Exploring Barriers to Parent-Adolescent Sexual-Risk Communication among Adolescents in Port Harcourt, Nigeria: Adolescents' and Parents' Perspective

ABSTRACT

Background Adolescent risky sexual behaviour is a public health problem with its deleterious outcomes. Parents are the most influential source of sexuality education to adolescent, yet adolescents lack sexuality education. The study explored barriers in parent-adolescent sexual-risk communication from both perspectives in Port-Harcourt LGA, Rivers State, Nigeria.

Materials and Method A cross-sectional study design using explanatory sequential mixed methods approach was implemented. Three hundred and twenty nine in-school adolescents participated in the quantitative study and recruited using multi-stage sampling technique while 9 parents of adolescents and 16 adolescents participated in the qualitative study. A semi-structured administered questionnaire was used to elicit information from the adolescents while an FGD and IDI guide was used to elicit information from in-school adolescents and parents respectively. The qualitative data was analysed using descriptive statistics and chi-square while the qualitative data was subjected to thematic analysis.

Results The mean age of the adolescents was 16.0±1.1 years and 55% were males. A quarter (21%) of the parents had never discussed sex with their adolescents. The barriers identified from the adolescents’ perspective were parental factors (parents being too busy, judgmental, low knowledge), individual factors (discomfort to initiate communication, lack of trust), religious and cultural factors. The barriers from the parents’ perspective were shame to initiate communication, fear of outcome, feeling children are too young and lack of accurate information.

Conclusion The barriers to parent-adolescent communication featured interplay of parental, individual, cultural and religious factors. Parents should be trained to initiate timely and accurate sexuality education to the adolescent to curb adolescent risky sexual exploitations.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

University of Port Harcourt Office of Research Management and Development (Research Ethics Committee) Approval Number- UPH/CEREMAD/REC/MM74/038

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

The data that support the findings of this study are not openly available for ethical reasons (underage human participants), and are available from the corresponding author upon reasonable request.

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