McKay EA, Fontenot HB.
Parent-Adolescent Sex Communication with Sexual and Gender Minority Youth: An Integrated Review.
J Pediatr Health Care 2020;
34:e37-e48. [PMID:
32861429 DOI:
10.1016/j.pedhc.2020.04.004]
[Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 04/03/2020] [Accepted: 04/13/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION
Sexual and gender minority (SGM) youth experience adverse sexual health outcomes at higher rates than their heterosexual and cisgender peers. Although parent-adolescent sex communication (PASC) is associated with improved sexual health outcomes among heterosexual youth, less is known about PASC with SGM youth.
METHODS
Studies describing experiences of SGM youth and parents during PASC and/or health outcomes of PASC were reviewed.
RESULTS
Eleven studies met inclusion criteria, and six themes emerged. These included: (1) limited communication and barriers to communication, (2) impact of SGM disclosure on communication, (3) HIV and/or sexually transmitted disease-focused communication, (4) heteronormative communication, (5) outcomes of communication, and (6) youth preferences for PASC.
DISCUSSION
Parent-adolescent sex communication was complicated by barriers to communication and was limited, heteronormative, and influenced by SGM disclosure. Parent-adolescent sex communication may improve sexual health outcomes, but adequate parental education and guidance is lacking. This review identifies ways that health providers can foster positive and inclusive PASC.
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