An Exploration of the Ecological Context of Low-Income, Urban African-American Adolescent Sexual Risk.

Prior health disparities research has indicated that urban, low-income African-American families and adolescents experience ecological and environmental hardships that result in higher rates of engagement in risk behaviors. Contextual factors like community violence, socioeconomic status, and family processes, as well as limited sexual health knowledge, a psychological element, also contribute to high rates of sexual risk among urban African-American adolescents. However, protective factors like parental monitoring and parent-adolescent communication about sex may decrease sexual risk among this urban teen population. Therefore, the current study sought to explore the following research questions: (1) Is parent-adolescent communication about sex associated with adolescent sexual health knowledge?, (2) Is parent-adolescent communication about sex associated with parental monitoring?, (3) Are parental monitoring and parent-adolescent communication about sex predictors of adolescent sexual risk?, (4) Are there gender differences in parent-adolescent communication about sex and parental monitoring?, and (5) Are age and gender predictors of adolescent sexual risk? A sample of approximately 1102 African-American adolescents aged 13-17 from urban Midwestern high schools were included in this study. There was no significant association found between sexual health knowledge and parent communication about sex or parental monitoring. Female adolescents reported higher levels of communication about sex than males. Findings indicated a significant negative association between parental monitoring and adolescent sexual risk, with the association being stronger for males than females. There was a significant negative association found between sexual health knowledge and adolescent sexual risk. Additionally, findings indicated a significant negative association between parental monitoring and adolescent sexual risk.