Parent–Youth Communication and Concordance Between Parents and Adolescents on Reported Engagement in Social Relationships and Sexually Intimate Behaviors in Hanoi and Khanh Hoa Province, Vietnam

• Published in: Journal of adolescent health Vol. 48; no. 3; pp. 268 - 274
• Main Authors: Kaljee, Linda M., Ph.D, Green, Mackenzie, M.H.S, Lerdboon, Porntip, M.P.H, Riel, Rosemary, M.A.A, Pham, Van, M.D., Dr.P.H, Tho, Le Huu, M.D., Ph.D, Ha, Nguyen T., M.D, Minh, Truong Tan, M.D., Ph.D, Li, Xiaoming, Ph.D, Chen, Xinguang, M.D, Stanton, Bonita, M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.03.2011; Elsevier
• Subjects: Adolescent; Adolescent Behavior; Adult; Analysis of Variance; Biological and medical sciences; Chi-Square Distribution; Comfort; Communication; Comparative Analysis; Developmental psychology; Female; Fundamental and applied biological sciences. Psychology; Hanoi, Vietnam; Health Knowledge, Attitudes, Practice; Humans; Knowledge; Linear Models; Male; Parent Child Relations; Parent-Child communication; Parents; Pediatrics; Perceptions; Personality. Affectivity; Provinces; Psychology. Psychoanalysis. Psychiatry; Psychology. Psychophysiology; Reproductive health; Sexual Behavior; Sexual behaviour; Sexuality. Sexual behavior; Surveys and Questionnaires; Vietnam; Young Adult; Youth; Asia; Vietnam; Reproductive health; Vietnam; Parent-child communication; Social environment; Human; Sexual behavior; Sex; Parent child relation; Social interaction; Cultural environment; Adolescent; Family environment; Communication
• ISSN: 1054-139X; 1879-1972
• DOI: 10.1016/j.jadohealth.2010.06.021

Abstract Purpose Parent–child communication is associated with positive outcomes for youths' engagement in sexual behaviors. Limited data are available regarding parent–child communication in transitional countries. We present data from Vietnamese parent–youth dyads on parent reproductive health (RH) knowledge, comfort of communication, frequency of talk, and discordancy between youths' reported and parents' perceptions for engagement in relationships and sexually intimate behaviors. Methods The cohort included 185 randomly selected parent–youth dyads in four communes in Hanoi and Khanh Hoa Province. Descriptive and comparative analysis included chi-squared tests, independent samples t -tests, and ANOVA. Linear regression analysis was used to assess relationships between parental knowledge, level of comfort, frequency of talk, and discordancy. Results Seventy-six percent of parents and 44% of youth were female. The mean age of youth was 17.2 years. The mean score for parental “RH knowledge” was 24.74 (SD, 3.84; range, 15–34). Lower parental RH knowledge was positively associated with lower levels of education ( F = 2.983; df , 184; p = .014). Data indicate a linear model in which knowledge is related to “comfort” (β = .17; p = .048), and “comfort” to frequency of “talk” (β = .6; p < .0001). Frequency of “talk” is not related to parents' discordant perceptions regarding their child's reported involvement in relationships (β = .002; p = .79) or sexual touching (β = .57; p = .60). Conclusions Parent and youth in Vietnam are engaged in limited communication about RH. There is a need for more data to assess the effect of these communication patterns on youths' engagement in sexual behaviors and for development of family-centered interventions to increase parental knowledge and skills for positive communication.