Improving parent-child sexual health communication among Hispanics

Background: Parents are important influences in the adolescent sexual decision-making. However, barriers such as embarrassment, lack of information, and sensitive topic deter parent-child communication on sex. Two Hispanic economically disadvantaged border communities in Texas with ~20,000 residents are disproportionately affected by outcomes such as teen pregnancies and sexually transmitted infections (STIs). To enhance prevention efforts, it is important to equip Hispanic parents with the tools to communicate with their children about sexual health topics. Methods: A Spanish-language curriculum, Construyendo Familias Unidas, was provided to parenting adults in two border communities in Texas. Participants received 10 hours of training on sexually transmitted infections (STIs), teen pregnancy, contraception, effective parent-child communication, and decision making. Changes in knowledge, attitudes and behaviors were assessed through pre-/post-survey data collected from 2007 to 2009. Objectives: The curriculum objectives were to 1) increase parent knowledge of risk factors for STIs and teen pregnancy and 2) improve parenting adult-child communication on sexual health issues. Results: 263 participants aged 18-80 years completed pre- and post-tests on sexual health knowledge, attitudes, and behaviors; 170 matched responses were available for analysis. Post-test data revealed significant increases in knowledge of risk factors for teen pregnancy (47% vs. 88%, P<0.01) and STIs (76% vs. 88%, P<0.01), as well as dating violence (76% vs. 89%, P<0.01). There were significant increases in reported comfort (80% vs. 92%, P<0.01) and frequency of communication with children (49% vs. 67%, P<0.01) on sexual health issues. Conclusion: Construyendo Familias Unidas can help increase parent-child communication on sexual health issues.