“Whenever You’re Ready to Talk about It”: Prompts and Barriers to Inclusive Family Sex Communication with Gay, Bisexual, and Queer Sons

References

• Agnew-Brune, C. B., Balaji, A. B., Mustanski, B., Newcomb, M. E., Prachand, N., Braunstein, S. L., Brady, K. A., Hoots, B. E., Smith, J. S., Paz-Bailey, G., & Broz, D, NHBS-YMSM Study Group. (2019). Mental health, social support, and HIV-related sexual risk behaviors among HIV-negative adolescent sexual minority males: Three U.S. cities, 2015. AIDS and Behavior, 23(12), 3419–3426. https://doi.org/10.1007/s10461-019-02525-5.
   PubMed Web of Science ®Google Scholar
• Akers, A. Y., Holland, C. L., & Bost, J. (2011). Interventions to improve parental communication about sex: A systematic review. Pediatrics, 127(3), 494–510. https://doi.org/10.1542/peds.2010-2194.
   PubMed Web of Science ®Google Scholar
• Arrington-Sanders, R., Harper, G. W., Morgan, A., Ogunbajo, A., Trent, M., & Fortenberry, J. D. (2015). The role of sexually explicit material in the sexual development of same-sex-attracted Black adolescent males. Archives of Sexual Behavior, 44(3), 597–608. https://doi.org/10.1007/s10508-014-0416-x.
   PubMed Web of Science ®Google Scholar
• Ashcraft, A. M., & Murray, P. J. (2017). Talking to parents about adolescent sexuality. Pediatric Clinics of North America, 64(2), 305–320. https://doi.org/10.1016/j.pcl.2016.11.002
   PubMed Web of Science ®Google Scholar
• Bleakley, A., Khurana, A., Hennessy, M., & Ellithorpe, M. (2018). How patterns of learning about sexual information among adolescents are related to sexual behaviors. Perspectives on Sexual and Reproductive Health, 50(1), 15–23. https://doi.org/10.1363/psrh.12053.
   PubMed Web of Science ®Google Scholar
• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.
   Google Scholar
• Bronfenbrenner, U., & Ceci, S. (1994). Nature-nurture reconceptualized in developmental perspectives: a bioecological model. Psychological Review, 101(4), 568–586. https://doi.org/10.1037/0033-295X.101.4.568
   PubMed Web of Science ®Google Scholar
• Bronfenbrenner, U., & Morris, P. (2006). The bioecological model of human development. In: R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: Theoretical models of human development (pp. 793–828). John Wiley and Sons, Inc.
   Google Scholar
• Campero, L., Walker, D., Atienzo, E. E., & Gutierrez, J. P. (2011). A quasi-experimental evaluation of parents as sexual health educators resulting in delayed sexual initiation and increased access to condoms. Journal of Adolescence, 34(2), 215–223. https://doi.org/10.1016/j.adolescence.2010.05.010.
   PubMed Web of Science ®Google Scholar
• Centers for Disease Control and Prevention. (2019a). HIV diagnoses among young gay and bisexual men 2017. https://www.cdc.gov/hiv/pdf/library/infographics/cdc-hiv-ngmhaad-infographic-MSM-young-2019.pdf
   Google Scholar
• Centers for Disease Control and Prevention. (2019b). Youth risk behavior survey – data summary & trends report 2009–2019. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBSDataSummaryTrendsReport2019-508.pdf.
   Google Scholar
• Cross, W. E. (2017). Ecological factors in human development. Child Development, 88(3), 767–769. https://doi.org/10.1111/cdev.12784.
   PubMed Web of Science ®Google Scholar
• Currin, J. M., Hubach, R. D., & Croff, J. M. (2020). Sex-ed without the stigma: What gay and bisexual men would like offered in school-based sex education. Journal of Homosexuality, 67(13), 1779–1797. https://doi.org/10.1080/00918369.2019.1616429.
   PubMed Web of Science ®Google Scholar
• Dimbuene, Z. T. (2015). Families’ response to AIDS: New insights into parental roles in fostering HIV/AIDS knowledge. Journal of Biosocial Science, 47(06), 762–779. https://doi.org/10.1017/S0021932014000406.
   PubMedGoogle Scholar
• Edwards, L. L., Reis, J. S., & Weber, K. M. (2013). Facilitators and barriers to discussing HIV prevention with adolescents: Perspectives of HIV-infected parents. American Journal of Public Health, 103(8), 1468–1475. https://doi.org/10.2105/AJPH.2012.301111.
