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No. 2194
October 7, 2008




                                 Teen Sex: The Parent Factor
                                                             Christine C. Kim


   The statistics on teen sexuality in the United States
are troubling. About 7 percent of high school stu-
dents report having had sex before the age of 13. By                                        Talking Points
ninth grade, one-third of high school students have                        • The statistics on teen sexuality in the United
engaged in sexual activity, and by 12th grade, two-                          States are troubling. Two-thirds of 12th grad-
thirds.1 Yet the majority of these teens, 60 percent                         ers have engaged in sexual activity. One in
overall and 67 percent among younger adolescents,                            four teenage girls has at least one sexually
                                                                             transmitted infection, and one in five will
regret their first experience and wish they had waited
                                                                             become teen mothers.
longer.2 Sadly, for many teens, the consequences go
far beyond regrets.                                                        • Social science research suggests that parents
                                                                             can influence their adolescents’ sexual
                                                                             behavior. Protective parental influences
                                                                             include the intact family structure, parents’
   Sexual Activity Among High Schoolers                                      disapproval of adolescent sex, and a strong
                                                                             parent-child relationship.
   Percent of High School Students Who Have Ever                           • Policies and programs focused on reducing
   Engaged in Sexual Activity, 2007                                          teen sexual activity and related negative out-
                                                          50%                comes should strengthen parental involve-
   Grade     Pct.
                                                                             ment. Conversely, efforts that discourage
   9th     32.8%
                                                                             parental involvement or bypass parental
   10th    43.8%
                                                                             consent in sensitive areas should be uni-
   11th    55.5%
                                                                             formly opposed.
   12th    64.6%
   Total   47.8%

   Before
   Age 13 7.1%

   Source: Youth Risk Behavior Survey, 2007; Danice K. Eatson, Laura
   Kann, Steve Kinchen et al., “Youth Risk Behavior Surveillance—United
   States, 2007,” Surveillance Summaries, Morbidity and Mortality                   This paper, in its entirety, can be found at:
   Weekly Report, Vol. 57, No. SS-4 (June 6, 2008), Table 61.                      www.heritage.org/Research/Family/bg2194.cfm
                                      Chart 1 • B 2194      heritage.org       Produced by the Domestic Policy Studies Department
                                                                                      Published by The Heritage Foundation
                                                                                         214 Massachusetts Avenue, NE
                                                                                         Washington, DC 20002–4999
                                                                                         (202) 546-4400 • heritage.org
                                                                           Nothing written here is to be construed as necessarily reflect-
                                                                            ing the views of The Heritage Foundation or as an attempt
                                                                              to aid or hinder the passage of any bill before Congress.
No. 2194                                                                                                   October 7, 2008

Teen Sexual Activity and Outcomes                                mothers as those who remain abstinent throughout
    Early sexual activity is associated with a host of           their teenage years. Nearly 40 percent of girls who
negative outcomes that can have lasting physical,                begin sexual activity at ages 13 or 14 will give birth
emotional, social, and economic impacts on the                   outside marriage, compared to 9 percent of those
lives of young people, particularly teenage girls and            who remain abstinent until their early twenties.7
young women.12                                                      Marital Stability and Maternal Poverty. Sexual
    Sexually Transmitted Diseases. The Centers                   activity at an early age may also affect marital and
for Disease Control and Prevention estimates that                economic stability later in life. Among women in
one in four teenage girls has at least one sexually              their thirties, those who were sexually active during
transmitted infection (STI).3 Teenage girls, espe-               early adolescence are half as likely to be in stable
cially, are physiologically vulnerable to these infec-           marriages as those who waited until their early
tions,4 and early sexual activity increases the risk of          twenties to have sex.8 Early sexual activity is also
infection. One study found that those who begin                  linked to maternal poverty. At the time of a large
sexual activity at age 13 are twice as likely to                 national survey in 1995, nearly 30 percent of moth-
become infected as peers who remain sexually absti-              ers who began sexual activity at ages 13 or 14 lived
nent throughout their teen years.5                               in poverty compared to 12 percent of those who
                                                                 waited until their early twenties.9
    Teen Pregnancy and Unwed Childbearing.
The National Campaign to Prevent Teen and                        Parental Influence and Teen Sex
Unplanned Pregnancy estimates that about one in                      Many policymakers, health professionals, and
two Hispanic and black teenage girls and one in five             “safe sex” advocates respond to these troubling sta-
Caucasian teenage girls will become pregnant at                  tistics by demanding more comprehensive sex edu-
least once before turning 20. Overall, nearly one in             cation and broader access to contraceptives for
five adolescent girls will give birth in her teens.6             minors. They assume that teens are unable to delay
    Engaging in early sexual activity elevates the risk          their sexual behavior and that a combination of
of teenage girls becoming pregnant and single moth-              information about and access to contraceptives will
ers. Girls who become sexually active during early               effectively lead to protected sex, preventing any
adolescence are three times as likely to become single           form of harm to youngsters. Not only are these

1. Centers for Disease Control and Prevention, “Youth Risk Behavior Surveillance—United States, 2007,” Surveillance
   Summaries, Vol. 58, No. SS-4 (June 6, 2008), Table 61, at http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.pdf
   (September 2, 2008).
2. Bill Albert, “With Once Voice 2007: America’s Adults and Teens Sound Off About Teen Pregnancy,” The National
   Campaign to Prevent Teen Pregnancy, February 2007, at http://www.thenationalcampaign.org/resources/pdf/pubs/
   WOV2007_fulltext.pdf (September 1, 2008).
3. Press release, “Prevalence of Sexually Transmitted Infections and Bacterial Vaginosis Among Female Adolescents
   in the United States: Data from the National Health and Nutritional Examination Survey (NHANES) 2003–2004,”
   Centers for Disease Control and Prevention, March 11, 2008, at http://www.cdc.gov/stdconference/2008/media/
   summaries-11march2008.htm#tues1 (September 1, 2008). Comparable estimates for teenage boys are not available.
4. Willard Cates, “Reproductive Tract Infections,” in Robert A. Hatch et al., eds., Contraceptive Technology (New York: Ardent
   Media, 2004).
5. Robert E. Rector, Kirk A. Johnson, Lauren R. Noyes, and Shannan Martin, “The Harmful Effects of Early Sexual Activity
   and Multiple Sexual Partners Among Women: A Book of Charts,” The Heritage Foundation, June 23, 2003.
6. The National Campaign to Prevent Teen and Unplanned Pregnancy, “Policy Brief: Racial and Ethnic Disparities in Teen
   Pregnancy,” July 2008, at http://www.thenationalcampaign.org/policymakers/PDF/
   Briefly_PolicyBrief_RacialEthnicDisparities.pdf (September 2, 2008).
7. Rector et al., “The Harmful Effects of Early Sexual Activity.”
8. Ibid.
9. Ibid.




page 2
No. 2194                                                                                                                    October 7, 2008


Parents Remain Influential Regarding Teens’ Decisions About Sex
When asked, “When it comes to your decisions about sex, who is the most influential?” about half of high schoolers surveyed
indicated their parents. Older teens were more likely to be influenced by their friends.

   Group                                                       Responses (Percentage Reporting)

                                                                          Teachers,                                                    Don’t
                                                                          Sex       Religious The                              Someone Know/
                  Parents                                Friends          Educators Leaders Media Siblings Yourself            Else    Refused
Teens 12 to 14    59                                     13               5         5         2   5         1                   7      –
Teens 15 to 19    39                                     21               4           8          4       4          7          12          –
Teens 12 to 19    47                                     18               4           7          3       5         10           4          3


Girls 12 to 19    50                                     18               4           7          3       5          3           7          –
Boys 12 to 19     43                                     18               5           6          3       4          6          12          –

Note: The percentages, as reported in “With One Voice 2007,” do not total 100 percent.
Source: Bill Alber t, “With Once Voice 2007: America’s Adults and Teens Sound Off About Teen Pregnancy,” The National Campaign to Prevent Teen
Pregnancy, February 2007, pp. 7–8, at http://www.thenationalcampaign.org/resources/pdf/pubs/WOV2007_fulltext.pdf (September 1, 2008).
                                                                                                                    Chart 2 • B 2194   heritage.org



assumptions faulty, they tend to disregard impor-                                 The empirical evidence on the association between
tant factors that have been linked to reduced teen                            parental influences and adolescents’ sexual behavior
sexual activity. A particularly noticeable omission is                        is strong. Parental factors that appear to offer strong
parental influence.                                                           protection against the onset of early sexual activity in-
   Parents, as teens themselves reveal, are the ones                          clude an intact family structure; parents’ disapproval
who have the most influence on their children’s                               of adolescent sex; teens’ sense of belonging to and sat-
decisions about sex. Indeed, two-thirds of all teens                          isfaction with their families; parental monitoring; and,
share their parents’ values on this topic.                                    to a lesser extent, parent-child communication about
                                                                              teen sex and its consequences.
   When it comes to talking about teen sex, both
teens and parents report high levels of communi-                                  That parents play a role in teen sex points to at
cation. Parents, however, tend to perceive a                                  least two significant policy implications. First, pro-
greater level of communication than do teens.                                 grams and policies that seek to delay sexual activity
Nearly all parents (90 percent) report having had                             or to prevent teen pregnancy or STDs should
a helpful conversation about delaying sex and                                 encourage and strengthen family structure and
avoiding pregnancy with their teenage children,                               parental involvement. Doing so may increase these
compared to 71 percent of teens who report hav-                               efforts’ overall effectiveness. Conversely, programs
ing had such a conversation with their parents.10                             and policies that implicitly or explicitly discourage
Many parents are also unaware of their teens’                                 parental involvement, such as dispensing contra-
actual behavior. In a study of 700 teens in Phila-                            ceptives to adolescents without parental consent or
delphia, 58 percent of the teens reported being                               notice, contradict the weight of social science evi-
sexually active, while only one-third of their                                dence and may prove to be counterproductive and
mothers believed they were.11                                                 potentially harmful to teens.

