Maternal and Child Health Journal

, Volume 20, Issue 11, pp 2280–2290 | Cite as

Influential Factors of Puerto Rican Mother–Child Communication About Sexual Health Topics

  • Maria Idalí Torres
  • Phillip Granberry
  • Sharina Person
  • Jeroan Allison
  • Milagros Rosal
  • Sarah Rustan
Article

Abstract

Introduction Latina mothers play a central role in raising and socializing their children; however, few studies have examined the cultural, socio-cognitive and neighborhood-related variables influencing the level of communication between Puerto Rican mothers and their children about sexuality and sexual health. This cross-sectional study sought to examine these influences. Methods Puerto Rican mothers with children aged 10–19 years (n = 193) were selected randomly for an ethnographic interview as part of a community participatory action research project in a U.S. urban northeastern community. Results Bivariate analyses found statistically significant associations between the child’s age (p = 0.002), the mother’s past communication about traditional gender role norms of women (marianismo) (p < 0.001), her positive outcome expectations for communications with her child (p < 0.025), and her perceptions of the physical condition (p < 0.001) and sexual health problems (p = 0.047) in the neighborhood. In a multivariate model, all of these variables remained significant except sexual health problems, and mother’s attitudes toward the obligations of children to parents (familismo) emerged as a factor associated with a decrease in the number of sexual health topics that mothers raised with their children. No significant effects were found for mother’s spiritual and religious experience (religiosidad). Discussion Our study highlights the importance of marianismo as a framework within which Puerto Rican mothers communicate sexual health information as well as the need to improve mothers’ confidence discussing sexual health issues with their children. Future public health interventions to promote communication about sexuality and sexual health among Puerto Rican mothers should consider addressing this issue as a part of comprehensive neighborhood improvement projects.

Keywords

Puerto Rican Mother–child communication Sexual health Ethnographic survey Marianismo 