   PubMed Web of Science ®Google Scholar
• Eisenberg, M. E., Madsen, N., Oliphant, J. A., & Sieving, R. E. (2013). Barriers to providing the sexuality education that teachers believe students need. Journal of School Health, 83(5), 335–342. https://doi.org/10.1111/josh.12036
   PubMed Web of Science ®Google Scholar
• Elia, J. P., & Eliason, M. J. (2010). Dangerous omissions: Abstinence-only-until- marriage school-based sexuality education and the betrayal of LGBTQ youth. American Journal of Sexuality Education, 5(1), 17–35. https://doi.org/10.1080/15546121003748848
   Google Scholar
• Estes, M. L. (2017). “If there’s one benefit, you’re not going to get pregnant”: The sexual miseducation of gay, lesbian, and bisexual individuals. Sex Roles, 77(9–10), 615–627. https://doi.org/10.1007/s11199-017-0749-8
   Web of Science ®Google Scholar
• Everett, B. G., Schnarrs, P. W., Rosario, M., Garofalo, R., & Mustanski, B. (2014). Sexual orientation disparities in sexually transmitted infection risk behaviors and risk determinants among sexually active adolescent males: Results from a school-based sample. American Journal of Public Health, 104(6), 1107–1112. https://doi.org/10.2105/AJPH.2013.301759.
   PubMed Web of Science ®Google Scholar
• Feinstein, B. A., Thomann, M., Coventry, R., Macapagal, K., Mustanski, B., & Newcomb, M. E. (2018). Gay and bisexual adolescent boys’ perspectives on parent-adolescent relationships and parenting practices related to teen sex and dating. Archives of Sexual Behavior, 47(6), 1825–1837. https://doi.org/10.1007/s10508-017-1057-7.
   PubMed Web of Science ®Google Scholar
• Flores, D., & Barroso, J. (2017). 21st century parent-child sex communication in the United States: A process review. Journal of Sex Research, 54(4–5), 532–548. https://doi.org/10.1080/00224499.2016.1267693.
   PubMed Web of Science ®Google Scholar
• Flores, D., Docherty, S. L., Relf, M. V., McKinney, R. E., & Barroso, J. V. (2019). “It’s almost like gay sex doesn’t exist”: Parent-child sex communication according to gay, bisexual, and queer male adolescents. Journal of Adolescent Research, 34(5), 528–562. https://doi.org/10.1177/0743558418757464
   PubMed Web of Science ®Google Scholar
• Flores, D. D., Meanley, S. P., Bond, K. T., Agenor, M., Relf, M. V., & Barroso, J. V. (2020a). Topics for inclusive parent-child sex communication by gay, bisexual, queer youth. Behavioral Medicine, 47(3), 175–184. https://doi.org/10.1080/08964289.2019.1700481
   PubMed Web of Science ®Google Scholar
• Flores, D. D., Rosario, A. A., Bond, K. T., Villarruel, A. M., & Bauermeister, J. A. (2020b). Parents ASSIST (advancing supportive and sexuality-inclusive sex talks): Iterative development of a sex communication video series for parents of gay, bisexual, and queer male adolescents. Journal of Family Nursing, 26(2), 90–101. https://doi.org/10.1177/1074840719897905.
   PubMed Web of Science ®Google Scholar
• Fortenberry, J. D. (2016). Adolescent sexual well-being in the 21st century. Journal of Adolescent Health, 58(1), 1–2.
   Google Scholar
• Garofalo, R., Mustanski, R., & Donenberg, G. (2008). Parents know and parents’ matter; is it time to develop family-based HIV prevention programs for young men who have sex with men? The Journal of Adolescent Health, 43(2), 201–204. https://doi.org/10.1016/j.jadohealth.2008.01.017
   PubMed Web of Science ®Google Scholar
• Gattamorta, K. A., Salerno, J., & Quidley-Rodriguez, N. (2019). Hispanic parental experiences of learning a child identifies as a sexual minority. Journal of GLBT Family Studies, 15(2), 151–164. https://doi.org/10.1080/1550428X.2018.1518740.
   PubMed Web of Science ®Google Scholar
• Gowen, L. K., & Winges-Yanez, N. (2014). Lesbian, gay, bisexual, transgender, queer, and questioning youths’ perspectives of inclusive school-based sexuality education. The Journal of Sex Research, 51(7), 788–800. https://doi.org/10.1080/00224499.2013.806648
   PubMed Web of Science ®Google Scholar
• Guilamo-Ramos, V., & Bouris, A. (2009). Working with parents to promote healthy adolescent sexual development. PsycEXTRA Dataset, 16(4), 7–11. https://doi.org/10.1037/e630642009-004
   Google Scholar
• Halkitis, P. N., Fischgrund, B. N., & Parsons, J. T. (2005). Explanations for methamphetamine use among gay and bisexual men in New York City. Substance Use & Misuse, 40(9–10), 1331–1345.
   PubMed Web of Science ®Google Scholar
• Hall, K. S., Sales, J. M., Komro, K. A., & Santelli, J. (2016). The state of sex education in the United States. The Journal of Adolescent Health, 58(6), 595–597. https://doi.org/10.1016/j.jadohealth.2016.03.032.
