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Journal of the American Psychiatric Nurses Association, Vol. 14, No. 1, 50-60 (2008)
DOI: 10.1177/1078390307311770
© 2008 American Psychiatric Nurses Association

Parent—Adolescent Communication About Sexual Pressure, Maternal Norms About Relationship Power, and STI/HIV Protective Behaviors of Minority Urban Girls

Anne M. Teitelman

Center for Health Disparities Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania; teitelm{at}nursing.upenn.edu

Sarah J. Ratcliffe

Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Julie A. Cederbaum

School of Social Policy & Practice, Philadelphia, Pennsylvania

Racial/ethnic minority adolescent girls bear a disproportionate risk for HIV and face barriers to autonomous sexual decision making, but parental messages may help protect against sexual risk taking. The authors examined African American and Hispanic girls' sexually transmitted infection (STI) and HIV prevention practices, parent—adolescent communication about sexual pressure, and maternal gender norms (N = 118). Teens were more likely to practice consistent STI/HIV prevention when mothers talked about partner sexual pressure (p = .017) and fathers talked about resisting partner sexual pressure (p = .034). Sexually active girls who perceived that their mothers held egalitarian beliefs about partner decision making had more consistent condom use (p = .029). Given the context of increased STI/HIV risk, it is critical that parents discuss partner dynamics with daughters. Nurses play a unique role in facilitating these conversations; they provide parents with age-appropriate resources and assist in normalizing fears, which can help increase parent—child sexual-risk communication. J Am Psychiatr Nurses Assoc, 2008; 14(1), 50-60. DOI : 10.1177/1078390307311770

Key Words: parent—adolescent communication • sexual decision making • sexual pressure • partner relationships • sexual risk • adolescent females • HIV prevention


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