02 K Berg C Sun Sahara 2009 Final

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02 K Berg C Sun Sahara 2009 Final

  1. 1. Predictors of Parent- Child Communication among a Nationally Representative Sample in Nigeria Katrina Berg, MA, PhD Student Christina Sun, MS, PhD Student Stella Babalola, PhD © 2008, Johns Hopkins University. All rights reserved.
  2. 2. Outline • Introduction • Background • Aims • Methods • Results • Future Directions © 2008, Johns Hopkins University. All rights reserved.
  3. 3. Introduction • Parent-Adolescent communication about sexual issues • Various aspects • Behavioral outcomes • Timing • Content of discussions • Openness between parents and adolescents • Factors associated with parents who speak to their children © 2008, Johns Hopkins University. All rights reserved.
  4. 4. Parent-Adolescent Communication • Positive effect on adolescent sexual behavior • Condom use • At first sex • Consistent or more frequent • Higher condom intention and self-efficacy • Sexual initiation • Timing of conversation © 2008, Johns Hopkins University. All rights reserved.
  5. 5. Adolescent Sexual Behavior in Nigeria • Sexual initiation • More than 1/3 of adolescents engage in sex before the age of 18 (DHS, 2003) • Multiple Concurrent Partnerships • Condom use • 47% of men and 25% of women used a condom at last sex (DHS, 2003) • Discordance between condom knowledge and use © 2008, Johns Hopkins University. All rights reserved.
  6. 6. Parent-Adolescent Communication in Nigeria • Communication with adolescents about sexual issues is low • Adolescents receive more information from peers © 2008, Johns Hopkins University. All rights reserved.
  7. 7. Research Aims • Research Question 1: What individual factors are associated with parents who engage in parent-adolescent communication about sexual issues? • Research Question 2: What are the gender trends regarding parent-adolescent communication about sexual issues, if any, that are apparent between parents and their adolescents? © 2008, Johns Hopkins University. All rights reserved.
  8. 8. Methods • National HIV/AIDS and Reproductive Health Survey, 2007 • Sample: 25 to 64 year-old parents with at least one child over the age of 12 • Outcome variable: Level of parent-adolescent communication • Low • Medium • High • Independent variables • Sociodemographic variables © 2008, Johns Hopkins University. All rights reserved.
  9. 9. Sample Characteristics Men Women n % n % Low 619 46.23 609 48.56 Medium 240 17.92 230 18.34 High 480 35.85 415 33.09 © 2008, Johns Hopkins University. All rights reserved.
  10. 10. Sociodemographic Predictors Men Women Medium High Medium High Age 1.15*** 1.38*** 1.54*** Religion 2.04*** 1.61** Medium SES 1.93** High SES 1.82** 2.32*** Polygamy 1.53** Note. * p < .05. ** p < .01. *** p < .001 © 2008, Johns Hopkins University. All rights reserved.
  11. 11. Knowledge, Attitudes, and Norm Predictors Men Women Medium High Medium High STI in women 2.03** STI in men Knowledge HIV/AIDS 1.11** AIDS resource 1.83* 1.88*** 2.24*** 1.56** Stigma Attitudes Patriarchic 1.05** 1.09*** Male condom use 1.11* 1.12** Fem. condom use Norms AIDS open 1.76** © 2008, Johns Hopkins University. All rights reserved.
  12. 12. Discussion • Segment interventions by gender • Challenge the importance of factual information • Knowledge of HIV/AIDS resources • Strengths • Limitations • Future directions • Research needs © 2008, Johns Hopkins University. All rights reserved.

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