10. Ibid., pp. 11–12.
11. James Jaccard, Patricia J. Dittus, and Vivian V. Gordon, “Parent-Adolescent Congruency in Reports of Adolescent Sexual
    Behavior and in Communications About Sexual Behavior,” Child Development, Vol. 69, No. 1 (February 1998), pp. 247–261.




                                                                                                                                          page 3
No. 2194                                                                                                    October 7, 2008

Research Findings                                                 race and ethnicity, age, and family background, sug-
   A Research Note. Social scientists are primarily               gest the following:
concerned with the question of causality. For exam-               • Adolescents living in intact families are more
ple, does parental disapproval of teen sex indepen-                  likely to delay sexual activity than peers living in
dently cause teens to delay sexual activity?                         other family forms. Parents’ marital transitions,
Causality, however, is difficult to establish in social              the absence of a natural father in the home, and the
science research. Using statistical methods and                      duration of such absences are significant as well.
appropriate data sources, social scientists infer cer-            • The protective influence of the intact family
tain reasonable conclusions from their research. The                 structure appears to vary by gender, age, and eth-
degree of confidence with which they draw inferred                   nicity, with stronger effects for adolescent girls,
conclusions depends largely on data quality, study                   white teenagers, and younger teens.
design, and statistical method.
                                                                  • Teens living in intact families also tend to report
   The research on parental influences and teen sex-                 fewer sexual experiences and partners, and are
uality is extensive. A substantial portion of the                    less likely to report being infected with a sexually
research is based on cross-sectional data, which                     transmitted disease, compared to peers in non-
capture information at one point in time and pro-                    intact families. This is primarily because teens in
vide a “snapshot” view. As such, they limit research-                intact families tend to delay sexual activity.
ers’ ability to draw stronger conclusions. At best,
cross-sectional data offer evidence of correlations,              • Adolescent girls in intact families are less likely to
e.g., parental disapproval of teen sex is associated                 become pregnant and give birth outside of mar-
with delayed sexual initiation. Longitudinal sur-                    riage compared to peers in non-intact families.
veys, on the other hand, follow the same group of                    Yet, as sociologist Paul Amato notes, “[p]erhaps
individuals over time, which allows researchers to                the most profound change in the American family
infer stronger findings. This paper mostly highlights             over the past four decades has been the decline in
findings from studies that use longitudinal data,                 the share of children growing up in households
which offer more rigorous conclusions.                            with both biological parents.”13 In 1960, 88 per-
   Family Structure. A key parental influence on                  cent of all children lived with two parents, com-
teen sex is family structure, for example, the num-               pared to 68 percent in 2007.14 In 1960, 5 percent
ber of parents living with, and their relationship to             of all children born were to unmarried mothers.
(biological, adoptive, step, or unrelated), the chil-             That figure rose to 38.5 percent in 2006.15 Thus,
dren in the families. The link between childhood                  policies and programs that bolster the intact family
family structure and the timing of sexual initiation              structure and promote healthy marriages may
has been well researched and documented.12                        reduce teen sexual activity.
Research findings from studies that use a variety of                 Parental Values and Disapproval of Teen Sex.
data sources and that account for other factors asso-             Studies have demonstrated a robust correlation
ciated with teen sexual behavior, such as gender,                 between parental values on teen sex and teen sexual

12. For a comprehensive review of the academic literature, see Samuel W. Sturgeon, “The Relationship Between Family
    Structure and Adolescent Sexual Activity,” Heritage Foundation FamilyFacts.org Special Report No.1, forthcoming. The
    report summarizes findings from over one hundred empirical studies, nearly all of which appeared in peer-reviewed
    academic publications. This section summarizes research findings from the forthcoming report.
13. Paul R. Amato, “The Impact of Family Formation Change on the Cognitive, Social, and Emotional Well-Being of the Next
    Generation,” The Future of Children, Vol. 15, No. 2 (Fall 2005), p. 76.
14. U.S. Census Bureau, Historical Time Series, Living Arrangements of Children, Table CH-1, at http://www.census.gov/
    population/socdemo/hh-fam/ch1.xls (September 2, 2008).
15. S. J. Ventura and C. A. Bachrach, “Nonmarital Childbearing in the United States, 1940–99,” National Vital Statistics Report,
    Vol. 48, No. 16 (2000), Table 1; E. H. Brady, J. A. Martin, and S. J. Ventura, “Births: Preliminary Data for 2006,” National
    Vital Statistics Reports, Vol. 56, No. 7 (2007), Table 1.




page 4
No. 2194                                                                                                         October 7, 2008

behavior. Using longitudinal data, more recent                         pregnancy one year later than teens who viewed
research indicates that parental disapproval, partic-                  their mothers as having a more liberal attitude
ularly mothers’ disapproval (fathers’ values are less                  toward their engagement in sexual activity.19
well studied), of their teens having sex appears to                    Studying younger and older teens together, as in
delay the onset of sexual activity. Importantly, the                   the previous study, may bias the results, as older
association is between teens’ perceptions of their par-                abstinent teens may have different characteris-
ents’ disapproval, not necessarily parents’ actual                     tics than same-aged peers who are sexually
views, and delayed initiation. This does not mean                      experienced.
that parental values are unimportant. In fact,
research shows that, overall, parents’ beliefs about                 • Another study, of younger adolescents ages 14
teen sex are a significant predictor of teens’ percep-                 and 15, revealed similar findings, though the
tions. (Another predictor appears to be strong par-                    effect only appears statistically significant20 for
ent-child relationships during early adolescence.)16                   girls.21 This relationship held true even consid-
                                                                       ering adolescent girls’ race, family structure, and
   Perceived parental disapproval of teen sex may                      dating history, as well as their mothers’ education
also reduce the risk of teen pregnancy.17 The evi-                     and religiosity, mothers’ report of communica-
dence suggests that adolescent girls tend to benefit                   tion with their daughters on topics related to
more from this protective influence than do boys.                      teen sex and birth control and of mother-daugh-
• For example, in a study of 8,200 middle and high                     ter relationship quality, and the frequency of
   school students nationwide, virgin teens who                        mothers’ communication with the parents of
   perceived stronger disapproval from their moth-                     their daughters’ friends.
   ers during the baseline interview18 were less                     • A third study, using longitudinal data, analyzed
   likely to have started sexual activity and report a                 children ages 12 to 16 from the San Francisco

