267529 Parental monitoring, parent-adolescent communication and adolescent risk behaviors

Monday, October 29, 2012

Bo Wang, PhD , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Bonita Stanton, MD , Department of Pediatrics, Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Xiaoming Li , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Lynette Deveaux, BA , Office of HIV/AIDS, Bahamian Ministry of Health, Nassau, Bahamas
Veronica Koci, MS , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Guowei Yu , West of China Institute of Environmental Health, Northwest University for Nationalities, Lanzhou, China
Sonja Lunn, MBBS , Office of HIV/AIDS, Bahamian Ministry of Health, Nassau, Bahamas
Background. Few studies have evaluated long-term impact of parental monitoring and communication on adolescent problem behavior engagement. This study examined correlation between youths' and parents' perceptions regarding parental monitoring, open communication and problem communication and their predictability on adolescent risk involvement over time. Methods. Data used in this study were obtained from 2,919 parent-adolescent dyads through the baseline surveys of two interventions: 1) the evidence-based Focus on Youth in the Caribbean (FOYC) intervention among grade six students in 2004; and 2) the Bahamian Focus on Older Youth (BFOOY) among grade ten students in 2008. Mixed model analyses were conducted to examine the relationship between parental monitoring and communication and adolescent problem behaviors. Results: Youths' and parents' perceptions about parental monitoring and communication were highly correlated. Parents perceived high levels of monitoring, open communication and sex communication but a low level of problem communication than their children. Parents consistently underestimated their children's engagement in sexual activity and problem behaviors (e.g., marijuana use). For grade ten youth, both adolescent and parent reports of monitoring were predictive of adolescent sexual intercourse and problem behaviors in the last six months. Adolescent and parent reports of monitoring at grade six had a long-term protective effect on initiation of sexual intercourse at grade ten; Adolescent reports of problem communication at grade six was predictive of increased sexual activity and problem behaviors at grade ten. Conclusion: Parent-adolescent problem communication during early adolescence is a strong predictive factor for adolescent engagement of sexual and problem behaviors at mid-adolescence.

Learning Areas:
Advocacy for health and health education
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe discrepancies of youth’s and parents’ reports of adolescent sexual activity and problem behaviors. Discuss application of mixed effect model in controlling for clustering effect Explain the relationships between parental monitoring and communication and adolescent risk involvement over time.

Keywords: Adolescents, Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research in the area of adolescent health and HIV prevention for over 10 years. I performed statistical analysis for this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.