Review of an Article Entitled: Parent-Adolescent Sex Communication In China
1. Article Identity
• The Researcher : Liying Zhang
Iqbal H Shah
• Published in : June 2007
• Title : Parent-adolescent sex communication in China
• Journal : European Journal of Contraception & Reproductive Health Care
• Page : 138-147
2. The Aim of the Study
This study was undertaken with the aim of exploring the pattern and related factors of such communication and its relationship with adolescent sex behaviour.
3. Research Method
a. Study design
Community based data were collected in 2001 in Changchun, China. Unmarried adolescents 15-19 years of age (322 young men and 360 young women) were included in a survey using self-administered questionnaires. Descriptive statistics were used to present the demographic characteristics of respondents and patterns of sex communication.
The project was conducted in 2001 in Changchun city in the northeastern province of Jilin.
c. Subject / Informan
The current study is based on the data from a sub-group of 682 adolescents (322 males and 360 females) who were 15-19 years of aged at the time of the survey. Based on the respondent’s educational background, the respondent grouped into four categories : primary, middle school, high school, and college.
d. Sampling technique
Data for this paper come from a study on the accessibility and ecceptability of reproductive health care among adolescents in China, sponsored by the WHO (World Health Organization).
A community-based sample was drawn using a three stage, systematic sampling design based on the principle of probability proportionate to size. In the first stage, 27 communities were randomly selected across five districts of the city. Four neighborhoods from each community were selected randomly in the second stage. In the final stage, 50 households were randomly in each neighbourhood. Among the 5400 households were selected, 1467 unmarried youth age 15-24 years listed in the household registration were asked to participate in the study voluntarily.
The total response rate was 89.9%. The study protocol was approved by both the Institutional Research Ethics Committee of the National Research Institute for Population and Family Planning of China, and the Research Ethics Review Committee of WHO.
e. Data collection procedure
Youth completed an anonymous, self-administered structured questionnairs in places away from their home, such as nearby school or community centers. They informed that they have the right to withdraw from the study at any time or skip the question that they do not want to answer.
Sex communication with parents
Youth were asked two questions: whether they had ever discussed about sex-related issues with their father or mother, with three point response option: often, occasionally, and never.
Respondents were asked about the highest level of formal schooling they had completed using six-point response option ( illiterate, Primary, middle school, High school, and College )
Quality of general communication with parents
Youth were asked two questions about quality of general communication with parents on general topics: Do you find it difficult or easy to talk with your father or mother about things that are important to you? Each Question have five point response option ( very easy, easy, average, difficult, and very difficult ).
Respondents were asked whether they had ever had a girl/boyfriend who was someone to whom they were sexually or emotionally attracted, and whom they dated, with the answer to this question being either yes or no.
Respondents were asked whether they had ever had vaginal sexual intercourse ( coitus ), being defined as the penis penetrating the vagina ( Yes or no ).
f. Analysis technique
Descriptive statistics were used to present the demographic characteristics of respondents and patterns of sex communication. Chi-square statistic were used to examine the teenagers’ gender difference regarding sex communication with father, mother or either parent. The association between parent-adolescent sex communication and sexual initiation also was tested by using Chi-square statistic. Because of the small numbers ( n = 15) of female adolescents who reported having had sexual intercourse, only data pertaining to male teenagers were analysed.
The researchers conducted three logistic regression models, of which the the first one was for sex communication with father, the second one was for sex communication with mother and the third one for sex communication with either parent.
In the three logistic regression models, father, mother or either parent- adolescent sex communication were treated as the dependent variables. In dependent variables include age, gender, education , quality of communication with parents on other topics, and parents as the main source of sex knowledge.
The current study is based on the data from a sub-group of 682 adolescents, 322 were males and 360 were females. The mean age was very similar : 17,4 for males and 17,2 for females. Almost half of the respondents ( 47% ) had finished high school education. 37,4% adolescents ( 44% male adolescents and 31% female adolescent ) reported having ever had a girl/boyfriend. 16% of male adolescents and 5% of female adolescent reported ever having had coitus.
Pattern of sex communication with parents
The percentage of adolescent ever communicating ( either often or occasionally ) with mothers on sexual matters was 30%, while the percentage of those communicating with fathers on such matters was 17%. Overall, only 3 and 5 % of he respondent reported that they often discussed related sex-related issues with their fathers and mothers, respectively.
Male adolescents were more likely than females to communicate with fathers, while female adolescents were more likely than males to communicate with mothers. There were no significant difference between age groups ( 15-17 years versus 18-19 years ) with regard to patterns of sex communication with parents.
Relationship between sex communication and sex initiation
Among the male adolescent in the current study 19% ( n=25) of those aged 18-19 years and 13% (n=25) of those aged 15-17 years reported that they had ever had sexual intercourse. The relationship between sex communication and sexual initiation was significant for the younger males. Among the younger group, male adolescents who communicated sex-related issues with father, mother or either parent were more likely to having had coitus.
Result of logistic regression analysis reveal that factors associated with teenagers’ sex communication with parents are different in different models.
The result of the current study suggest that parent-adolescent sex communication was less frequent in China than in more developed countries. A study conducted in USA revealed that about 54% of adolesecents had discussed AIDS and HIV with their parents and a study conducted in Sweden reported that 40% of male and 60% of female high school students had talked with their parent
This article reviewed by : Nanik Rahmawati