   PubMed Web of Science ®Google Scholar
• Huebner, D. M., Rullo, J. E., Thoma, B. C., McGarrity, L. A., & Mackenzie, J. (2013). Piloting lead with love: A film-based intervention to improve parents’ responses to their lesbian, gay, and bisexual children. The Journal of Primary Prevention, 34(5), 359–369. https://doi.org/10.1007/s10935-013-0319-y.
   PubMed Web of Science ®Google Scholar
• International Planned Parenthood Federation. (2010). IPPF framework for comprehensive sexuality education. http://ippf.org/resources/publications/ippf-framework-comprehensive-sexuality-education (Accessed January 25, 2021).
   Google Scholar
• Jones, R. K., & Biddlecom, A. E. (2011). Is the internet filling the sexual health information gap for teens? An exploratory study. Journal of Health Communication, 16(2), 112–123. https://doi.org/10.1080/10810730.2010.535112.
   PubMed Web of Science ®Google Scholar
• Kann, L., McManus, T., Harris, W. A., et al. (2018). Youth Risk Behavior Surveillance—United States, 2017. MMWR Surveill Summ, 67(SS–8), 1–114. http://dx.doi.org/10.15585/mmwr.ss6708a1.
   Google Scholar
• Katz-Wise, S. L., Rosario, M., & Tsappis, M. (2016). LGBT youth and family acceptance. Pediatric Clinics of North America, 63(6), 1011–1025. https://doi.org/10.1016/j.pcl.2016.07.005.
   PubMed Web of Science ®Google Scholar
• Kubicek, K., Beyer, W. J., Weiss, G., Iverson, E., & Kipke, M. D. (2010). In the dark: Young men’s stories of sexual initiation in the absence of relevant sexual health information. Health Education & Behavior, 37(2), 243–263. https://doi.org/10.1177/1090198109339993.
   PubMed Web of Science ®Google Scholar
• LaSala, M. C. (2015). Condoms and connection: Parents, gay and bisexual youth, and HIV risk. Journal of Marital and Family Therapy, 41(4), 451–464. https://doi.org/10.1111/jmft.12088.
   PubMed Web of Science ®Google Scholar
• LaSala, M. C., Siebert, C. F., Fedor, J. P., & Revere, E. J. (2016). The role of family interactions in HIV risk for gay and bisexual male youth: A pilot study. Journal of Family Social Work, 19(2), 113–131. https://doi.org/10.1080/10522158.2016.1155517
   Web of Science ®Google Scholar
• Leung, H., Shek, D. T., Leung, E., & Shek, E. Y. (2019). Development of contextually-relevant sexuality education: Lessons from a comprehensive review of adolescent sexuality education across cultures. International Journal of Environmental Research and Public Health, 16(4), 621–624. https://doi.org/10.3390/ijerph16040621
   PubMed Web of Science ®Google Scholar
• Lourgos, A. L. (2018). Parents often struggle to talk about sex with LGBTQ teens: Northwestern study. https://www.chicagotribune.com/news/ct-met-lgbtq-teens-parents-sex-talk-20180406-story.html.
   Google Scholar
• Malacane, M., & Beckmeyer, J. J. (2016). A review of parent-based barriers to parent–adolescent communication about sex and sexuality: Implications for sex and family educators. American Journal of Sexuality Education, 11(1), 27–40. https://doi.org/10.1080/15546128.2016.1146187
   Web of Science ®Google Scholar
• McKay, E. A., & Fontenot, H. B. (2020). Parent-adolescent sex communication with sexual and gender minority youth: An integrated review. Journal of Pediatric Health Care, 34(5), e37–e48.
   PubMed Web of Science ®Google Scholar
• Meadows, E. (2018). Sexual health equity in schools: Inclusive sexuality and relationship education for gender and sexual minority students. American Journal of Sexuality Education, 13(3), 297–309. https://doi.org/10.1080/15546128.2018.1431988
   Web of Science ®Google Scholar
• Mills-Koonce, W. R., Rehder, P. D., & McCurdy, A. L. (2018). The significance of parenting and parent-child relationships for sexual and gender minority adolescents. Journal of Research on Adolescence, 28(3), 637–649. https://doi.org/10.1111/jora.12404
   PubMed Web of Science ®Google Scholar
• Mustanski, B., Greene, G. J., Ryan, D., & Whitton, S. W. (2015). Feasibility, acceptability, and initial efficacy of an online sexual health promotion program for LGBT youth: The queer sex ed intervention. Journal of Sex Research, 52(2), 220–230. https://doi.org/10.1080/00224499.2013.867924.
   PubMed Web of Science ®Google Scholar
• Mustanski, B., Lyons, T., & Garcia, S. C. (2011). Internet use and sexual health of young men who have sex with men: A mixed-methods study. Archives of Sexual Behavior, 40(2), 289–300. https://doi.org/10.1007/s10508-009-9596-1.
