Parent–child sexual-health communication is critical. Religious involvement is important in many African-American families, but can be a barrier to sexual-health communication. We tested a theory-based, culturally tailored intervention to increase sexual-abstinence communication among church-attending African-American parent–child dyads. In a randomized controlled trial, 613 parent–child dyads were randomly assigned to one of three 3-session interventions: (i) faith-based abstinence-only; (ii) non-faith-based abstinence-only; or (iii) attention-matched health-promotion control. Data were collected pre- and post-intervention, and 3-, 6-, 12- and 18-months post-intervention. Generalized-estimating-equations Poisson-regression models revealed no differences in communication by intervention arm. However, three-way condition × sex-of-child × sex-of-parent interactions on children’s reports of parent–child communication about puberty [IRR=0.065, 95% CI: (0.010, 0.414)], menstruation or wet dreams [IRR=0.103, 95% CI: (0.013, 0.825)] and dating [IRR=0.102, 95% CI: (0.016, 0.668)] indicated that the non-faith-based abstinence intervention’s effect on increasing communication was greater with daughters than with sons, when the parent was the father. This study highlights the importance of considering parent and child gender in the efficacy of parent–child interventions and the need to tailor interventions to increase fathers’ comfort with communication.

中文翻译：

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以教会为基础的干预对非裔美国人照顾者-儿童二人组禁欲交流的影响：照顾者和儿童性别的作用

亲子性健康沟通至关重要。宗教参与在许多非裔美国人家庭中很重要，但也可能成为性健康交流的障碍。我们测试了一种基于理论的、针对文化量身定制的干预措施，以增加参加教堂的非裔美国父母与子女之间的性禁欲交流。在一项随机对照试验中，613 名亲子二人组被随机分配到以下三种 3 次干预中的一种：（i）仅基于信仰的禁欲；(ii) 仅基于非信仰的禁欲；(iii) 注意力匹配的健康促进控制。在干预前和干预后以及干预后 3、6、12 和 18 个月收集数据。广义估计方程泊松回归模型显示干预组的沟通没有差异。然而，三向条件×孩子性别×父母性别互动对儿童关于青春期亲子交流的报告[IRR=0.065, 95% CI: (0.010, 0.414)]、月经或湿梦[IRR= 0.103, 95% CI: (0.013, 0.825)] 和约会 [IRR=0.102, 95% CI: (0.016, 0.668)] 表明基于非信仰的禁欲干预对增加与女儿的交流的影响大于与儿子的交流，当父母是父亲时。本研究强调了在亲子干预的有效性中考虑父母和孩子性别的重要性，以及调整干预措施以增加父亲对沟通的舒适度的必要性。95% CI: (0.016, 0.668)] 表明，当父母是父亲时，非信仰禁欲干预对增加与女儿沟通的影响比与儿子更大。本研究强调了在亲子干预的有效性中考虑父母和孩子性别的重要性，以及调整干预措施以增加父亲对沟通的舒适度的必要性。95% CI: (0.016, 0.668)] 表明，当父母是父亲时，非信仰禁欲干预对增加与女儿沟通的影响比与儿子更大。本研究强调了在亲子干预的有效性中考虑父母和孩子性别的重要性，以及调整干预措施以增加父亲对沟通的舒适度的必要性。