16. Renee E. Sieving, Clea S. McNeely, and Robert Wm. Blum, “Maternal Expectations, Mother-Child Connectedness, and
    Adolescent Sexual Debut,” Archives of Pediatrics and Adolescent Medicine, Vol. 154 (August 2000), pp. 809–815.
17. Melina Bersamin, Michael Todd, Deborah A. Fisher et al., “Parenting Practices and Adolescent Sexual Behavior: A
    Longitudinal Study,” Journal of Marriage and Family, Vol. 70 (February 2008), pp. 97–112; Erin Calhoun Davis and Lisa
    V. Friel, “Adolescent Sexuality: Disentangling the Effects of Family Structure and Family Context,” Journal of Marriage and
    Family, Vol. 63 (August 2001), pp. 669–681; Patricia J. Dittus and James Jaccard, “Adolescents’ Perceptions of Maternal
    Disapproval of Sex: Relationship to Sexual Outcomes,” Journal of Adolescent Health, Vol. 26 (2000), pp. 268–278; Laura
    Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?” Journal of Family Issues, Vol. 26 (October 2005),
    pp. 947–974; James Jaccard, Patricia Dittus, and Vivian V. Gordon, “Maternal Correlates of Adolescent Sexual and
    Contraceptive Behavior,” Family Planning Perspectives, Vol. 28, No. 4 (July–August 1996), pp. 159–185; Jaccard, Dittus,
    and Gordon, “Parent-Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications About
    Sexual Behavior”; Clea McNeely, Marcia L. Shew, Trisha Beuhring et al., “Mothers’ Influence on the Timing of First Sex
    Among 14- and 15-Year-Olds,” Journal of Adolescent Health, Vol. 31 (2002), pp. 256-265; Mark D. Regnerus and Laura
    B. Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex,” Journal of Family Issues, Vol. 27,
    No. 2 (February 2006), pp.159–183; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness,
    and Adolescent Sexual Debut”; Patricia Dittus, James Jaccard, and Vivian V. Gordon, “The Impact of African American
    Fathers on Adolescent Sexual Behavior,” Journal of Youth and Adolescence, Vol. 26, No. 4 (1997), pp. 445–465; and Michael
    Resnick, Peter S. Bearman, Robert Wm. Blum et al., “Protecting Adolescents From Harm,” Journal of American Medical
    Association, Vol. 278, No. 10 (September 10, 1997), pp. 823–832.
18. Adolescents were asked: “How would your mother feel about your having sex at this time in your life?” and “How would
    your mother feel about your using birth control at this time in your life?” Dittus and Jaccard, “Adolescents’ Perceptions of
    Maternal Disapproval of Sex,” p. 271.
19. Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex.”
20. Statistical significance indicates the probability that an estimated difference, a finding, actually exists versus it being due to
    random chance.
21. McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.”




                                                                                                                               page 5
No. 2194                                                                                                  October 7, 2008

    Bay and the Los Angeles County areas, and                    thorough review of the research on family relation-
    found that perceived parental disapproval of teen            ships and teen pregnancy risk published before
    sex also reduced the likelihood of teens engaging            2000, Dr. Brent Miller and colleagues write:
    in oral sex one year later.22                                    There is marked consistency in this body of
    As noted earlier, parents and teens differ in their              more than 20 studies…all but a few indi-
perceptions of the level of communication about                      cate that parent/child closeness is associ-
teen sex issues and actual behavior that takes place.                ated with reduced adolescent pregnancy
Thus, to ensure that teens perceive their parents’                   risk through teens remaining sexually absti-
disapproval of teen sex accurately, parents should                   nent, postponing intercourse, having fewer
unequivocally convey their values to their teens.                    sexual partners, or using contraception
Mixed messages could potentially diminish any                        more consistently.25
positive effects parental values have on delaying                   Four recent longitudinal studies, analyzing the
teen sexual behavior. In a national poll, teens were             same nationally representative survey of students in
asked: “Suppose a parent or other adult tells you/a              grades seven through 11 across the nation, report
teen the following: ‘Don’t have sex, but if you do               the following:
you should use birth control for protection.’ Do you
think this is a message that encourages you/teens to             • Teens who reported greater satisfaction in their
have sex?”23 One teen in two responded affirma-                     relationships with their mothers were less likely
tively, indicating that, to many teens, a qualified                 to have sex and become pregnant (and were also
“no” translates into a perceived “yes.”                             more likely to use birth control during their most
                                                                    recent sexual experience) one year later than
    Parent-Child Relationships. A third robust                      peers who felt less satisfied in their relationships
protective parental element is strong parent-child                  with their mothers.26
relationships.24 Parent-child relationship quality or
connectedness is often measured by the level of sat-             • Fourteen- and 15-year-old adolescent girls
isfaction teens and their parents experience in their               whose mothers reported greater satisfaction in
relationships with one another; the amount of                       their relationships with their teens were less
warmth, love, affection, and communication teens                    likely to initiate sexual activity one year later
report receiving from their parents; and the level of               than peers of mothers who felt less satisfied in
parental involvement in their children’s lives. In a                their relationships with their daughters.27


22. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.”
23. Albert, “With One Voice, 2007,” p. 20.
24. Davis and Friel, “Adolescent Sexuality”; Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex”;
    Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?”; Jaccard, Dittus, and Gordon, “Maternal Correlates of
    Adolescent Sexual and Contraceptive Behavior”; Jaccard, Dittus, and Gordon, “Parent-Adolescent Congruency in Reports
    of Adolescent Sexual Behavior and in Communications About Sexual Behavior”; Christine M. Markham, Susan R.
    Tortolero, S. Liliana Escobar-Chaves et al., “Family Connectedness and Sexual Risk-Taking Among Urban Youth Attending
    Alternative School,” Perspectives on Sexual and Reproductive Health, Vol. 35, No. 4 (2003), pp. 174–179; McNeely, Shew,
    Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds”; J. Barnet, D. R. Papini, and
    E. Gbur, “Familial Correlates of Sexually Active Pregnant and Nonpregnant Adolescents,” Adolescence, Vol. 26, No. 102
    (1991), pp. 457–72; Regnerus and Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex”;
    Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Dawn
    Upchurch, Carol S. Aneshensel, Clea A. Sucoff et al., “Neighborhood and Family Contexts of Adolescent Sexual Activity,”
    Journal of Marriage and Family, Vol. 61, No. 4 (November 1999), pp. 920–933.
25. Brent C. Miller, Brad Benson, and Kevin A. Galbraith, “Family Relationships and Adolescent Pregnancy Risk: A Research
    Synthesis,” Developmental Review, Vol. 21 (2001), p. 3.
26. Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex.”
27. McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.”




page 6
No. 2194                                                                                                   October 7, 2008

• For teenage girls, but not for boys, higher quality            • In a study of some 750 children ages 13 and
   father-daughter relationships, but not mother-                  older, adolescents who received more parental
   daughter relationships, tended to postpone sex-                 monitoring were more likely to delay sexual initi-
   ual activity. This connection appeared to be                    ation one year later compared to peers who
   explained by the observation that adolescent                    received less monitoring from their parents. This
   girls who have better relationships with their                  applied to dating teens as well. However, teen
   fathers also have fewer dating relationships,                   sexual behavior appeared uninfluenced by
   associate more guilt with having sex, and share                 parenting style, either supportive (characterized
   more meals with their parents relative to peers                 by frequently praising and spending time with
   who reported lower quality father-daughter rela-                the child) or coercive (characterized by spanking,
   tionships.28                                                    yelling, or arguing with the child) parenting.32
• Younger teenage girls and boys as well as older                • In a study of nearly 900 youths, ages 12 to 16,
   teenage boys who felt more connected to their                   from the San Francisco Bay and Los Angeles
   mothers tended to delay sexual activity com-                    County areas, those who reported more parental
   pared to similar-age peers who felt less con-                   monitoring or those whose parents limited their
   nected to their mothers.29                                      television were less likely to engage in oral sex
   Parental Monitoring and Parenting Practices.                    one year later compared to peers whose parents
Most research on parental monitoring—for exam-                     were less knowledgeable about their where-
ple, the extent to which parents know the where-                   abouts outside school and home or whose par-
abouts and activities of their children outside home               ents did not limit their television viewing. While
and school—parental supervision, and parental                      parental monitoring was not associated with sex-
rules shows a positive correlation between these fac-              ual initiation in this study, parental limitations on
tors and reduced teen sexual activity.30 For studies               and co-viewing of television appeared to be asso-
that do not demonstrate such a relationship, Dr.                   ciated with delayed sexual initiation.33
Miller posits that “excessive or coercive” parental              • In a study of young minority adolescent boys
control might actually lead to negative outcomes.31                from low-income areas of Chicago, Boston, and
The following findings come from several recent                    San Antonio, those who reported greater levels of
longitudinal studies:                                              parental monitoring were less likely to initiate


28. Regnerus and Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex.”
29. Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut.”
30. Angela J. Huebner and Laurie W. Howell, “Examining the Relationship Between Adolescent Sexual Risk-Taking and
    Perceptions of Monitoring, Communication and Parenting Styles,” Journal of Adolescent Health, Vol. 33 (2003), pp. 71–78;
    Monica A. Longmore, Wendy D. Manning, and Peggy C. Giordano, “Preadolescent Parenting Strategies and Teens’ Dating
    and Sexual Initiation: A Longitudinal Analysis,” Journal of Marriage and Family, Vol. 63 (May 2001), pp. 322–335; Kathleen
    Boyce Rodgers, “Parenting Processes Related to Sexual Risk-Taking Behaviors of Adolescent Males and Females,” Journal of
    Marriage and Family, Vol. 61, No. 1 (February 1999), pp. 99–109; Laura D. Pittman and P. Lindsay Chase-Lansdale,
    “African American Adolescent Girls in Impoverished Communities: Parenting Style and Adolescent Outcomes,” Journal of
    Research on Adolescence, Vol. 11, No. 2 (2001), pp. 199–224; Eric P. Baumer and Scott J. South, “Community Effects on
    Youth Sexual Activity,” Journal of Marriage and Family, Vol. 62 (May 2001), pp. 540–554; Bersamin, Todd, Fisher et al.,
    “Parenting Practices and Adolescent Sexual Behavior”; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child
    Connectedness, and Adolescent Sexual Debut”; Ralph J. DiClemente, Gina M. Wingood, Richard Crosby et al., “Parental
    Monitoring: Association with Adolescents’ Risk Behavior,” Pediatrics, Vol. 107 (2001), pp. 1363–1368; Brenda J. Lohman
    and Amanda Billings, “Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual
    Behaviors,” Journal of Youth and Adolescence, Vol. 37, No. 6 (July 2008), pp. 723–735.
31. Miller, Benson, and Galbraith, “Family Relationships and Adolescent Pregnancy Risk,” p. 9.
32. Longmore, Manning, and Giordano, “Preadolescent Parenting Strategies and Teens’ Dating and Sexual Initiation.”
33. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.”




