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The Inescapable Effects of Parent Support on Black Males and HIV Testing

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Abstract

Focusing on parental communication is a promising way to extend the reach of HIV-related interventions and prevention programs to underserved adolescents and their families in the US. One highly relevant population in need of services is Black males who constitute more than one-third of all new HIV infection cases in the US. We sought to determine whether the family context (i.e., parent support, parent relationships) impacted HIV testing over time. For this study, we used the first and third waves of the Add Health restricted dataset from the National Longitudinal Study of Adolescent Health of Black males (average age 16.1 years). Descriptive statistics found that over 75% of the sample had never been tested for HIV/AIDS, while only 58% reported using a condom. Bivariate regression analysis followed by multinomial analysis was conducted to identify the factors that were associated with the likelihood of one-time or continued HIV/AIDS testing. Major study findings indicate that Black males, who reported positive parent support and/or had visited the doctor, were more likely to get tested for HIV/AIDS. Males who had parents or peers that possessed negative attitudes about sex were less likely to get tested for HIV. The findings of this study suggest several implications for prevention and intervention aimed at optimal ways to increase HIV testing among Black males warranting further investigation.

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References

  1. Schnall R, Rojas M, Travers J. Understanding HIV testing behaviors of minority adolescents: a health behavior model analysis. J Assoc Nurses AIDS Care. 2015;26:246–58. https://doi.org/10.1016/j.jana.2014.08.005.

    Article  PubMed  Google Scholar 

  2. Centers for Disease Control and Prevention CDC (2016a) HIV among African Americans. U.S. Department of Health and Human Services. Retrieved from https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-hiv-aa-508.pdf.

  3. Kapungu CT, Baptiste D, Holmbeck G, McBride C, Robinson-Brown M, Sturdivant A, et al. Beyond the “birds and the bees”: gender differences in sex-related communication among urban African American adolescents. Fam Process. 2010;49(2):251–64.

    Article  PubMed  Google Scholar 

  4. Aspy CB, Vesely SK, Oman RF, Rodine S, Marshall L, McLeroy K. Parental communication and youth sexual behaviour. J Adolesc. 2007;30(3):449–66.

    Article  PubMed  Google Scholar 

  5. Wight D, Williamson L, Henderson M. Parental influences on young people’s sexual behaviour: a longitudinal analysis. J Adolesc. 2006;29(4):473–94.

    Article  PubMed  Google Scholar 

  6. Wright PJ. Father–child sexual communication in the United States: a review and synthesis. J Fam Commun. 2009;9(4):233–50.

    Article  Google Scholar 

  7. Hicks MS, McRee AL, Eisenberg ME. Teens talking with their partners about sex: the role of parent communication. Am J Sex Educ. 2013;8(1–2):1–17. https://doi.org/10.1080/15546128.2013.790219.

    Article  Google Scholar 

  8. Berenson AB, Wu ZH, Breitkopf CR, Newman J. The relationship between source of sexual information and sexual behavior among female adolescents. Contracept. 2006;73(3):274–8.

    Article  Google Scholar 

  9. Grossman J, Jenkins L, Richer A. Parents’ perspectives on family sexuality communication from middle school to high school. Int J Environ Res Public Health. 2018;15(1):107.

    Article  PubMed Central  Google Scholar 

  10. DiIorio C, McCarty F, Denzmore P, Landis A. The moderating influence of mother–adolescent discussion on early and middle African American adolescent sexual behavior. Res Nurs Health. 2007;30(2):193–202.

    Article  PubMed  Google Scholar 

  11. DiIorio C, Kelley M, Hockenberry-Eaton M. Communication about sexual issues: mothers, fathers, and friends. J Adolesc Health. 1999;24:181–9.

    Article  CAS  PubMed  Google Scholar 

  12. Wilson EK, Koo HP. Mothers, fathers, sons, and daughters: gender differences in factors associated with parent–child communication about sexual topics. Reprod Health. 2010;7(1):31.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Wyckoff SC, Miller KS, Forehand R, Bau JJ, Fasula A, Long N, et al. Patterns of sexuality communication between preadolescents and their mothers and fathers. J Child Fam Stud. 2007;17(5):649–62.

    Article  Google Scholar 

  14. Ikramullah E, Manlove J, Cui C, Moore KA. Parents matter: the role of parents in teens’ decisions about sex. Child Trends Res Brief. 2009;45:1–7.

    Google Scholar 

  15. Sneed CD, Somoza CG, Jones T, Alfaro S. Topics discussed with mothers and fathers for parent–child sex communication among African American adolescents. Sex Ed. 2013;13(4):450–8.

    Article  Google Scholar 

  16. Santa Maria D, Markham C, Engebretson J, Baumler E, McCurdy S. Parent–child communication about sex in African American mother–son dyads. Fam Med Med Sci Res. 2014;3(3):1–6.

    Google Scholar 

  17. Raffaelli M, Bogenschneider K, Flood MF. Parent–teen communication about sexual topics. J Fam Issues. 1998;19(3):315–33.

    Article  CAS  PubMed  Google Scholar 

  18. Santa Maria D, Markham C, Engebretson J, Baumler E, McCurdy S. Parent–child communication about sex in African American mother–son dyads. Fam Med Med Sci Res. 2014;3:2–6.

