title: Factors associated with parent-child communication about HIV/AIDS in the United States and Kenya: a cross-cultural comparison.
abstract: This study explored parent-child communication about HIV/AIDS among two populations disproportionately affected by HIV. Similar computer-assisted surveys were completed by parents of pre-teens, including 1,115 African American parents of 9-12-year-old children in southeastern US and 403 parents of 10-12-year-old children in Nyanza Province, Kenya. Multivariate analyses identified factors associated with parental report of ever talking to their child about HIV/AIDS. Twenty-nine percent of US parents and 40% in Kenya had never talked to their pre-teen about HIV/AIDS. In both countries, communication was more likely if parents perceived their child to be ready to learn about sex topics, had gotten information to educate their child about sex, and had greater sexual communication responsiveness (skill, comfort, and confidence communicating about sexuality). Programs are needed that help parents assess children's readiness to learn about sexual issues; access accurate information about adolescent sexual risks; and acquire the responsiveness needed to discuss sexual issues, including HIV/AIDS.
authors.affiliation: Global AIDS Program, NCHHSTP, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. mpoulsen@cdc.gov
authors.forename: Melissa N
authors.initials: MN
authors.lastname: Poulsen
authors.forename: Kim S
authors.initials: KS
authors.lastname: Miller
authors.forename: Carol
authors.initials: C
authors.lastname: Lin
authors.forename: Amy
authors.initials: A
authors.lastname: Fasula
authors.forename: Hilde
authors.initials: H
authors.lastname: Vandenhoudt
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Wyckoff
authors.forename: Juliet
authors.initials: J
authors.lastname: Ochura
authors.forename: Christopher O
authors.initials: CO
authors.lastname: Obong'o
authors.forename: Rex
authors.initials: R
authors.lastname: Forehand
mesh_terms: D000328:Adult; D002648:Child; D003142:Communication; D003431:Cross-Cultural Comparison; D003625:Data Collection; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D012736:Sex Education; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult