“…The youth in both groups had significantly higher sexual health knowledge scores when they reported having had conversations with their caregivers regarding sexual health, including sexual behavior, STDs, and birth control, even after adjusting for age, a finding consistent with prior studies of parent-child sexual communication (Aspy et al, 2007; Fisher, 1986; Fox & Inazu, 1980). Previous studies have called for family-based interventions that promote communication about sexual and reproductive health, and some studies have found that family-based services that support families affected by HIV, including both maternal and pediatric HIV, can improve parent-child relationships and promote communication about difficult topics such as sexuality, sexual risk, and familial HIV (Bhana, McKay, Mellins, Petersen, & Bell, 2010; Donenberg& Maryland, 2005; McKay et al, 2003; Rotheram-Borus, Murphy, Miller, & Draimin, 2008).…”