Effects of Parental Monitoring and Communication on the Prevention of Sexual Risk Behavior in Adolescents: Meta-Analysis
DOI:
https://doi.org/10.26911/thejhpb.2023.08.03.01Abstract
Background: Risky sexual deviations in adolescents are habits that include having sex at an early age, using condoms that are inconsistent, having more than one sexual partner or being a commercial sex worker. Communication between parents and children plays an important role in fostering the relationship between the two and parents who are less able to communicate with their children will cause relationship conflict so that it can have an impact on adolescent sexual behavior. This study aims to estimate the influence of parental monitoring and parental communication on sexual risk behavior in adolescents based on the results of primary research.
Subjects and Method: This was a review of meta-analytic studies and this article was obtained from databases namely PubMed, Google Scholar, Elsevier, Spinger Link and Science Direct. The articles used in this study are articles published from 2012-2022. The article search was carried out by considering the eligibility criteria defined using the PICO model, namely P: Adolescents, I: Parental monitoring and parental communication C: No parental monitoring and no parental communication O: Sexual risky behavior. The articles included in this research are full text articles with a cross-sectional study design. This article was analyzed using the Review Manager 5.3 application.
Results: A total of 17 cross-sectional studies from 5 Americas, 1 Europe, 2 Asia and 9 Africa with a sample size of 13,404. The results of the meta-analysis showed that adolescents with parental monitoring reduced risky sexual behavior 0.84 times compared to those without parental monitoring, but the effect was not statistically significant (aOR=0.84; 95% CI=0.61-1.17; p=0.300), adolescents without parental communication has the possibility of having risky sexual behavior 1.26 times compared to adolescents who communicate with parents (aOR=1.26; 95% CI 0.81-1.95; p= 0.310) which is not statistically significant. The results of research on parental monitoring showed that there was high heterogeneity (I2=74%; p=0.001) and parental communication (I2=90%; p<0.001), so that the average effect estimation calculation on the forest plot used the random effect model.
Conclusion: Parental monitoring and parental communication have no effect on sexual risk behavior in adolescents.
Keywords: parental monitoring, parental communication, sexual risk behavior, youth.
References
Abosetugn AE, Zergaw A, Tadesse H, Ad¬disu Y (2015). Correlations between risky sexual behavior and parental communication among youth in dilla town, gedeo zone, South Ethiopia. Biology and Med, 7(5). Doi: 10.4172/-0974-8369.-1000253
Alemu MT, Dessie Y, Gobena T, Mazeingia YT, Abdu AO (2018). Oral and anal sexual practice and associated factors among preparatory school youths in Dire Dawa city administration, Eas¬tern Ethiopia. PLoS ONE, 13(11), 1–16. Doi :org/10.1371/journal.pone.0¬206546.
Anulus A, Murti B, Prasetya H (2019). Risk Factors of HIV among Male Military Personnels: A Meta Analysis. J Heal Promot Behav, 4(3), 178–188. DOI: org/10.26911/thejhpb.2019.04.03.o3
Ayalew M, Mengistie B, Semahegn A (2014). Adolescent - parent communication on sexual and reproductive health issues among high school students in dire dawa, Eastern Ethiopia: A Cross-Sectional Study. Reprod Health. 11(77)
Azeze GA, Gebeyehu NA, Wassie AY, Mokonnon TM (2021). Factors associated with risky sexual behaviour among secondary and preparatory students in Wolaita Sodo town, Southern Ethiopia; Institution based cross-sectional study. Afr Health Sci, 21(4), 1830–1841. Doi: 10.4314/ahs.v21i4.41.
Bhatta BR, Kiriya J, Shibanuma A, Jimba M (2021). Parent-adolescent communication on sexual and reproductive health and the utilization of adolescent-friendly health services in Kailali, Nepal. PLoS ONE, 16(2 February 2021), 1–19. Doi: 10.1371/journal.-pone.0246917
Bizuwork MG, Hailu A, Taderegew MM, Alebie A, Zegeye B (2022). Assessment of risky sexual behaviours and associated factors among adolescents in Shewa Robit Town, Northeast, Ethiopia: a cross-sectional study. Pan Afr Med J, 41. Doi: 10.11604/pamj.-2022.41.264.25846.