References

  1. Barchard, K. A., & Verenikina, Y. (2013). Improving data accuracy: Selecting the best data checking technique. Computers in Human Behavior, 29(5), 1917–1922.CrossRefGoogle Scholar
  2. Benavides, R. (2006). Parent–child communication: A model for Hispanics on HIV prevention++. Journal of Community Health Nursing, 23(2), 81.CrossRefPubMedGoogle Scholar
  3. Blank, S., & Torrecilla, R. S. (1998). Understanding the living arrangements of Latino immigrants: A life course approach. International Migration Review, 32(1), 3–19.CrossRefPubMedGoogle Scholar
  4. Caal, S., Guzman, L., Berger, A., Ramos, M., & Golub, E. (2013). “Because You’re on Birth Control, It Automatically Makes You Promiscuous or Something”: Latina Women’s perceptions of parental approval to use reproductive health care. Journal of Adolescent Health, 53(5), 617–622.CrossRefPubMedGoogle Scholar
  5. Cameron, A. C., & Trivedi, P. K. (2013). Regression analysis of count data (2nd ed.). New York: Econometric Society Monograph No. 53, Cambridge University Press.CrossRefGoogle Scholar
  6. Castillo, L. G., Perez, F. V., Castillo, R., & Ghosheh, M. R. (2010). Construction and initial validation of the Marianismo Beliefs Scale. Counselling Psychology Quarterly, 23(2), 163–175.CrossRefGoogle Scholar
  7. Davis, K. C., Blitstein, J. L., Evans, W. D., & Kamyab, K. (2010). Impact of a parent–child sexual communication campaign: Results from a controlled efficacy trial of parents. Reproductive Health, 7(1), 17.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Deardorff, J., Tschann, J. M., Flores, E., de Groat, C. L., Steinberg, J. R., & Ozer, E. J. (2013). Latino youths’ sexual values and condom negotiation strategies. Perspectives on Sexual and Reproductive Health., 45(4), 182–190.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Dogan-Ates, A., & Carrión-Basham, C. Y. (2007). Teenage pregnancy among Latinas. Hispanic Journal of Behavioral Sciences, 29(4), 554.CrossRefGoogle Scholar
  10. East, P., Reyes, B., Contreras, B., Wu, R. C., & Contreras, R. (2005). Positive adolescent sexuality as evident in consistent and reliable contraceptive use: A study of sexually active Latino and non-Latino youths’ contraceptive behavior. Sexuality Research & Social Policy: A Journal of the NSRC, 2(4), 42–53.CrossRefGoogle Scholar
  11. Edwards, Lisa M., Fehring, Richard J., Jarrett, Keyona M., & Haglund, Kristin A. (2008). The influence of religiosity, gender, and language preference acculturation on sexual activity among Latino/a adolescents. Hispanic Journal of Behavioral Sciences, 30(4), 447–462.CrossRefGoogle Scholar
  12. Fasula, A. M., & Miller, K. S. (2006). African-American and Hispanic adolescents’ intentions to delay first intercourse: parental communication as a buffer for sexually active peers ++. Journal of Adolescent Health, 38(3), 193–200.CrossRefPubMedGoogle Scholar
  13. Gallegos, E. C., Villarruel, A. M., Gomez, M. V., Onofre, D. J., & Zhou, Y. (2007). Research brief: Sexual communication and knowledge among Mexican parents and their adolescent children. Journal of the Association of Nurses in AIDS Care, 18(2), 28–34.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Guilamo-Ramos, V. (2010). Dominican and Puerto Rican Mother–Adolescent Communication: Maternal self-disclosure and youth risk intentions. Hispanic Journal of Behavioral Sciences, 32(2), 197–215.CrossRefGoogle Scholar
  15. Guilamo-Ramos, V., Dittus, P., Jaccard, J., Goldberg, V., Casillas, E., & Bouris, A. (2006). The content and process of mother–adolescent communication about sex in Latino families. Social Work Research, 30(3), 169–181.CrossRefGoogle Scholar
  16. Guilamo-Ramos, V., Jaccard, J., Dittus, P., & Collins, S. (2008). Parent-adolescent communication about sexual intercourse: An analysis of maternal reluctance to communicate. Health Psychol., 27(6), 760–769.CrossRefPubMedGoogle Scholar
  17. Guzman, B. L., Schlehofer-Sutton, M. M., Villanueva, C. M., Dello Stritto, M. E., Casad, B. J., & Feria, A. (2003). Let’s talk about sex: How comfortable discussions about sex impact teen sexual behavior. Journal of Health Communication, 8(6), 583–598.CrossRefPubMedGoogle Scholar
  18. Hamilton, L. (2012). Statistics with STATA: Version 12. Boston: Cengage Learning.Google Scholar
  19. Harris, P. A. (2012). Research Electronic Data Capture (REDCap)—Planning, collecting and managing data for clinical and translational research. BMC Bioinformatics, 13, 1.CrossRefGoogle Scholar
  20. Hutchinson, M. K. (2002). The influence of sexual risk communication between parents and daughters on sexual risk behaviors. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 51(3), 238–247.CrossRefGoogle Scholar
  21. Kenny, M. C., & Wurtele, S. K. (2013). Latino Parents’ plans to communicate about sexuality with their children. Journal of Health Communication, 18(8), 931.CrossRefPubMedGoogle Scholar
  22. Lopez, G., & Patten, E. (2015). Hispanics of Puerto Rican origin in the United States, 2013: Statistical profile. Washington, DC: Pew Research Center.Google Scholar
  23. Lugo-Steidel, A. G., & Contreras, J. M. (2003). A new familism scale for use with Latino populations. Hispanic Journal of Behavioral Sciences, 25(3), 312–330.CrossRefGoogle Scholar