                                                                                                                       page 7
No. 2194                                                                                                  October 7, 2008

   sexual activity before age 15 compared to peers                  While some studies have reported an inverse
   who received less parental monitoring. Parental               correlation between communication and teen sex-
   monitoring also had an indirect influence on                  ual activity—more communication, less teen sexual
   engaging in risky sexual behavior through                     activity—others have reported a positive associa-
   reduced substance use and school problems.34                  tion—more communication, more teen sexual
• In a cross-sectional sample of black female ado-               activity. Neither relationship should be interpreted
   lescents ages 14 and 18, parental monitoring                  as causal, for example, communication causes teens
   was related to a reduction in testing positive                to engage in sexual activity. Still other studies have
   for STDs.35                                                   reported no significant correlations. The following
                                                                 studies present some of the mixed results:
   Parent-Child Communication. The evidence
on parent-child communication, particularly com-                 • In a study of teens, ages 12 to 16, from the San
munication about sex and birth control, is more                     Francisco Bay and Los Angeles County areas, the
mixed.36 Reviewing 30 studies published before                      teens were asked about the quality of their gen-
2000, Dr. Brent Miller and colleagues summarize                     eral communication with their parents as well as
the research as follows:                                            whether they and their parents had talked about
                                                                    sex-related topics in the past year. Teens who
    Results across these studies are complex and                    reported better quality communication with
    discrepant. Perhaps the clearest conclusion                     their mothers were less likely to engage in oral
    that can be drawn from these studies is that                    sex one year later. General father-teen communi-
    there is no simple direct effect. That is, par-                 cation did not appear to affect teen oral sex, nor
    ent-teen communication about sexual issues                      did general parent-child communication appear
    has no uniform or consistent effect on ado-                     to have an effect on sexual initiation. However,
    lescent pregnancy risk that holds across gen-                   teens who talked with their parents about sexual
    der, race, source of data (parent or child                      issues in the past year were more likely to engage
    report), and especially across parental atti-                   in oral sex and sexual activity compared to peers
    tudes and values.37                                             who did not have such discussions.38

34. Lohman and Billings, “Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual
    Behaviors.”
35. DiClemente, Wingood, Crosby et al., “Parental Monitoring: Association with Adolescents’ Risk Behavior.”
36. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior”; Davis and Friel, “Adolescent
    Sexuality”; Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?”; Vincent Guilamo-Ramos, James Jaccard,
    Patricia Dittus et al., “Parental Expertise, Trustworthiness and Accessibility: Parent-Adolescent Communication and
    Adolescent Risk Behavior,” Journal of Marriage and Family, Vol. 68 (December 2006), pp. 1229–1246; Jaccard, Dittus, and
    Gordon, “Maternal Correlates of Adolescent Sexual and Contraceptive Behavior”; Jaccard, Dittus, and Gordon, “Parent-
    Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications about Sexual Behavior”; Peter
    S. Karofsky, Lan Zeng, and Michael Kosorok, “Relationship Between Adolescent-Parental Communication and Initiation of
    First Intercourse by Adolescent,” Journal of Adolescent Health, Vol. 28 (2000), pp. 41–45; Longmore, Manning, and
    Giordano, “Preadolescent Parenting Strategies and Teens’ Dating and Sexual Initiation”; McNeely and Blum, “Maternal
    Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Barnet and Papini, “Familial Correlates of
    Sexually Active Pregnant and Nonpregnant Adolescents”; Rodgers, “Parenting Processes Related to Sexual Risk-Taking
    Behaviors of Adolescent Males and Females”; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child
    Connectedness, and Adolescent Sexual Debut”; Daniel J. Whitaker and Kim S. Miller, “Parent-Adolescent Discussions
    About Sex and Condoms: Impact on Peer Influences of Sexual Risk Behavior,” Journal of Adolescent Research, Vol. 15, No. 2
    (March 2000), pp. 251–273; Deborah Holtzman and Richard Rubinson, “Parent and Peer Communication Effects on
    AIDS-Related Behavior Among U.S. High School Students,” Family Planning Perspectives, Vol. 27, No. 6 (November–
    December 1995), pp. 235–268.
37. Miller, Benson, and Galbraith, “Family Relationships and Adolescent Pregnancy Risk,” pp. 10, 13.
38. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.”




page 8
No. 2194                                                                                             October 7, 2008

• A study of some 200 adolescents and young                  • Greater parental monitoring and rules appear to
   adults from Madison, Wisconsin, found that                  be correlated with reduced teen sexual activity,
   general parent-child communication appeared                 though the evidence is mixed.
   to delay sexual activity over time.39                     • The evidence on parent-child communication, in
• Two longitudinal studies of a national repre-                general or specifically about sexual issues, is
   sentative survey of teens, one examining                    mixed. Here, the relationship may vary by the
   younger adolescents and the other, eighth                   content and degree of discussion as well as other
   through 11th graders, did not find any direct               factors.
   links between mother-teen communication
   about sex-related topics and teen sexual behav-           What Parents Should Do
   ior. When mothers recommended a specific                     From a parent’s perspective, the implications are
   type of birth control to their teens, however,            clear: Parents can, in fact, influence their children’s
   teens tended to perceive less disapproval from            sexual behavior and offer protection against the
   their mothers regarding teen sex, which, in               negative consequences of early sexual activity. The
   turn, appeared to have an encouraging effect              two strongest links appear to be parental values
   on initiating sexual activity.40                          regarding teen sex and parents’ relationships with
• Interestingly, one cross-sectional study of some           their children. Consequently, parents should:
   600 middle school students from the South                 • Avoid sending ambiguous and mixed messages
   Bronx in New York City found that when moth-                 about teen sex;
   ers talked to their teens about the moral and             • Convey clearly to their teens their values on
   social consequences of early sexual activity, teens          this subject;
   were more likely to delay sexual initiation. Talk-
                                                             • Focus on imparting clearly defined values—sim-
   ing about the physical and health risks associated
                                                                ply discussing sex, contraceptives, and physiol-
   with early sexual activity did not appear to affect
                                                                ogy does not necessarily protect teens; and
   teens’ behavior.41
                                                             • Seek to strengthen their relationships with their
   Summary. Clearly, the research on parental
                                                                teenage children.
influences and teen sexual behavior is rich and
nuanced. A few broad trends emerge:                          What Policymakers Should Do
• The intact family structure is associated with                From a policy perspective, the implications are
   delayed and reduced levels of teen sexual activity        clear as well: Parents can influence teen sexual behav-
   and reduced risk of teen pregnancy.                       ior and related outcomes. Policymakers should:
• Parental disapproval of teen sex, specifically             • Include a component on healthy marriage, stable
   teens’ perceptions of their mothers’ disapproval,            family formation, and parental involvement in
   is linked to delayed sexual activity and reduced             programs and policies that seek to delay teen
   risk of teen pregnancy.                                      sexual activity or prevent teen-sex related nega-
• Higher levels of parent-teen relationship satis-              tive outcomes.
   faction and a strong connection between teens             • Oppose programs and policies that discourage
   and their mothers are associated with delayed                parental involvement. For example, policies that
   sexual initiation.                                           dispense contraceptives to teens, in school-based

39. Karofsky, Zeng, and Kosorok, “Relationship Between Adolescent-Parental Communication and Initiation of First
    Intercourse by Adolescent.”
40. Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”;
    McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.”
41. Guilamo-Ramos, Jaccard, Dittus et al., “Parental Expertise, Trustworthiness and Accessibility.”




