title: Parent-adolescent sex communication in China.
abstract: BACKGROUND
  Communication concerning sexual matters between parents and their adolescent children serve as a protective factor and exerts a favourable influence on adolescents' sexual behaviours. As limited data regarding parent-adolescent sex communication are available in China, this study was undertaken with the aim of exploring the patterns and related factors of such communication and its relationship with adolescent sexual behaviour.
  
  
  METHODS
  Community-based data were collected in 2001 in Changchun, China. Unmarried adolescents 15-19 years of age (322 young men and 360 young women) were included in a survey using self-administered questionnaires.
  
  
  RESULTS
  Overall, sex communication with parents was relatively infrequent. There was a significant gender difference in the pattern of sex communication, with male adolescents being more likely to talk with fathers and female adolescents with mothers. Logistic regression analysis revealed that gender of adolescents, quality of communication with mothers on general topics, and adolescent's perception of mother being the main source of sex knowledge were predictive of the level of sex communication between mother and her adolescent children.
  
  
  CONCLUSIONS
  This study reveals that communication regarding sexual matters between parents and adolescents was limited in China. The quality of communication on general topics between parents and their adolescent children is one of the important factors related to sex communication between them. It is essential that Chinese parents are better informed and skilled to be involved, in addition to school and community, in the sex education of their adolescent children. They should be able to communicate appropriately on sex-related issues with them.
authors.affiliation: Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI 48201-2196, USA. lzhan@med.wayne.edu
authors.forename: Liying
authors.initials: L
authors.lastname: Zhang
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Iqbal H
authors.initials: IH
authors.lastname: Shah
authors.forename: Wendy
authors.initials: W
authors.lastname: Baldwin
authors.forename: Bonita
authors.initials: B
authors.lastname: Stanton
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000328:Adult; D002681:China; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D010287:Parent-Child Relations; D012736:Sex Education; D012725:Sexual Behavior / Q000523:psychology