title: ARSH 4: Parental understanding of adolescent issues: parent-adolescent dyad agreement.
abstract: OBJECTIVE
  To elicit areas of discordance between the parent-adolescent dyad with regard to reproductive sexual health issues using the same questions to both and to elicit the gender sensitivity of the parents.
  
  
  METHODS
  This study was conducted using similar questions for both adolescents and young adults and their parents in three districts of Kerala. Data analysis was done comparing unmarried adolescents and young adults' response to reproductive and sexual health issues and the parental agreement status with their ward's responses.
  
  
  RESULTS
  There were a total of 3,625 parent-unmarried young adults dyads. Parental attitudinal difference towards their sons and daughters on selected parenting issues was observed. With regard to the following reproductive and sexual health problems, (i) knew about menstruation before menarche (64.1%), (ii) got information on hygiene practices from home (80.8%), (iii) have menstrual problems (66.4%), agreement with adolescent response was high, whereas with regard to (i) anxious about adolescent physical and mental changes (29.2%), (ii) received information on reproductive sexual health (RSH) from mother (26.7%), (iii) do not have any abnormal vaginal discharge (46.7%), (iv) parents taken precautions to prevent sexual abuse (17.5%), (v) have been sexually abused (15.6%), agreement with unmarried young adults' response was low and all these differences were statistically significant.
  
  
  CONCLUSIONS
  The results of 3,625 parent-unmarried adolescents and young adults dyad data showed poor agreement on vital issues like sexual abuse apart from gender inequality favouring sons.
authors.affiliation: Child Development Centre, Thiruvananthapuram Medical College, Thiruvananthapuram, 695 011, Kerala, South India, cdcmkc@gmail.com.
authors.forename: M K C
authors.initials: MK
authors.lastname: Nair
authors.forename: Yamini
authors.initials: Y
authors.lastname: Thankachi
authors.forename: M L
authors.initials: ML
authors.lastname: Leena
authors.forename: Babu
authors.initials: B
authors.lastname: George
authors.forename: Paul Swamidhas Sudhakar
authors.initials: PS
authors.lastname: Russell
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D016497:Adolescent Health Services; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India; D008297:Male; D020380:Needs Assessment; D010287:Parent-Child Relations; D060728:Reproductive Health; D034121:Reproductive Health Services; D012737:Sex Factors; D063507:Sexism; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D055815:Young Adult
references.citation: Indian Pediatr. 2004 Jan;41(1):7-13
references.pmid: 14767082
references.citation: Patient Educ Couns. 2007 Apr;66(1):75-83
references.pmid: 17137742
references.citation: Indian J Pediatr. 2012 Jan;79 Suppl 1:S60-3
references.pmid: 21614606
references.citation: Ann Acad Med Singap. 2012 Jun;41(6):239-46
references.pmid: 22821244