Bridging the Gap: Understanding Discrepancies in Mother-Adolescent Communication on Sexual and Reproductive Health in Kuching, Sarawak
DOI:
https://doi.org/10.33736/jcshd.6313.2024Keywords:
mothers-adolescents, communication, sexual and reproductive health, information-motivation-behavioural skills modelAbstract
Adolescents who have access to sexual and reproductive health (SRH) information are less likely to engage in risky sexual behaviours, and parents are among the best sources of this information. However, a lack of communication between parents and adolescents on SRH hinders the exchange of knowledge process. This study aims to describe the communication practices between mothers and adolescents on SRH in Kuching, Sarawak. A cross-sectional study was conducted in Kuching, Sarawak, on mothers and teenagers aged 13 to 17. The responses from the mothers and their respective adolescents' responses were reported as paired responses. The questionnaire was developed following the Information-Motivation-Behavioural Skills (IMB) model. Finally, the correlation between the communication level and the domains in the model was analysed. 152 pairs of mothers and adolescents participated in the study. The mean age of the mothers was 44.7 (SD=6.52) years old, and the mean age of adolescents was 15.1 (SD=1.42). About 69.1% of adolescents were female. The communication scores among the mothers were significantly higher than adolescents. Subsequently, the motivation and perceived communication skills domains were moderately correlated with their communication practice score. There was a discrepancy in the communication practice between mothers and adolescents, which indicated the effectiveness of the communication practice between mothers and adolescents on SRH. As a result, intervention programs targeting the IMB constructs of adolescents can improve the communication practice among adolescents on SRH.
References
Awang, H., Low, W. Y., Tong, W. T., Tan, L. Y., Cheah, W. L., Benedict Lasimbang, H., & Mohd Hassan, H. (2019). Differentials In Sexual And Reproductive Health Knowledge Among East Malaysian Adolescents. Journal of Biosocial Science, 51(2), 282–291. https://doi.org/10.1017/S0021932018000214
Azie, R. A., Bagrmwin, L., Setordzi, M., Ndanu, T. A., & Aniteye, P. (2023). Parents’ attitude towards sexual and reproductive health communication: The case of Wa West district of the Upper West Region, Ghana. International Journal of Africa Nursing Sciences, 18, 100551. https://doi.org/10.1016/j.ijans.2023.100551
Babayanzad Ahari, S., Behboodi Moghadam, Z., Azin, S. A., & Maasoumi, R. (2020). Concerns and educational needs of Iranian parents regarding the sexual health of their male adolescents: A qualitative study. Reproductive Health, 17(1), 24. https://doi.org/10.1186/s12978-020-0883-6
Beckett, M. K., Elliott, M. N., Martino, S., Kanouse, D. E., Corona, R., Klein, D. J., & Schuster, M. A. (2010). Timing of parent and child communication about sexuality relative to children’s sexual behaviors. Pediatrics, 125(1), 34–42. https://doi.org/10.1542/peds.2009-0806
Branje, S. (2018). Development of Parent–Adolescent Relationships: Conflict Interactions as a Mechanism of Change. Child Development Perspectives, 12(3), 171–176. https://doi.org/10.1111/cdep.12278
El Kazdouh, H., El-Ammari, A., Bouftini, S., El Fakir, S., & El Achhab, Y. (2019). Perceptions and intervention preferences of Moroccan adolescents, parents, and teachers regarding risks and protective factors for risky sexual behaviors leading to sexually transmitted infections in adolescents: Qualitative findings. Reproductive Health, 16(1), 138. https://doi.org/10.1186/s12978-019-0801-y
Elegbe, O. (2018). Sexual Communication: A Qualitative Study of Parents and Adolescent Girls Discussion about Sex. Journal of Health Management, 20(4), 439–452. https://doi.org/10.1177/0972063418799156
Grossman, J. M., Jenkins, L. J., & Richer, A. M. (2018). Parents’ Perspectives on Family Sexuality Communication from Middle School to High School. International Journal of Environmental Research and Public Health, 15(1), 107. https://doi.org/10.3390/ijerph15010107
Grossman, J. M., Tracy, A. J., Richer, A. M., & Erkut, S. (2015). The Role of Extended Family in Teen Sexual Health. Journal of Adolescent Research, 30(1), 31–56. https://doi.org/10.1177/0743558414546718
Guilamo-Ramos, V., Soletti, A. B., Burnette, D., Sharma, S., Leavitt, S., & McCarthy, K. (2012). Parent–Adolescent Communication About Sex in Rural India: U.S.–India Collaboration to Prevent Adolescent HIV. Qualitative Health Research, 22(6), 788–800. https://doi.org/10.1177/1049732311431943
Hazariah, A. H. S., Fallon, D., & Callery, P. (2021). An Overview of Adolescents Sexual and Reproductive Health Services Provision in Malaysia. Comprehensive Child and Adolescent Nursing, 44(2), 144–160. https://doi.org/10.1080/24694193.2020.1756983
Ismail, K., & Hamid, S. (2016). Communication about Sex-Reproductive Health Issues with Adolescents: A Taboo among Malaysian Parents? European Journal of Social Sciences Education and Research, 3, 25-46. https://doi.org/10.26417/ejser.v6i1.p27-41