                                                                                                                page 9
No. 2194                                                                                                October 7, 2008

  clinics and other settings, without parental con-            early teen sexual activity and reducing the risk of
  sent or notification are clearly contrary to the             harmful consequences. Importantly, the empirical
  weight of social science evidence and might                  evidence indicates that childhood family structure,
  weaken a demonstrated protective influence against           teens’ perceptions of parental disapproval of teen
  early teen sexual activity and related outcomes.42           sex, and the quality of the parent-child relationship
• Endorse programs and policies that promote                   appear to affect teen sexual behavior. The evidence
  strong marriage and stable family formation.                 on parental monitoring and parent-child communi-
                                                               cation, in general and specifically about sex-related
Conclusion                                                     topics, appears more mixed.
   Nationally, a non-trivial portion of teens engage              Consequently, programs and policies focused on
in sexual activity before the age of 13. By ninth              reducing teen sexual activity and the damaging
grade, one teen in three has had sex, and by                   results should encourage parents’ presence and
12th grade, two in three. Early sexual activity is             involvement in the lives of their children. Policies
associated with a host of enduring negative conse-             that discourage parental involvement, such as dis-
quences that include increased risks of psychologi-            pensing contraceptives to teens without parental
cal and physical harm, teen pregnancy and unwed                consent, contradict the weight of social science evi-
childbearing, poverty, and marital instability later           dence and should be opposed.
in life.                                                          —Christine C. Kim is Policy Analyst in the Domestic
   Social science research over the decades suggests           Policy Studies Department at The Heritage Foundation.
that parents can play a protective role in delaying




42. For an example of such legislative effort, see Daniel P. Moloney, “SCHIP Expansion: More Birth Control for Minors, Less
    Involvement by Parents,” Heritage Foundation WebMemo No. 1715, December 3, 2007, at http://www.heritage.org/Research/
    HealthCare/wm1715.cfm.




page 10

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El dividendo demografico sostenible-Objetivos
 

Sexo en adolescentes: la influencia de los padres

  • 1. No. 2194 October 7, 2008 Teen Sex: The Parent Factor Christine C. Kim The statistics on teen sexuality in the United States are troubling. About 7 percent of high school stu- dents report having had sex before the age of 13. By Talking Points ninth grade, one-third of high school students have • The statistics on teen sexuality in the United engaged in sexual activity, and by 12th grade, two- States are troubling. Two-thirds of 12th grad- thirds.1 Yet the majority of these teens, 60 percent ers have engaged in sexual activity. One in overall and 67 percent among younger adolescents, four teenage girls has at least one sexually transmitted infection, and one in five will regret their first experience and wish they had waited become teen mothers. longer.2 Sadly, for many teens, the consequences go far beyond regrets. • Social science research suggests that parents can influence their adolescents’ sexual behavior. Protective parental influences include the intact family structure, parents’ Sexual Activity Among High Schoolers disapproval of adolescent sex, and a strong parent-child relationship. Percent of High School Students Who Have Ever • Policies and programs focused on reducing Engaged in Sexual Activity, 2007 teen sexual activity and related negative out- 50% comes should strengthen parental involve- Grade Pct. ment. Conversely, efforts that discourage 9th 32.8% parental involvement or bypass parental 10th 43.8% consent in sensitive areas should be uni- 11th 55.5% formly opposed. 12th 64.6% Total 47.8% Before Age 13 7.1% Source: Youth Risk Behavior Survey, 2007; Danice K. Eatson, Laura Kann, Steve Kinchen et al., “Youth Risk Behavior Surveillance—United States, 2007,” Surveillance Summaries, Morbidity and Mortality This paper, in its entirety, can be found at: Weekly Report, Vol. 57, No. SS-4 (June 6, 2008), Table 61. www.heritage.org/Research/Family/bg2194.cfm Chart 1 • B 2194 heritage.org Produced by the Domestic Policy Studies Department Published by The Heritage Foundation 214 Massachusetts Avenue, NE Washington, DC 20002–4999 (202) 546-4400 • heritage.org Nothing written here is to be construed as necessarily reflect- ing the views of The Heritage Foundation or as an attempt to aid or hinder the passage of any bill before Congress.
  • 2. No. 2194 October 7, 2008 Teen Sexual Activity and Outcomes mothers as those who remain abstinent throughout Early sexual activity is associated with a host of their teenage years. Nearly 40 percent of girls who negative outcomes that can have lasting physical, begin sexual activity at ages 13 or 14 will give birth emotional, social, and economic impacts on the outside marriage, compared to 9 percent of those lives of young people, particularly teenage girls and who remain abstinent until their early twenties.7 young women.12 Marital Stability and Maternal Poverty. Sexual Sexually Transmitted Diseases. The Centers activity at an early age may also affect marital and for Disease Control and Prevention estimates that economic stability later in life. Among women in one in four teenage girls has at least one sexually their thirties, those who were sexually active during transmitted infection (STI).3 Teenage girls, espe- early adolescence are half as likely to be in stable cially, are physiologically vulnerable to these infec- marriages as those who waited until their early tions,4 and early sexual activity increases the risk of twenties to have sex.8 Early sexual activity is also infection. One study found that those who begin linked to maternal poverty. At the time of a large sexual activity at age 13 are twice as likely to national survey in 1995, nearly 30 percent of moth- become infected as peers who remain sexually absti- ers who began sexual activity at ages 13 or 14 lived nent throughout their teen years.5 in poverty compared to 12 percent of those who waited until their early twenties.9 Teen Pregnancy and Unwed Childbearing. The National Campaign to Prevent Teen and Parental Influence and Teen Sex Unplanned Pregnancy estimates that about one in Many policymakers, health professionals, and two Hispanic and black teenage girls and one in five “safe sex” advocates respond to these troubling sta- Caucasian teenage girls will become pregnant at tistics by demanding more comprehensive sex edu- least once before turning 20. Overall, nearly one in cation and broader access to contraceptives for five adolescent girls will give birth in her teens.6 minors. They assume that teens are unable to delay Engaging in early sexual activity elevates the risk their sexual behavior and that a combination of of teenage girls becoming pregnant and single moth- information about and access to contraceptives will ers. Girls who become sexually active during early effectively lead to protected sex, preventing any adolescence are three times as likely to become single form of harm to youngsters. Not only are these 1. Centers for Disease Control and Prevention, “Youth Risk Behavior Surveillance—United States, 2007,” Surveillance Summaries, Vol. 58, No. SS-4 (June 6, 2008), Table 61, at http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.pdf (September 2, 2008). 2. Bill Albert, “With Once Voice 2007: America’s Adults and Teens Sound Off About Teen Pregnancy,” The National Campaign to Prevent Teen Pregnancy, February 2007, at http://www.thenationalcampaign.org/resources/pdf/pubs/ WOV2007_fulltext.pdf (September 1, 2008). 3. Press release, “Prevalence of Sexually Transmitted Infections and Bacterial Vaginosis Among Female Adolescents in the United States: Data from the National Health and Nutritional Examination Survey (NHANES) 2003–2004,” Centers for Disease Control and Prevention, March 11, 2008, at http://www.cdc.gov/stdconference/2008/media/ summaries-11march2008.htm#tues1 (September 1, 2008). Comparable estimates for teenage boys are not available. 4. Willard Cates, “Reproductive Tract Infections,” in Robert A. Hatch et al., eds., Contraceptive Technology (New York: Ardent Media, 2004). 5. Robert E. Rector, Kirk A. Johnson, Lauren R. Noyes, and Shannan Martin, “The Harmful Effects of Early Sexual Activity and Multiple Sexual Partners Among Women: A Book of Charts,” The Heritage Foundation, June 23, 2003. 6. The National Campaign to Prevent Teen and Unplanned Pregnancy, “Policy Brief: Racial and Ethnic Disparities in Teen Pregnancy,” July 2008, at http://www.thenationalcampaign.org/policymakers/PDF/ Briefly_PolicyBrief_RacialEthnicDisparities.pdf (September 2, 2008). 7. Rector et al., “The Harmful Effects of Early Sexual Activity.” 8. Ibid. 9. Ibid. page 2
  • 3. No. 2194 October 7, 2008 Parents Remain Influential Regarding Teens’ Decisions About Sex When asked, “When it comes to your decisions about sex, who is the most influential?” about half of high schoolers surveyed indicated their parents. Older teens were more likely to be influenced by their friends. Group Responses (Percentage Reporting) Teachers, Don’t Sex Religious The Someone Know/ Parents Friends Educators Leaders Media Siblings Yourself Else Refused Teens 12 to 14 59 13 5 5 2 5 1 7 – Teens 15 to 19 39 21 4 8 4 4 7 12 – Teens 12 to 19 47 18 4 7 3 5 10 4 3 Girls 12 to 19 50 18 4 7 3 5 3 7 – Boys 12 to 19 43 18 5 6 3 4 6 12 – Note: The percentages, as reported in “With One Voice 2007,” do not total 100 percent. Source: Bill Alber t, “With Once Voice 2007: America’s Adults and Teens Sound Off About Teen Pregnancy,” The National Campaign to Prevent Teen Pregnancy, February 2007, pp. 7–8, at http://www.thenationalcampaign.org/resources/pdf/pubs/WOV2007_fulltext.pdf (September 1, 2008). Chart 2 • B 2194 heritage.org assumptions faulty, they tend to disregard impor- The empirical evidence on the association between tant factors that have been linked to reduced teen parental influences and adolescents’ sexual behavior sexual activity. A particularly noticeable omission is is strong. Parental factors that appear to offer strong parental influence. protection against the onset of early sexual activity in- Parents, as teens themselves reveal, are the ones clude an intact family structure; parents’ disapproval who have the most influence on their children’s of adolescent sex; teens’ sense of belonging to and sat- decisions about sex. Indeed, two-thirds of all teens isfaction with their families; parental monitoring; and, share their parents’ values on this topic. to a lesser extent, parent-child communication about teen sex and its consequences. When it comes to talking about teen sex, both teens and parents report high levels of communi- That parents play a role in teen sex points to at cation. Parents, however, tend to perceive a least two significant policy implications. First, pro- greater level of communication than do teens. grams and policies that seek to delay sexual activity Nearly all parents (90 percent) report having had or to prevent teen pregnancy or STDs should a helpful conversation about delaying sex and encourage and strengthen family structure and avoiding pregnancy with their teenage children, parental involvement. Doing so may increase these compared to 71 percent of teens who report hav- efforts’ overall effectiveness. Conversely, programs ing had such a conversation with their parents.10 and policies that implicitly or explicitly discourage Many parents are also unaware of their teens’ parental involvement, such as dispensing contra- actual behavior. In a study of 700 teens in Phila- ceptives to adolescents without parental consent or delphia, 58 percent of the teens reported being notice, contradict the weight of social science evi- sexually active, while only one-third of their dence and may prove to be counterproductive and mothers believed they were.11 potentially harmful to teens. 10. Ibid., pp. 11–12. 11. James Jaccard, Patricia J. Dittus, and Vivian V. Gordon, “Parent-Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications About Sexual Behavior,” Child Development, Vol. 69, No. 1 (February 1998), pp. 247–261. page 3
  • 4. No. 2194 October 7, 2008 Research Findings race and ethnicity, age, and family background, sug- A Research Note. Social scientists are primarily gest the following: concerned with the question of causality. For exam- • Adolescents living in intact families are more ple, does parental disapproval of teen sex indepen- likely to delay sexual activity than peers living in dently cause teens to delay sexual activity? other family forms. Parents’ marital transitions, Causality, however, is difficult to establish in social the absence of a natural father in the home, and the science research. Using statistical methods and duration of such absences are significant as well. appropriate data sources, social scientists infer cer- • The protective influence of the intact family tain reasonable conclusions from their research. The structure appears to vary by gender, age, and eth- degree of confidence with which they draw inferred nicity, with stronger effects for adolescent girls, conclusions depends largely on data quality, study white teenagers, and younger teens. design, and statistical method. • Teens living in intact families also tend to report The research on parental influences and teen sex- fewer sexual experiences and partners, and are uality is extensive. A substantial portion of the less likely to report being infected with a sexually research is based on cross-sectional data, which transmitted disease, compared to peers in non- capture information at one point in time and pro- intact families. This is primarily because teens in vide a “snapshot” view. As such, they limit research- intact families tend to delay sexual activity. ers’ ability to draw stronger conclusions. At best, cross-sectional data offer evidence of correlations, • Adolescent girls in intact families are less likely to e.g., parental disapproval of teen sex is associated become pregnant and give birth outside of mar- with delayed sexual initiation. Longitudinal sur- riage compared to peers in non-intact families. veys, on the other hand, follow the same group of Yet, as sociologist Paul Amato notes, “[p]erhaps individuals over time, which allows researchers to the most profound change in the American family infer stronger findings. This paper mostly highlights over the past four decades has been the decline in findings from studies that use longitudinal data, the share of children growing up in households which offer more rigorous conclusions. with both biological parents.”13 In 1960, 88 per- Family Structure. A key parental influence on cent of all children lived with two parents, com- teen sex is family structure, for example, the num- pared to 68 percent in 2007.14 In 1960, 5 percent ber of parents living with, and their relationship to of all children born were to unmarried mothers. (biological, adoptive, step, or unrelated), the chil- That figure rose to 38.5 percent in 2006.15 Thus, dren in the families. The link between childhood policies and programs that bolster the intact family family structure and the timing of sexual initiation structure and promote healthy marriages may has been well researched and documented.12 reduce teen sexual activity. Research findings from studies that use a variety of Parental Values and Disapproval of Teen Sex. data sources and that account for other factors asso- Studies have demonstrated a robust correlation ciated with teen sexual behavior, such as gender, between parental values on teen sex and teen sexual 12. For a comprehensive review of the academic literature, see Samuel W. Sturgeon, “The Relationship Between Family Structure and Adolescent Sexual Activity,” Heritage Foundation FamilyFacts.org Special Report No.1, forthcoming. The report summarizes findings from over one hundred empirical studies, nearly all of which appeared in peer-reviewed academic publications. This section summarizes research findings from the forthcoming report. 13. Paul R. Amato, “The Impact of Family Formation Change on the Cognitive, Social, and Emotional Well-Being of the Next Generation,” The Future of Children, Vol. 15, No. 2 (Fall 2005), p. 76. 14. U.S. Census Bureau, Historical Time Series, Living Arrangements of Children, Table CH-1, at http://www.census.gov/ population/socdemo/hh-fam/ch1.xls (September 2, 2008). 15. S. J. Ventura and C. A. Bachrach, “Nonmarital Childbearing in the United States, 1940–99,” National Vital Statistics Report, Vol. 48, No. 16 (2000), Table 1; E. H. Brady, J. A. Martin, and S. J. Ventura, “Births: Preliminary Data for 2006,” National Vital Statistics Reports, Vol. 56, No. 7 (2007), Table 1. page 4