BKKBN (2019). Survei Kinerja dan Akuntabillitas Program KKBPK tahun 2018. Panduan Pewawancara. Jakar¬ta: BKKBN
CEBM (2014). Critical Appraisal of a Cross-Sectional Study ( Survey ) Appraisal questions. 1.
Dimbuene TZ, Defo KB. Family environment and premarital intercourse in Bandjoun (West Cameroon). Arch Sex Behav. 2012;41(2):351-61.
Fekadu Wakasa B, Oljira L, Demena M, Demissie Regassa L, Binu Daga W (2021). Risky sexual behavior and associated factors among sexually experienced secondary school students in Guduru, Ethiopia. Prev Med Reports, 23, 101398. Doi: 10.1016/j.-pmedr.-2021.101398.
Isaksen KJ, Musonda P, Sandøy IF (2020). Parent-child communication about sexu¬al issues in Zambia: a cross-sectional study of adolescent girls and their parents. BMC Public Health, 20(1), 1–12. DOI: 10.1186/s12889-020-09218-y.
Jones J, Salazar LF, Crosby R (2017). Contextual Factors and Sexual Risk Behaviors Among Young, Black Men. Am J Mens Health, 11(3), 508–517. Doi: 10.1177/1557988315617525.
Keijsers L (2016). Parental monitoring and adolescent problem behaviors: How much do we really know. Int J Behav Dev, 40(3), 271–281. Doi: 10.1177/-016-5025415592515.
Kemenkes RI (2018). Survei Demografi dan Kesehatan Indonesia.
Lobis YB, Murti B, Prasetya H (2020). Influences of Peer Support Group and Psychosocioeconomic Determi¬nants on Treatment Compliance in HIV/AIDS Patients: A Path Analysis Evidence from Sragen, Central Java. J Epidemiol Public Heal, 5(3), 348–358. Doi: 10.26911/jepublichealth.2020.-05.03.09.
Mlunde LB, Poudel KC, Sunguya BF, Mbwambo JKK, Yasuoka J, Otsuka K, Ubuguyu O, Jimba M (2012). A call for parental monitoring to improve condom use among secondary school students in Dar es Salaam, Tanzania. BMC Public Health, 12(1), 1. Doi: 10.1186/1471-2458-12-1061.
Patel H, Chambers R, Littlepage S, Rosen-stock S, Richards J, Lee A, Slimp A, Melgar L, Lee S, Susan D, Tingey L (2021). The association of parental monitoring and parental communication with sexual and substance use risk behaviors among Native Ameri¬can Youth. Child Youth Serv Rev, 129(July), 106171. Doi: 10.1016/j.childyouth.2021.106171.
Yemane Berhanie AC (2015). Assessment of Parenting Practices and Styles and Adolescent Sexual Behavior among High School Adolescents in Addis Ababa, Ethiopia. J AIDS Clin Res, 06(02), 2–6. Doi: 10.4172/2155-6113.1000424
Yimer B, Ashebir W (2019). Parenting perspective on the psychosocial correlates of adolescent sexual and reproductive health behavior among high school adolescents in Ethiopia. Reprod Health, 16(1), 1–9. Doi: 10.1186/-s12978-019-0734-5.
Valera MR, Ávila ME, Martínez B (2013). Kekerasan escolar: Un análisis desde os diferentes contextos de interacción [Kekerasan di sekolah: Sebuah ana¬li¬sis dari konteks interaksi yang ber¬beda. Intervensi Psikososial,22, 25–32. Doi: 10.5093/in2013a4
Yemane Berhanie AC (2015). Assessment of Parenting Practices and Styles and Adolescent Sexual Behavior among High School Adolescents in Addis Ababa, Ethiopia. J AIDS Clin Res, 06(02), 2–6. Doi: 10.4172/2155-6113.-1000424.
Yimer B, Ashebir W (2019). Parenting perspective on the psychosocial correlates of adolescent sexual and reproductive health behavior among high school adolescents in Ethiopia. Reprod Health, 16(1), 1–9. Doi: 10.1186/-s12978-019-0734-5.
Zakaria M, Xu J, Karim F, Cheng F (2019). Reproductive health communication between mother and adolescent daughter in Bangladesh: a cross-sectional study. Reprod Health, 16(1), 114. Doi: 10.1186/s12978-019-0778-6.
