efficacy of a Pregnancy,Sexually Transmitted Infection,or Human Immunodeficiency Virus Prevention–Focused Intervention on Changing Sexual Risk Behavior Among Young Adults

Abstract

Objectives: Despite findings suggesting that young adults are more concerned about experiencing an unplanned pregnancy or contracting a sexually transmitted infection (STI) than becoming human immunodeficiency virus (HIV) infected, no empirical work has investigated whether the specific focus of an intervention may be more or less efficacious at changing sexual behavior. Participants: Participants were 198 college students randomized to 1 of 4 conditions: pregnancy intervention, STI intervention, HIV intervention, or a control condition during 2008–2009. Methods: The authors compared the efficacy of 3 theory-based, sexual risk–reduction interventions that were exactly the same except for an exclusive focus on preventing pregnancy, STI, or HIV. Condom use and risky sexual behavior were assessed at baseline and 4-week and 8-week follow-up. Results: Participants exposed to the pregnancy or STI interventions reported greater condom use and less risky sexual behavior than those exposed to the HIV intervention. Conclusions: The focus of sexual risk–reduction interventions may lead to differential behavior change among young adults.     

Emerging Adolescent Sexuality: A Comparison of American and Dutch College Women's Experiences

ABSTRACT

The United States has the highest rates of teen pregnancy, births, and abortions of all industrialized countries. On the contrary, The Netherlands has the lowest rates. Using qualitative and quantitative methods, this retrospective study investigated American and Dutch college women's sexual behavior, attitudes, and comfort to better understand the factors that lead to the disparity between these two countries. Survey results revealed that the American sample experienced sexual behaviors at a younger age and with more partners, whereas the Dutch sample showed a better use of contraceptives during high school, more talk with their parents, and greater sexuality education. Several distinctly different themes emerged between the U.S. and Dutch women from the in-depth interviews. Themes about U.S. girls included: driven by hormones and peers; unprepared; satisfying him; and uncomfortable and silent parents. Some themes about Dutch girls were: motivated by love; control of my own body; parents as supporters and educators; and books at young ages. Implications for what the United States could be doing to promote sexual health are discussed.     

College Women's Sexual Decision Making: Cognitive Mediation of Alcohol Expectancy Effects

Abstract

Objective: Alcohol has been linked to a variety of risky sexual practices, including inconsistent condom use. Due to the high rates of alcohol consumption among underage college women, greater understanding of the role of alcohol in young women's sexual decision making is warranted. Participants and Methods: Female underage (18- to 20-year-old) social drinkers (N = 94) participated in an experiment in which they projected themselves into a written hypothetical sexual situation with a new partner. One half of the situations portrayed alcohol consumption; one half did not involve alcohol consumption. Their appraisals of the situation's sexual potential, impelling and inhibiting cognitions, and sexual behavior intentions were assessed. Results: Results revealed that alcohol's expectancy effects on young women's unprotected sexual intentions were mediated by their cognitive appraisals of the situation. Conclusions: These findings indicate that alcohol expectancies and their influence on women's sexual decisions should be incorporated into sexual risk reduction efforts.     

Attachment Style and Gender as Predictors of Communicative Responses to Infidelity

This study set out to determine one's communicative responses to infidelity as predicted by attachment style and gender. Three hundred ninety-two participants responded to a measure of attachment and were then randomly assigned to one of three scenarios: imagining a partner's sexual infidelity, imagining a partner's emotional infidelity, and imagining a partner's combined sexual and emotional infidelity. Participants then responded to a communicative response scale in reaction to the scenario. Results showed moderate support for attachment theory and provided support for predicted gender differences. Additional analysis revealed responses differed by whether or not the participant's partner had been unfaithful. Limitations and implications are discussed.