  • 5. No. 2194 October 7, 2008 behavior. Using longitudinal data, more recent pregnancy one year later than teens who viewed research indicates that parental disapproval, partic- their mothers as having a more liberal attitude ularly mothers’ disapproval (fathers’ values are less toward their engagement in sexual activity.19 well studied), of their teens having sex appears to Studying younger and older teens together, as in delay the onset of sexual activity. Importantly, the the previous study, may bias the results, as older association is between teens’ perceptions of their par- abstinent teens may have different characteris- ents’ disapproval, not necessarily parents’ actual tics than same-aged peers who are sexually views, and delayed initiation. This does not mean experienced. that parental values are unimportant. In fact, research shows that, overall, parents’ beliefs about • Another study, of younger adolescents ages 14 teen sex are a significant predictor of teens’ percep- and 15, revealed similar findings, though the tions. (Another predictor appears to be strong par- effect only appears statistically significant20 for ent-child relationships during early adolescence.)16 girls.21 This relationship held true even consid- ering adolescent girls’ race, family structure, and Perceived parental disapproval of teen sex may dating history, as well as their mothers’ education also reduce the risk of teen pregnancy.17 The evi- and religiosity, mothers’ report of communica- dence suggests that adolescent girls tend to benefit tion with their daughters on topics related to more from this protective influence than do boys. teen sex and birth control and of mother-daugh- • For example, in a study of 8,200 middle and high ter relationship quality, and the frequency of school students nationwide, virgin teens who mothers’ communication with the parents of perceived stronger disapproval from their moth- their daughters’ friends. ers during the baseline interview18 were less • A third study, using longitudinal data, analyzed likely to have started sexual activity and report a children ages 12 to 16 from the San Francisco 16. Renee E. Sieving, Clea S. McNeely, and Robert Wm. Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut,” Archives of Pediatrics and Adolescent Medicine, Vol. 154 (August 2000), pp. 809–815. 17. Melina Bersamin, Michael Todd, Deborah A. Fisher et al., “Parenting Practices and Adolescent Sexual Behavior: A Longitudinal Study,” Journal of Marriage and Family, Vol. 70 (February 2008), pp. 97–112; Erin Calhoun Davis and Lisa V. Friel, “Adolescent Sexuality: Disentangling the Effects of Family Structure and Family Context,” Journal of Marriage and Family, Vol. 63 (August 2001), pp. 669–681; Patricia J. Dittus and James Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex: Relationship to Sexual Outcomes,” Journal of Adolescent Health, Vol. 26 (2000), pp. 268–278; Laura Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?” Journal of Family Issues, Vol. 26 (October 2005), pp. 947–974; James Jaccard, Patricia Dittus, and Vivian V. Gordon, “Maternal Correlates of Adolescent Sexual and Contraceptive Behavior,” Family Planning Perspectives, Vol. 28, No. 4 (July–August 1996), pp. 159–185; Jaccard, Dittus, and Gordon, “Parent-Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications About Sexual Behavior”; Clea McNeely, Marcia L. Shew, Trisha Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds,” Journal of Adolescent Health, Vol. 31 (2002), pp. 256-265; Mark D. Regnerus and Laura B. Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex,” Journal of Family Issues, Vol. 27, No. 2 (February 2006), pp.159–183; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Patricia Dittus, James Jaccard, and Vivian V. Gordon, “The Impact of African American Fathers on Adolescent Sexual Behavior,” Journal of Youth and Adolescence, Vol. 26, No. 4 (1997), pp. 445–465; and Michael Resnick, Peter S. Bearman, Robert Wm. Blum et al., “Protecting Adolescents From Harm,” Journal of American Medical Association, Vol. 278, No. 10 (September 10, 1997), pp. 823–832. 18. Adolescents were asked: “How would your mother feel about your having sex at this time in your life?” and “How would your mother feel about your using birth control at this time in your life?” Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex,” p. 271. 19. Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex.” 20. Statistical significance indicates the probability that an estimated difference, a finding, actually exists versus it being due to random chance. 21. McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.” page 5
  • 6. No. 2194 October 7, 2008 Bay and the Los Angeles County areas, and thorough review of the research on family relation- found that perceived parental disapproval of teen ships and teen pregnancy risk published before sex also reduced the likelihood of teens engaging 2000, Dr. Brent Miller and colleagues write: in oral sex one year later.22 There is marked consistency in this body of As noted earlier, parents and teens differ in their more than 20 studies…all but a few indi- perceptions of the level of communication about cate that parent/child closeness is associ- teen sex issues and actual behavior that takes place. ated with reduced adolescent pregnancy Thus, to ensure that teens perceive their parents’ risk through teens remaining sexually absti- disapproval of teen sex accurately, parents should nent, postponing intercourse, having fewer unequivocally convey their values to their teens. sexual partners, or using contraception Mixed messages could potentially diminish any more consistently.25 positive effects parental values have on delaying Four recent longitudinal studies, analyzing the teen sexual behavior. In a national poll, teens were same nationally representative survey of students in asked: “Suppose a parent or other adult tells you/a grades seven through 11 across the nation, report teen the following: ‘Don’t have sex, but if you do the following: you should use birth control for protection.’ Do you think this is a message that encourages you/teens to • Teens who reported greater satisfaction in their have sex?”23 One teen in two responded affirma- relationships with their mothers were less likely tively, indicating that, to many teens, a qualified to have sex and become pregnant (and were also “no” translates into a perceived “yes.” more likely to use birth control during their most recent sexual experience) one year later than Parent-Child Relationships. A third robust peers who felt less satisfied in their relationships protective parental element is strong parent-child with their mothers.26 relationships.24 Parent-child relationship quality or connectedness is often measured by the level of sat- • Fourteen- and 15-year-old adolescent girls isfaction teens and their parents experience in their whose mothers reported greater satisfaction in relationships with one another; the amount of their relationships with their teens were less warmth, love, affection, and communication teens likely to initiate sexual activity one year later report receiving from their parents; and the level of than peers of mothers who felt less satisfied in parental involvement in their children’s lives. In a their relationships with their daughters.27 22. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.” 23. Albert, “With One Voice, 2007,” p. 20. 24. Davis and Friel, “Adolescent Sexuality”; Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex”; Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?”; Jaccard, Dittus, and Gordon, “Maternal Correlates of Adolescent Sexual and Contraceptive Behavior”; Jaccard, Dittus, and Gordon, “Parent-Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications About Sexual Behavior”; Christine M. Markham, Susan R. Tortolero, S. Liliana Escobar-Chaves et al., “Family Connectedness and Sexual Risk-Taking Among Urban Youth Attending Alternative School,” Perspectives on Sexual and Reproductive Health, Vol. 35, No. 4 (2003), pp. 174–179; McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds”; J. Barnet, D. R. Papini, and E. Gbur, “Familial Correlates of Sexually Active Pregnant and Nonpregnant Adolescents,” Adolescence, Vol. 26, No. 102 (1991), pp. 457–72; Regnerus and Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex”; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Dawn Upchurch, Carol S. Aneshensel, Clea A. Sucoff et al., “Neighborhood and Family Contexts of Adolescent Sexual Activity,” Journal of Marriage and Family, Vol. 61, No. 4 (November 1999), pp. 920–933. 25. Brent C. Miller, Brad Benson, and Kevin A. Galbraith, “Family Relationships and Adolescent Pregnancy Risk: A Research Synthesis,” Developmental Review, Vol. 21 (2001), p. 3. 26. Dittus and Jaccard, “Adolescents’ Perceptions of Maternal Disapproval of Sex.” 27. McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.” page 6
  • 7. No. 2194 October 7, 2008 • For teenage girls, but not for boys, higher quality • In a study of some 750 children ages 13 and father-daughter relationships, but not mother- older, adolescents who received more parental daughter relationships, tended to postpone sex- monitoring were more likely to delay sexual initi- ual activity. This connection appeared to be ation one year later compared to peers who explained by the observation that adolescent received less monitoring from their parents. This girls who have better relationships with their applied to dating teens as well. However, teen fathers also have fewer dating relationships, sexual behavior appeared uninfluenced by associate more guilt with having sex, and share parenting style, either supportive (characterized more meals with their parents relative to peers by frequently praising and spending time with who reported lower quality father-daughter rela- the child) or coercive (characterized by spanking, tionships.28 yelling, or arguing with the child) parenting.32 • Younger teenage girls and boys as well as older • In a study of nearly 900 youths, ages 12 to 16, teenage boys who felt more connected to their from the San Francisco Bay and Los Angeles mothers tended to delay sexual activity com- County areas, those who reported more parental pared to similar-age peers who felt less con- monitoring or those whose parents limited their nected to their mothers.29 television were less likely to engage in oral sex Parental Monitoring and Parenting Practices. one year later compared to peers whose parents Most research on parental monitoring—for exam- were less knowledgeable about their where- ple, the extent to which parents know the where- abouts outside school and home or whose par- abouts and activities of their children outside home ents did not limit their television viewing. While and school—parental supervision, and parental parental monitoring was not associated with sex- rules shows a positive correlation between these fac- ual initiation in this study, parental limitations on tors and reduced teen sexual activity.30 For studies and co-viewing of television appeared to be asso- that do not demonstrate such a relationship, Dr. ciated with delayed sexual initiation.33 Miller posits that “excessive or coercive” parental • In a study of young minority adolescent boys control might actually lead to negative outcomes.31 from low-income areas of Chicago, Boston, and The following findings come from several recent San Antonio, those who reported greater levels of longitudinal studies: parental monitoring were less likely to initiate 28. Regnerus and Luchies, “The Parent-Child Relationship and Opportunities for Adolescents’ First Sex.” 29. Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut.” 30. Angela J. Huebner and Laurie W. Howell, “Examining the Relationship Between Adolescent Sexual Risk-Taking and Perceptions of Monitoring, Communication and Parenting Styles,” Journal of Adolescent Health, Vol. 33 (2003), pp. 71–78; Monica A. Longmore, Wendy D. Manning, and Peggy C. Giordano, “Preadolescent Parenting Strategies and Teens’ Dating and Sexual Initiation: A Longitudinal Analysis,” Journal of Marriage and Family, Vol. 63 (May 2001), pp. 322–335; Kathleen Boyce Rodgers, “Parenting Processes Related to Sexual Risk-Taking Behaviors of Adolescent Males and Females,” Journal of Marriage and Family, Vol. 61, No. 1 (February 1999), pp. 99–109; Laura D. Pittman and P. Lindsay Chase-Lansdale, “African American Adolescent Girls in Impoverished Communities: Parenting Style and Adolescent Outcomes,” Journal of Research on Adolescence, Vol. 11, No. 2 (2001), pp. 199–224; Eric P. Baumer and Scott J. South, “Community Effects on Youth Sexual Activity,” Journal of Marriage and Family, Vol. 62 (May 2001), pp. 540–554; Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior”; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Ralph J. DiClemente, Gina M. Wingood, Richard Crosby et al., “Parental Monitoring: Association with Adolescents’ Risk Behavior,” Pediatrics, Vol. 107 (2001), pp. 1363–1368; Brenda J. Lohman and Amanda Billings, “Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual Behaviors,” Journal of Youth and Adolescence, Vol. 37, No. 6 (July 2008), pp. 723–735. 31. Miller, Benson, and Galbraith, “Family Relationships and Adolescent Pregnancy Risk,” p. 9. 32. Longmore, Manning, and Giordano, “Preadolescent Parenting Strategies and Teens’ Dating and Sexual Initiation.” 33. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.” page 7
  • 8. No. 2194 October 7, 2008 sexual activity before age 15 compared to peers While some studies have reported an inverse who received less parental monitoring. Parental correlation between communication and teen sex- monitoring also had an indirect influence on ual activity—more communication, less teen sexual engaging in risky sexual behavior through activity—others have reported a positive associa- reduced substance use and school problems.34 tion—more communication, more teen sexual • In a cross-sectional sample of black female ado- activity. Neither relationship should be interpreted lescents ages 14 and 18, parental monitoring as causal, for example, communication causes teens was related to a reduction in testing positive to engage in sexual activity. Still other studies have for STDs.35 reported no significant correlations. The following studies present some of the mixed results: Parent-Child Communication. The evidence on parent-child communication, particularly com- • In a study of teens, ages 12 to 16, from the San munication about sex and birth control, is more Francisco Bay and Los Angeles County areas, the mixed.36 Reviewing 30 studies published before teens were asked about the quality of their gen- 2000, Dr. Brent Miller and colleagues summarize eral communication with their parents as well as the research as follows: whether they and their parents had talked about sex-related topics in the past year. Teens who Results across these studies are complex and reported better quality communication with discrepant. Perhaps the clearest conclusion their mothers were less likely to engage in oral that can be drawn from these studies is that sex one year later. General father-teen communi- there is no simple direct effect. That is, par- cation did not appear to affect teen oral sex, nor ent-teen communication about sexual issues did general parent-child communication appear has no uniform or consistent effect on ado- to have an effect on sexual initiation. However, lescent pregnancy risk that holds across gen- teens who talked with their parents about sexual der, race, source of data (parent or child issues in the past year were more likely to engage report), and especially across parental atti- in oral sex and sexual activity compared to peers tudes and values.37 who did not have such discussions.38 34. Lohman and Billings, “Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual Behaviors.” 35. DiClemente, Wingood, Crosby et al., “Parental Monitoring: Association with Adolescents’ Risk Behavior.” 36. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior”; Davis and Friel, “Adolescent Sexuality”; Fingerson, “Do Mothers’ Opinions Matter in Teens’ Sexual Activity?”; Vincent Guilamo-Ramos, James Jaccard, Patricia Dittus et al., “Parental Expertise, Trustworthiness and Accessibility: Parent-Adolescent Communication and Adolescent Risk Behavior,” Journal of Marriage and Family, Vol. 68 (December 2006), pp. 1229–1246; Jaccard, Dittus, and Gordon, “Maternal Correlates of Adolescent Sexual and Contraceptive Behavior”; Jaccard, Dittus, and Gordon, “Parent- Adolescent Congruency in Reports of Adolescent Sexual Behavior and in Communications about Sexual Behavior”; Peter S. Karofsky, Lan Zeng, and Michael Kosorok, “Relationship Between Adolescent-Parental Communication and Initiation of First Intercourse by Adolescent,” Journal of Adolescent Health, Vol. 28 (2000), pp. 41–45; Longmore, Manning, and Giordano, “Preadolescent Parenting Strategies and Teens’ Dating and Sexual Initiation”; McNeely and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Barnet and Papini, “Familial Correlates of Sexually Active Pregnant and Nonpregnant Adolescents”; Rodgers, “Parenting Processes Related to Sexual Risk-Taking Behaviors of Adolescent Males and Females”; Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; Daniel J. Whitaker and Kim S. Miller, “Parent-Adolescent Discussions About Sex and Condoms: Impact on Peer Influences of Sexual Risk Behavior,” Journal of Adolescent Research, Vol. 15, No. 2 (March 2000), pp. 251–273; Deborah Holtzman and Richard Rubinson, “Parent and Peer Communication Effects on AIDS-Related Behavior Among U.S. High School Students,” Family Planning Perspectives, Vol. 27, No. 6 (November– December 1995), pp. 235–268. 37. Miller, Benson, and Galbraith, “Family Relationships and Adolescent Pregnancy Risk,” pp. 10, 13. 38. Bersamin, Todd, Fisher et al., “Parenting Practices and Adolescent Sexual Behavior.” page 8
  • 9. No. 2194 October 7, 2008 • A study of some 200 adolescents and young • Greater parental monitoring and rules appear to adults from Madison, Wisconsin, found that be correlated with reduced teen sexual activity, general parent-child communication appeared though the evidence is mixed. to delay sexual activity over time.39 • The evidence on parent-child communication, in • Two longitudinal studies of a national repre- general or specifically about sexual issues, is sentative survey of teens, one examining mixed. Here, the relationship may vary by the younger adolescents and the other, eighth content and degree of discussion as well as other through 11th graders, did not find any direct factors. links between mother-teen communication about sex-related topics and teen sexual behav- What Parents Should Do ior. When mothers recommended a specific From a parent’s perspective, the implications are type of birth control to their teens, however, clear: Parents can, in fact, influence their children’s teens tended to perceive less disapproval from sexual behavior and offer protection against the their mothers regarding teen sex, which, in negative consequences of early sexual activity. The turn, appeared to have an encouraging effect two strongest links appear to be parental values on initiating sexual activity.40 regarding teen sex and parents’ relationships with • Interestingly, one cross-sectional study of some their children. Consequently, parents should: 600 middle school students from the South • Avoid sending ambiguous and mixed messages Bronx in New York City found that when moth- about teen sex; ers talked to their teens about the moral and • Convey clearly to their teens their values on social consequences of early sexual activity, teens this subject; were more likely to delay sexual initiation. Talk- • Focus on imparting clearly defined values—sim- ing about the physical and health risks associated ply discussing sex, contraceptives, and physiol- with early sexual activity did not appear to affect ogy does not necessarily protect teens; and teens’ behavior.41 • Seek to strengthen their relationships with their Summary. Clearly, the research on parental teenage children. influences and teen sexual behavior is rich and nuanced. A few broad trends emerge: What Policymakers Should Do • The intact family structure is associated with From a policy perspective, the implications are delayed and reduced levels of teen sexual activity clear as well: Parents can influence teen sexual behav- and reduced risk of teen pregnancy. ior and related outcomes. Policymakers should: • Parental disapproval of teen sex, specifically • Include a component on healthy marriage, stable teens’ perceptions of their mothers’ disapproval, family formation, and parental involvement in is linked to delayed sexual activity and reduced programs and policies that seek to delay teen risk of teen pregnancy. sexual activity or prevent teen-sex related nega- • Higher levels of parent-teen relationship satis- tive outcomes. faction and a strong connection between teens • Oppose programs and policies that discourage and their mothers are associated with delayed parental involvement. For example, policies that sexual initiation. dispense contraceptives to teens, in school-based 39. Karofsky, Zeng, and Kosorok, “Relationship Between Adolescent-Parental Communication and Initiation of First Intercourse by Adolescent.” 40. Sieving, McNeely, and Blum, “Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut”; McNeely, Shew, Beuhring et al., “Mothers’ Influence on the Timing of First Sex Among 14- and 15-Year-Olds.” 41. Guilamo-Ramos, Jaccard, Dittus et al., “Parental Expertise, Trustworthiness and Accessibility.” page 9
  • 10. No. 2194 October 7, 2008 clinics and other settings, without parental con- early teen sexual activity and reducing the risk of sent or notification are clearly contrary to the harmful consequences. Importantly, the empirical weight of social science evidence and might evidence indicates that childhood family structure, weaken a demonstrated protective influence against teens’ perceptions of parental disapproval of teen early teen sexual activity and related outcomes.42 sex, and the quality of the parent-child relationship • Endorse programs and policies that promote appear to affect teen sexual behavior. The evidence strong marriage and stable family formation. on parental monitoring and parent-child communi- cation, in general and specifically about sex-related Conclusion topics, appears more mixed. Nationally, a non-trivial portion of teens engage Consequently, programs and policies focused on in sexual activity before the age of 13. By ninth reducing teen sexual activity and the damaging grade, one teen in three has had sex, and by results should encourage parents’ presence and 12th grade, two in three. Early sexual activity is involvement in the lives of their children. Policies associated with a host of enduring negative conse- that discourage parental involvement, such as dis- quences that include increased risks of psychologi- pensing contraceptives to teens without parental cal and physical harm, teen pregnancy and unwed consent, contradict the weight of social science evi- childbearing, poverty, and marital instability later dence and should be opposed. in life. —Christine C. Kim is Policy Analyst in the Domestic Social science research over the decades suggests Policy Studies Department at The Heritage Foundation. that parents can play a protective role in delaying 42. For an example of such legislative effort, see Daniel P. Moloney, “SCHIP Expansion: More Birth Control for Minors, Less Involvement by Parents,” Heritage Foundation WebMemo No. 1715, December 3, 2007, at http://www.heritage.org/Research/ HealthCare/wm1715.cfm. page 10