Janssen, L. H. C., Verkuil, B., van Houtum, L. A. E. M., Wever, M. C. M., & Elzinga, B. M. (2021). Perceptions of Parenting in Daily Life: Adolescent-Parent Differences and Associations with Adolescent Affect. Journal of Youth and Adolescence, 50(12), 2427–2443. https://doi.org/10.1007/s10964-021-01489-x
Kapetanovic, S., & Boson, K. (2022). Discrepancies in parents’ and adolescents’ reports on parent-adolescent communication and associations to adolescents’ psychological health. Current Psychology, 41(7), 4259–4270. https://doi.org/10.1007/s12144-020-00911-0
Lian Cheng. (2021, November 1). Kapit Division records most teenage pregnancies in Sarawak. DayakDaily. https://dayakdaily.com/kapit-division-records-most-teenage-pregnancies-in-sarawak/
Malango, N. T., Hegena, T. Y., & Assefa, N. A. (2022). Parent–adolescent discussion on sexual and reproductive health issues and its associated factors among parents in Sawla town, Gofa zone, Ethiopia. Reproductive Health, 19, 108. https://doi.org/10.1186/s12978-022-01414-w
Mbachu, C. O., Agu, I. C., Eze, I., Agu, C., Ezenwaka, U., Ezumah, N., & Onwujekwe, O. (2020). Exploring issues in caregivers and parent communication of sexual and reproductive health matters with adolescents in Ebonyi state, Nigeria. BMC Public Health, 20(1), 77. https://doi.org/10.1186/s12889-019-8058-5
Minhat, H. S., Raja Ismail, R. N. N., & Ying, L. P. (2023). Determinants of Premarital Sexual Behavior Among the Late Adolescents in Pahang, Malaysia. Malaysian Journal of Medicine and Health Sciences, 19(4), 117–123. https://doi.org/10.47836/mjmhs19.4.18
Ndugga, P., Kwagala, B., Wandera, S. O., Kisaakye, P., Mbonye, M. K., & Ngabirano, F. (2023). “If your mother does not teach you, the world will…”: A qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda. BMC Public Health, 23(1), 678. https://doi.org/10.1186/s12889-023-15562-6
Panting, A. J., Abdullah, H., Ismail, I. A., & Roslan, S. (2018). Information-seeking Behaviour on Sexual and Reproductive Health Among Rural Adolescents in Sarawak, Malaysia. International Journal of Public Health and Clinical Sciences, 5(1), 53-64.
Rescorla, L. A., Ginzburg, S., Achenbach, T. M., Ivanova, M. Y., Almqvist, F., Begovac, I., Bilenberg, N., Bird, H., Chahed, M., Dobrean, A., Döpfner, M., Erol, N., Hannesdottir, H., Kanbayashi, Y., Lambert, M. C., Leung, P. W. L., Minaei, A., Novik, T. S., Oh, K.-J., … Verhulst, F. C. (2013). Cross-Informant Agreement Between Parent-Reported and Adolescent Self-Reported Problems in 25 Societies. Journal of Clinical Child & Adolescent Psychology, 42(2), 262–273. https://doi.org/10.1080/15374416.2012.717870
Rodgers, K. B., Tarimo, P., McGuire, J. K., & Diversi, M. (2018). Motives, barriers, and ways of communicating in mother-daughter sexuality communication: A qualitative study of college women in Tanzania. Sex Education, 18(6), 626–639. https://doi.org/10.1080/14681811.2018.1451988
Seif, S., Kohi, T., & Moshiro, C. (2017). Caretaker-adolescent communication on sexual and reproductive health: A cross-sectional study in Unguja-Tanzania Zanzibar. BMC Public Health, 18, 31. https://doi.org/10.1186/s12889-017-4591-2
Seif, S., Kohi, T. W., & Moshiro, C. S. (2019). Sexual and reproductive health communication intervention for caretakers of adolescents: A quasi-experimental study in Unguja- Zanzibar. Reproductive Health, 16(1), 92. https://doi.org/10.1186/s12978-019-0756-z
Tan, A. J., & Gun, C. H. (2018). Let’s Talk About Sex: Family Communication Predicting Sexual Attitude, Sexual Experience, and Safe Sex Behaviors in Malaysia. International Journal of Sexual Health, 30(2), 149–161. https://doi.org/10.1080/19317611.2018.1470592
UNAIDS. (2016). Get on the Fast-Track—The life-cycle approach to HIV. https://www.unaids.org/sites/default/files/media_asset/Get-on-the-Fast-Track_en.pdf
UNESCO, UN Women, UNICEF, UNFPA, & Joint United Nations Programme on HIV/AIDS. (2018). International technical guidance on sexuality education: An evidence-informed approach. UNESCO : UN-Women : UNICEF : UNFPA : UNAIDS : WHO. http://www.unwomen.org/-/media/headquarters/attachments/sections/library/publications/2018/international-technical-guidance-on-sexuality-education-2018-en.pdf?la=en&vs=3451
Vongsavanh, V., Lan, V. T. H., & Sychareun, V. (2020). Sexual and reproductive health communication between parents and high school adolescents in Vientiane Prefecture, Lao PDR. Global Health Action, 13(sup2), 1785145. http://dx.doi.org/10.1080/16549716.2020.1785145
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
World Health Organization. (2017). Global Accelerated Action for the Health of Adolescents (AA-HA!) (UNAIDS, UNESCO, UNICEF, UNWomen, UNFPA, & The World Bank, Eds.).
Zhang, Q., Shek, D. T. L., & Pan, Y. (2021). Parent-Child Discrepancies in Perceived Parent-Child Communication and Depressive Symptoms in Early Adolescents in China. International Journal of Environmental Research and Public Health, 18(22), 12041. https://doi.org/10.3390/ijerph182212041
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