Reconceptualizing Adolescent Sexual Risk in a Parent‐Based Expansion of the Theory of Planned Behavior

Hutchinson, M. Katherine; Wood, Elyssa B.

doi:10.1111/j.1547-5069.2007.00159.x

Cited by 55 publications

(25 citation statements)

References 35 publications

(63 reference statements)

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“…Although previous work explored substance use among children of HIV-affected mothers has largely recruited only families with an HIV-positive mother (Mellins et al, 2007; Rosenblum et al, 2005), in this study we are able to examine the contextual influence of HIV status by comparing HIV-infected with HIV-negative mother–daughter dyads. The proposed research utilizes Hutchinson and Wood’s (2007) family extension of the Theory of Planned Behavior. This interactive framework accommodates the influences on, and behaviors of, both parents and youth, helping elucidate the interactions between the two.…”

Section: Discussionmentioning

confidence: 99%

“…However, as their actions relate to alcohol use (and other risk behaviors), adolescents are nested within multilevel systems (Bronfenbrenner, 1979). Their behaviors are influenced by interactions within the dyad (partner system), the family, community, and larger society, as well as the interactions among and between these various systems (Hutchinson & Wood, 2007). Therefore, an expanded model of individual behavior is best suited for understanding the individual factors that influence alcohol use.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…This limited perspective has resulted in an incomplete understanding of risky behaviors and may isolate individuals instead of promoting the effective use of family as a resource for information and skills. Individual adolescents are nested within multilevel systems (Bronfenbrenner, 1979; Hutchinson & Wood, 2007); adolescent behaviors take place in complex environments influenced by family, community, and the larger society. The interactions within these systems shape the alcohol behaviors of adolescents.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Relationship Satisfaction and Communication Among Urban Minority HIV-Positive and HIV-Negative Mothers

Cederbaum

Adhikari

Guerrero

et al. 2013

Journal of Family Issues

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Family relationships influence children’s beliefs and behaviors. This work examined qualities associated with communication about alcohol among 176 mothers and the influence of this communication on daughters’ alcohol use. Path analyses by maternal HIV status indicated significant differences. Relationship satisfaction was associated with self-efficacy for both HIV-positive (β = 0.545, p < .001) and HIV-negative (β = 0.557, p < .001) mothers. Maternal self-efficacy was associated with communication for both HIV-positive (β = 0.364, p < .01) and HIV-negative (β = 0.310, p < .05) mothers; maternal attitudes toward alcohol use were associated with communication among HIV-negative mothers (β = 0.20, p < .05). Relationship satisfaction was indirectly related to daughter’s alcohol use in HIV-positive dyads (β = 0.153, p < .05). In families with interfamilial and environmental stressors, investing in the mother–daughter relationship, in part by discussing issues related to alcohol use, is protective in nature.

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Section: Discussionmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Relationship Satisfaction and Communication Among Urban Minority HIV-Positive and HIV-Negative Mothers

Cederbaum

Adhikari

Guerrero

et al. 2013

Journal of Family Issues

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“…This theory states that attitudes, social norms and perceived behavioral control influence behavioral intention, which in turn influences actual behavior (Ajzen, 1985). The TPB has been assessed and validated for understanding a variety of adolescent health issues such as exercise, healthy eating, and sexual health behaviors (Hutchinson & Wood, 2007; Mollen et al, 2008; Rah, Hasler, Painter, & Chapman-Novakofski, 2004; Tsorbatzoudis, 2005). The aim of this study was to use the TPB framework to explore attitudes and beliefs about general and sexual health care access as well as barriers to care among urban, disadvantaged adolescents.…”

mentioning

confidence: 99%

Accessing general and sexual healthcare: experiences of urban youth

Miller

Wickliffe

Jahnke

et al. 2014

Vulnerable Children and Youth Studies

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Urban adolescents face many barriers to health care that contribute to health disparities in rates of sexually transmitted infections (STIs) and unintended pregnancy. Designing interventions to increase access to health care is a complex process that requires understanding the perspectives of adolescents. We conducted six focus groups to explore the attitudes and beliefs about general and sexual health care access as well as barriers to care among urban, economically disadvantaged adolescents. Participants first completed a written survey assessing health behaviors, health care utilization, and demographics. The discussion guide was based on the Theory of Planned Behavior and its constructs: attitudes, subjective norms, and perceived behavioral control. Transcripts of group discussions were analyzed using directed content analysis with triangulation and consensus to resolve differences. Fifty youth participated (mean age 15.5 years; 64% female; 90% African American). Many (23%) reported missed health care in the previous year. About half (53%) reported previous sexual intercourse; of these, 35% reported no previous sexual health care. Youth valued adults as important referents for accessing care as well as multiple factors that increased comfort such as good communication skills, and an established relationship. However, many reported mistrust of physicians and identified barriers to accessing care including fear and lack of time. Most felt that accessing sexual health care was more difficult than general care. These findings could inform future interventions to improve access to care and care-seeking behaviors among disadvantaged youth.

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“…The Parent-Based Expansion of the Theory of Planned Behavior (PETPB) model (Hutchinson & Wood, 2007) can be used to guide studies that examine factors that predict risky adolescent sexual behaviors. The PETPB model proposes relationships between external influences on parental behavioral, normative, and control beliefs which in turn influence parental intentions to talk with their adolescents about sex.…”

Section: Introductionmentioning

confidence: 99%

Relationships between Parent-Adolescent Communication, Acculturation, and Sexual Knowledge on Latino Adolescent Sexual Behavior: A Systematic Review

Gaioso

Wilson²,

Villarruel³

et al. 2017

IJSN

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Latino adolescents in the United States are more likely to engage in early and risky sexual behavior compared to adolescents from other racial and ethnic groups. The quantity and quality of parent-adolescent sexual communication has been suggested as the best predictor on adolescent sexual behavior. Method: A systematic literature review of studies was conducted with relationships between selected parental, adolescent and cultural variables and Latino adolescents' intentions to engage in sexual behavior, derived from the Parent-Based Expansion of the Theory of Planned Behavior (PETPB). Results: From 20 studies reviewed, only 12 reported findings specifically to Latinos living in the United States. There was consistency across these studies supporting the relationships between adolescents' attitudes, subjective norms, and self-efficacy toward risky sexual behavior and adolescents' intentions to have sexual intercourse and to use condoms. However, few studies examined any predictors of parent-adolescent sexual communication guided by the PETPB that included psychological factors and antecedent factors. Conclusion: Future studies should be longitudinal and should include a larger sample of Latino with more variation in levels of acculturation in order to generalize the findings to the diverse Latino immigrant population living in the United States.

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Reconceptualizing Adolescent Sexual Risk in a Parent‐Based Expansion of the Theory of Planned Behavior

Cited by 55 publications

References 35 publications

Relationship Satisfaction and Communication Among Urban Minority HIV-Positive and HIV-Negative Mothers

Relationship Satisfaction and Communication Among Urban Minority HIV-Positive and HIV-Negative Mothers

Accessing general and sexual healthcare: experiences of urban youth

Relationships between Parent-Adolescent Communication, Acculturation, and Sexual Knowledge on Latino Adolescent Sexual Behavior: A Systematic Review

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