  24. Ma, M., Malcolm, L. R., Diaz-Albertini, K., Klinoff, V. A., Leeder, E., Barrientos, S., et al. (2014). Latino cultural values as protective factors against sexual risks among adolescents. Journal of Adolescence, 37(8), 1215–1225.CrossRefPubMedGoogle Scholar
  25. Miller, K. S., & Whitaker, D. J. (2001). Predictors of mother-adolescent discussions about condoms: implications for providers who serve youth. Pediatrics, 108(2), E28.CrossRefPubMedGoogle Scholar
  26. Mireles-Rios, R., & Romo, L. F. (2014). Latina Daughters’ childbearing attitudes: The role of maternal expectations and education communication. Developmental Psychology, 50(5), 1553–1563.CrossRefPubMedGoogle Scholar
  27. Moreno, C. L., & Baer, J. C. (2012). Barriers to prevention: Ethnic and gender differences in Latino adolescent motivations for engaging in risky behaviors. Child & Adolescent Social Work Journal, 29(2), 137–149.CrossRefGoogle Scholar
  28. Moreno, C. L., Morrill, A. C., & El-Bassel, N. (2011). Sexual risk factors for HIV and violence among Puerto Rican women in New York City. Health & Social Work, 36(2), 87–97.CrossRefGoogle Scholar
  29. Ortiz, A. P., Soto-Salgado, M., Suárez, E., del Carmen Santos‐Ortiz, M., Tortolero-Luna, G., & Pérez, C. M. (2011). Sexual behaviors among adults in Puerto Rico: A population-based study. Journal of Sexual Medicine, 8(9), 2439–2449.CrossRefPubMedPubMedCentralGoogle Scholar
  30. O’Sullivan, L. F., Meyer-Bahlburg, H., & Watkins, B. X. (2001). Mother–daughter communication about sex among urban African American and Latino families. Journal of Research on Adolescence, 16(3), 269–292.CrossRefGoogle Scholar
  31. Ramirez, J. I., Gossett, D. R., Ginsburg, K. R., Taylor, S. L., & Slap, G. B. (2000). Preventing HIV transmission: The perspective of inner-city Puerto Rican adolescents. Journal of Adolescent Health, 26(4), 258–267.CrossRefPubMedGoogle Scholar
  32. Robles, R. R., Matos, T. D., Reyes, J. C., Colon, H. M., Negron, J., Calderon, J., et al. (2007). Correlates of early sexual activity among Hispanic children in middle adolescence. Puerto Rico Health Sciences Journal, 26(2), 119–126.PubMedGoogle Scholar
  33. Rodriguez, K. M., Castillo, L. G., & Gandara, L. (2013). The influence of marianismo, ganas, and academic motivation on Latina adolescents’ academic achievement intentions. Journal of Latina/o Psychology, 1(4), 218–226.CrossRefGoogle Scholar
  34. Rojas-Gueyer, L., & King, K. (2007). Sexuality education among Latinas: Experiences, preferences, attitudes and risk behaviors. American Journal of Sexuality Education., 2(4), 25–38.CrossRefGoogle Scholar
  35. Romo, L. F., Lefkowitz, E. S., Sigman, M., & Au, T. K. (2001). Determinants of mother–adolescent communication about sex in Latino families. Adolescent & Family Health, 2(2), 72–82.Google Scholar
  36. Singh, G. K., & Ghandour, R. M. (2012). Impact of neighborhood social conditions and household socioeconomic status on behavioral problems among US children. Maternal and Child Health Journal, 16(1), 158–169.CrossRefGoogle Scholar
  37. Torres, M. I., & Cernada, G. P. (2002). Cultural landscapes and cultural brokers of sexual and reproductive health in U.S. Latino and Latin American populations. International Quarterly of Community Health Education, 21(2), 109–132.CrossRefGoogle Scholar
  38. U.S. Census Bureau, American Community Survey. (2012). 2010 Decennial Census SF2 and DP01 generated by Phillip Granberry using American FactFinder (in press).Google Scholar
  39. Velez-Pastrana, M. C., Gonzalez-Rodriguez, R. A., & Borges-Hernandez, A. (2005). Family functioning and early onset of sexual intercourse in Latino adolescents. Adolescence, 40(160), 777–791.PubMedGoogle Scholar
  40. Villarruel, A. M., Cherry, C. L., Cabriales, E. G., Ronis, D. L., & Zhou, Y. (2008). A parent–adolescent intervention to increase sexual risk communication: results of a randomized controlled trial. AIDS Education and Prevention, 20(5), 371–383.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Villarruel, A., Jemmott, J., & Jemmott, L. (2006). A randomized controlled trial testing an HIV prevention intervention for Latino youth. Archives of Pediatric Adolescent Medicine, 160, 772–777.CrossRefGoogle Scholar
  42. Zambrana, R. E., Cornelius, L. J., Boykin, S. S., & Lopez, D. S. (2004). Latinas and HIV/AIDS risk factors: Implications for harm reduction strategies. American Journal of Public Health, 94(7), 1152–1158.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Anthropology, The Mauricio Gastón Institute for Latino Community Development and Public PolicyUniversity of Massachusetts BostonBostonUSA
  2. 2.Department of Economics, The Mauricio Gastón Institute for Latino Community Development and Public PolicyUniversity of Massachusetts BostonBostonUSA
  3. 3.Department of Quantitative SciencesUniversity of Massachusetts Medical School WorcesterWorcesterUSA
  4. 4.Division of Preventive and Behavioral MedicineUniversity of Massachusetts Medical School WorcesterWorcesterUSA
  5. 5.The Mauricio Gastón Institute for Latino Community Development and Public PolicyUniversity of Massachusetts BostonBostonUSA

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