    Google Scholar 

  19. Lehr ST, Demi AS, DiIorio C, Facteau J. Predictors of father–son communication about sexuality. J Sex Res. 2005;42(2):119–29.

    Article  PubMed  Google Scholar 

  20. Randolph SD, Coakley T, Shears J, Thorpe RJ Jr. African American fathers’ perspectives on facilitators and barriers to father–son sexual health communication. Nurs Health. 2017;40(3):229–36.

    Google Scholar 

  21. Bronfenbrenner U. The ecology of human development. Cambridge: Harvard University Press; 1979.

    Google Scholar 

  22. Harris, A. L., Fantasia, H. C., & Castle, C. E. (2019). Father 2 Son: The Impact of African American Father–Son Sexual Communication on African American Adolescent Sons’ Sexual Behaviors. American Journal of Men’s Health, 13(1). https://doi.org/10.1177/1557988318804725.

  23. Szapocznik J, Coatsworth JD. Drug abuse: origins & interventions. Washington, DC: American Psychological Association; 1999.

    Google Scholar 

  24. Nathanson M, Baird A, Jemail J. Family functioning and the adolescent mother: a systems approach. Adolescence. 1986;21:827–41.

    CAS  PubMed  Google Scholar 

  25. Boyd D, Lea CH, Gilbert KL, Butler-Barnes ST. Sexual health conversations: predicting the odds of HIV testing among black youth and young adults. Child Youth Serv Rev. 2018;90(C):134–40.

    Article  Google Scholar 

  26. Flewelling RL, Bauman KE. Family structure as a predictor of initial substance use and sexual intercourse in early adolescence. J Marriage Fam. 1990;52:171–81.

    Article  Google Scholar 

  27. Oman RF, Vesely SF, Aspy CB. Youth assets and sexual risk behavior: the importance of assets for youth residing in one-parent households. Perspect Sex Reprod Health. 2005;37:25–31.

    Article  PubMed  Google Scholar 

  28. Goosby BJ, Walsemann KM. School racial composition and race/ethnic differences in early adulthood health. Health Place. 2012;18(2):296–304.

    Article  PubMed  Google Scholar 

  29. Latkin CA, Curry AD, Hua W, Davey MA. Direct and indirect associations of neighborhood disorder with drug use and high-risk sexual partners. Am J Prev Med. 2007;32:S234–41.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Lindberg LD, Orr M. Neighborhood-level influences on young men’s sexual and reproductive health behaviors. Am J Public Health. 2011;101:271–4.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Harris, K.M., Halpern, C.T., Whitsel, E., Hussey, J., Tabor, J., Entzel, P., Udry, J.R. The National Longitudinal Study of Adolescent Health: research design. Carolina Population Center, UNC at Chapel Hill. http://www.cpc.unc.edu/projects/addhealth/design. Published 2009.

  32. Starkweather, J. and Moske, A.K., 2011. Multinomial logistic regression. Consulted page at September 10th: http://www.unt.edu/rss/class/Jon/Benchmarks/MLR_JDS_Aug2011.pdf

  33. Ackard DM, Neumark-Sztainer D, Story M, Perry C. Parent–child connectedness and behavioral and emotional health among adolescents. Am J Prev Med. 2006;30(1):59–66.

    Article  PubMed  Google Scholar 

  34. Kerpelman JL, McElwain AD, Pittman JF, Adler-Baeder FM. Engagement in risky sexual behavior: adolescents perceptions of self and the parent–child relationship matter. Youth Soc. 2013;48(1):101–25.

    Article  Google Scholar 

  35. Thomas JC, Levandowski BA, Isler MR, Torrone E, Wilson G. Incarceration and sexually transmitted infections: a neighborhood perspective. J Urban Health. 2008;85:90–9.

    Article  PubMed  Google Scholar 

  36. Denning PH, DiNenno EA, Wiegand RE. Characteristics associated with HIV infection among heterosexuals in urban areas with high AIDS prevalence—24 cities, United States, 2006–2007. MMWR Morb Mortal Wkly Rep. 2011;60:1045–9.

    Google Scholar 

  37. Aidala AA, Cross JE, Stall R, Harre D, Sumartojo E. Housing status and HIV risk behaviors: implications for prevention and policy. AIDS Behav. 2005;9:251–65.

    Article  PubMed  Google Scholar 

  38. Bowleg L, Teti M, Malebranche DJ, Tschann JM. “It’s an uphill battle everyday”: intersectionality, low-income black heterosexual men, and implications for HIV prevention research and interventions. Psychol Men Masculinity. 2013;14(1):25–34.

    Article  Google Scholar 

  39. Keijsers L, Loeber R, Branje S, Meeus W. Bidirectional links and concurrent development of parent-child relationships and boys' offending behavior. J Abnorm Psychol. 2011;120(4):878.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Grotevant HD, Cooper CR. Individuation in family relationships: a perspective on individual differences in the development of identity and role-taking skill in adolescence. Hum Dev. 1986;2:82–100.

    Article  Google Scholar 

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Correspondence to Donte T. Boyd.

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Boyd, D.T., Quinn, C.R. & Aquino, G.A. The Inescapable Effects of Parent Support on Black Males and HIV Testing. J. Racial and Ethnic Health Disparities 7, 563–570 (2020). https://doi.org/10.1007/s40615-019-00685-7

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  • DOI: https://doi.org/10.1007/s40615-019-00685-7

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