Conversation, Condoms, and Contraception: How Does Communication With Sexual Partners Affect Safer Sexual Behaviors Among American Indian Youth?

Saftner, Melissa A.; Pruitt, Kelsey S.; McRee, Annie-Laurie

doi:10.1177/1059840519849097

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…Research has found that this may be due to adolescents not feeling comfortable talking with their dating partners about sex or fearing communication (Guzmán et al, 2003; Seth et al, 2011). Although there is a growing body of research examining adolescent sexual communication with dating partners (Saftner et al, 2021; Schmid et al, 2015; Widman, Choukas-Bradley, et al, 2014, 2022), very little is known about how communication changes over time, due to the limited number of longitudinal studies on this topic. Considering that dating partners are so proximal to sexual behaviors, researchers have called for more research to focus on this understudied relationship, especially in longitudinal studies (Widman, Choukas-Bradley, et al, 2014).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

A longitudinal assessment of adolescents’ sexual communication with parents, best friends, and dating partners.

Bibby¹,

Choukas‐Bradley²,

Widman³

et al. 2023

Developmental Psychology

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Sexual health communication in adolescence is important for sexual well-being. With limited empirical work utilizing longitudinal methodologies, this study aimed to investigate how the frequency of sexual communication with parents, peers, and dating partners changes across adolescence and varies based on sex, race/ethnicity, and sexual orientation. Participants included 886 U.S. adolescents (54.4% females; 45.9% White, 22.6% Hispanic/Latinx, 21.6% Black/African American) surveyed yearly from middle school through 12th grade. Growth curve models were used to estimate trajectories of the frequency in communication. Results showed curvilinear trajectories for adolescents' sexual communication with their parents, best friends, and dating partners over time. Although all three trajectories showed curvilinear patterns, sexual communication with parents and best friends increased earlier in adolescence and leveled off, while sexual communication with dating partners was lower in early adolescence and showed a steep increase across adolescence. Communication trajectories significantly diverged depending on adolescents' sex and race/ethnicity but not their sexual orientation. This study provides the first evidence of developmental changes over time in adolescent sexual communication with parents, best friends, and dating partners. Developmental implications for adolescents' sexual decision making are discussed. Public Significance StatementWe identified yearly trends, longitudinal trajectories, and sociodemographic differences in adolescent sexual health communication with parents, best friends, and dating partners in a diverse sample of adolescents. This information can provide insights when developing targeted interventions to reduce sexual health disparities.

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Section: Theoretical Frameworkmentioning

confidence: 99%

A longitudinal assessment of adolescents’ sexual communication with parents, best friends, and dating partners.

Bibby¹,

Choukas‐Bradley²,

Widman³

et al. 2023

Developmental Psychology

View full text Add to dashboard Cite

show abstract

“…115 Many interventions carry out formative research with their intended audience to guide program design, using CBPR methods to root sexual health teachings with traditional ways of learning, knowing, and sharing. [116][117][118][119][120][121][122][123][124][125][126][127][128][129][130][131] Robust research methods have been used to assess interventions impact and efficacy, focusing primarily on adolescents and young adults. [132][133][134][135] This work has generated a growing body of curricula and behavioural interventions that meet tribal, state, and federal criteria for use in school and community settings.…”

Section: Community-based Clinical Innovationsmentioning

confidence: 99%

Creating a path forward: understanding the context of sexual health and sexually transmitted infections in American Indian/Alaska Native populations – a review

et al. 2022

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This review assessed sexual health and sexually transmitted infection (STI) burden among American Indian/Alaska Native (AI/AN) peoples within the context of current clinical and public health services. We conducted a review of published literature about sexual health and bacterial STIs among AI/AN populations in the United States using Medline (OVID), CINAHL (EbscoHost) and Scopus. Peer-reviewed journals published during 1 January 2005-2 December 2021 were included and supplemented by other publicly available literature. A total of 138 articles from reference lists met inclusion criteria, including 85 peer-review articles and 53 additional references. Results indicate a disproportionate burden of STIs is carried by AI/AN populations compared to non-Hispanic Whites. Risk for STIs in AI/AN people has origins in historical trauma and structural and social determinants of health. STI services are available for AI/AN populations, but many barriers to care exist. Community-based sexual health programming has been successful, but has thus far focused primarily on adolescents and young adults. A myriad of factors contributes to high rates of STIs among AI/AN populations. Longstanding disparities show a clear need to increase the availability of integrated, low-barrier STI prevention and treatment services. Implementation of multi-level (individual, physician, clinic, healthcare organisation, and/or community level), culturally relevant sexual health and STI interventions should be community-based and person-centred, acknowledge social determinants of health, and grounded in deep respect and understanding of AI/AN histories and cultures.

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Caregiver-Youth Communication Patterns and Sexual and Reproductive Health Among American Indian Youth

Thiele,

Williamson,

Ceavers

et al. 2024

J Immigrant Minority Health

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Improving communication between American Indian caregivers and their youth has been suggested as an Indigenous-forward strategy to help alleviate the sexual and reproductive health (SRH) disparities faced by American Indian youth as a result of the legacy of colonial violence against American Indian communities. Studies with non-American Indian and American Indian populations suggest that effective communication about SRH between parents and youth plays a role in reducing sexual risk behaviors among youth. There is limited research that examines youth sexual risk behaviors in relation to communication patterns separately assessed in caregivers and youth. The current study aimed to examine the association between caregiver-youth communication patterns and engagement in sex, age at sexual debut, and condom use among American Indian youth in the United States. The study draws on baseline caregiver and youth data collected from Nen ŨnkUmbi/EdaHiYedo, a stepped wedge design trial with American Indian youth living on the Fort Peck Reservation in Montana. 113 caregiver responses were matched to 145 youth for the current study. Caregiver-youth communication patterns were examined in relation to youth engagement in sex, age at sexual debut, and number of protected acts of vaginal and/or anal sex. Multivariable models were used to adjust for confounders and to examine relationships between caregiver-youth communication and youth sexual risk outcomes. An increase in overall level of self-reported youth communication with caregivers about sexual and reproductive health topics was significantly associated with a greater likelihood of youth ever having engaged in sex. A significant interaction effect between youth communication and convergence with caregiver response was observed for the number of protected acts of vaginal and/or anal sex, where caregiver communication (regardless of self-reported youth communication with caregivers) was associated with a greater number of protected sex acts. This study fills a gap in the extant literature by reporting on relationships between communication about SRH, assessed separately in caregivers and youth, and youth sexual risk behaviors. Findings emphasize the importance of involving American Indian caregivers in SRH interventions to improve SRH outcomes among American Indian youth, and inform future experimental research that will evaluate how changes in caregiver communication potentially impact youth SRH.

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Conversation, Condoms, and Contraception: How Does Communication With Sexual Partners Affect Safer Sexual Behaviors Among American Indian Youth?

Cited by 7 publications

References 22 publications

A longitudinal assessment of adolescents’ sexual communication with parents, best friends, and dating partners.

A longitudinal assessment of adolescents’ sexual communication with parents, best friends, and dating partners.

Creating a path forward: understanding the context of sexual health and sexually transmitted infections in American Indian/Alaska Native populations – a review

Caregiver-Youth Communication Patterns and Sexual and Reproductive Health Among American Indian Youth

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