   PubMed Web of Science ®Google Scholar
• Newcomb, M. E., Feinstein, B. A., Matson, M., Macapagal, K., & Mustanski, B. (2018). “I have no idea what’s going on out there:” Parents’ perspectives on promoting sexual health in lesbian, gay, bisexual, and transgender adolescents. Sexuality Research & Social Policy, 15(2), 111–122. https://doi.org/10.1007/s13178-018-0326-0.
   PubMed Web of Science ®Google Scholar
• Newcomb, M. E., LaSala, M. C., Bouris, A., Mustanski, B., Prado, G., Schrager, S. M., & Huebner, D. M. (2019). The influence of families on LGBTQ youth health: A call to action for innovation in research and intervention development. LGBT Health, 6(4), 139–145. https://doi.org/10.1089/lgbt.2018.0157
   PubMed Web of Science ®Google Scholar
• O’Sullivan L. F. (2014). Linking online sexual activities to health outcomes among teens. New directions for child and adolescent development, 2014(144), 37–51. https://doi.org/10.1002/cad.20059.
   Google Scholar
• Pariera, K. L., & Brody, E. (2018). “Talk more about it”: Emerging adults’ attitudes about how and when parents should talk about sex. Sexuality Research and Social Policy, 15(2), 219–229. https://doi.org/10.1007/s13178-017-0314-9.
   Web of Science ®Google Scholar
• Perrino, T., González-Soldevilla, A., Pantin, H., & Szapocznik, J. (2000). The role of families in adolescent HIV prevention: A review. Clinical Child and Family Psychology Review, 3(2), 81–96. https://doi.org/10.1023/A:1009571518900.
   PubMedGoogle Scholar
• Pingel, E. S., Thomas, L., Harmell, C., & Bauermeister, J. (2013). Creating comprehensive, youth centered, culturally appropriate sex education: What do young gay, bisexual and questioning men want? Sexuality Research and Social Policy, 10(4), 293–301. https://doi.org/10.1007/s13178-013-0134-5
   Web of Science ®Google Scholar
• Planned Parenthood. (2021, May). A call to action: LGBTQ + youth need inclusive sex education. Planned Parenthood. https://www.plannedparenthood.org/uploads/filer_public/41/d5/41d511c2-086f-4894-9df7-bb15ecf0d92e/call_to_action_lgbtq_sex_ed_report_-_final_2.pdf.
   Google Scholar
• Rogers, A. A. (2017). Parent–adolescent sexual communication and adolescents’ sexual behaviors: A conceptual model and systematic review. Adolescent Research Review, 2(4), 293–313. https://doi.org/10.1007/s40894-016-0049-5.
   Web of Science ®Google Scholar
• Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4), 205–213. https://doi.org/10.1111/j.1744-6171.2010.00246.x.
   PubMedGoogle Scholar
• Sutton, M. Y., Lasswell, S. M., Lanier, Y., & Miller, K. S. (2014). Impact of parent-child communication interventions on sex behaviors and cognitive outcomes for black/African- American and Hispanic/Latino youth: A systematic review, 1988–2012. The Journal of Adolescent Health, 54(4), 369–384. https://doi.org/10.1016/j.jadohealth.2013.11.004
   PubMed Web of Science ®Google Scholar
• Thoma, B. C., & Huebner, D. M. (2014). Parental monitoring, parent-adolescent communication about sex, and sexual risk among young men who have sex with men. AIDS and Behavior, 18(8), 1604–1614. https://doi.org/10.1007/s10461-014-0717-z.
   PubMed Web of Science ®Google Scholar
• UNESCO. (2009). International technical guidance on sexuality education – an evidence- informed approach for schools, teachers and health educators. UNESCO.
   Google Scholar
• Voisin, D. R., Bird, J. D., Shiu, C. S., & Krieger, C. (2013). “It’s crazy being a Black, gay youth.” Getting information about HIV prevention: a pilot study. Journal of adolescence, 36(1), 111–119. https://doi.org/10.1016/j.adolescence.2012.09.009.
   Google Scholar
• Widman, L., Choukas-Bradley, S., Noar, S. M., Nesi, J., & Garrett, K. (2016). Parent-adolescent sexual communication and adolescent safer sex behavior: A meta-analysis. JAMA Pediatrics, 170(1), 52–61. https://doi.org/10.1001/jamapediatrics.2015.2731.
   PubMed Web of Science ®Google Scholar
• Widman, L., Noar, S. M., Choukas-Bradley, S., & Francis, D. B. (2014). Adolescent sexual health communication and condom use: A meta-analysis. Health Psychology, 33(10), 1113–1124. https://doi.org/10.1037/hea0000112.
   PubMed Web of Science ®Google Scholar