@article{allison_widman_stewart_evans_perry_2022, title={Adherence to Pre-Exposure Prophylaxis in Adolescents and Young Adults: A Systematic Review and Meta-Analysis}, volume={70}, ISSN={["1879-1972"]}, DOI={10.1016/j.jadohealth.2021.04.001}, abstractNote={This meta-analysis synthesized the proportion of adolescents and young adults (AYAs) who are adherent to pre-exposure prophylaxis (PrEP) and factors moderating adherence. A systematic search was conducted of studies published through May 2020 using PubMed, PsycInfo, Cochrane, EMBASE, and CINAHL. Included studies reported the proportion of AYAs (mean age ≤ 29 years) who were PrEP adherent. PrEP adherence was meta-analyzed using random-effects models. Secondary analyses evaluated potential moderating variables. A total of 41 individual samples, from 29 studies, of 8,679 AYA (weighted average age = 23.8 years) were synthesized. The proportion of AYA who met study-defined thresholds for PrEP adherence was .64 (95% confidence interval .57-.71) across studies. Subgroup analyses revealed that adherence was lower in young cisgender women (.46) than young men who have sex with men (.65) and serodiscordant heterosexual couples (.98). Adherence was higher in studies initiated after 2012 (.70) than earlier studies (.47). No differences based on participant age, country, or strategies to promote adherence were found. Across published studies to date, 64% of AYA demonstrate adequate PrEP adherence. Findings can be used to guide PrEP adherence interventions and also provide directions for future research on PrEP among AYA.}, number={1}, journal={JOURNAL OF ADOLESCENT HEALTH}, author={Allison, Bianca A. and Widman, Laura and Stewart, J. L. and Evans, Reina and Perry, Martha}, year={2022}, month={Jan}, pages={28–41} }
 @article{adams_nabi_noar_evans_widman_2022, title={How Emotional Shifts Effect Youth Perceptions of Opioid Risk and Efficacy: Testing a Know the Truth Campaign Narrative}, volume={37}, ISSN={["1532-7027"]}, url={https://doi.org/10.1080/10410236.2021.1921349}, DOI={10.1080/10410236.2021.1921349}, abstractNote={ABSTRACT Integrating the extended parallel process model (EPPM) and the emotional flow hypothesis, we tested the persuasive effect of emotional shifts during exposure to a Know the Truth anti-opioid campaign narrative in a sample of middle-school students (n = 480). Testing two emotional flow sequences (threat to efficacy and efficacy to threat) of the Know the Truth narrative against a static (threat-only) emotional condition, we found that youth exposed to any emotional flow narrative reported higher levels of hope and lower levels of fear than those exposed to a threat-only narrative. We also found that a threat to efficacy narrative elicited higher levels of self-efficacy than an efficacy to threat emotional flow condition, suggesting that the emotional sequence influences self-efficacy, a well-established predictor of health behavior change. We conclude that the traditional threat to efficacy emotional flow may be superior to its inverse (efficacy to threat) when communicating with young people about opioid addiction. Implications for message design are discussed.}, number={14}, journal={HEALTH COMMUNICATION}, author={Adams, Elizabeth Troutman and Nabi, Robin L. and Noar, Seth M. and Evans, Reina and Widman, Laura}, year={2022}, month={Dec}, pages={1820–1831} }
 @article{evans_stokes_hope_widman_cryer-coupet_2022, title={Parental influence on sexual intentions of Black adolescent girls: Examining the role of gendered-racial socialization.}, volume={36}, ISSN={1939-1293 0893-3200}, url={http://dx.doi.org/10.1037/fam0000874}, DOI={10.1037/fam0000874}, abstractNote={Parents can promote the sexual health of adolescents in a number of well-established ways, such as through sexual communication and parental monitoring. Another unexplored avenue through which parents might influence sexual decision-making among Black girls is gendered-racial socialization-the process through which parents send messages to their Black daughters about what it means to be a Black girl, in part, to improve their self-esteem. In a national, U.S.-based sample of 287 Black girls (Mage = 15.4) and their parents (87.8% female), we examine how two dimensions of gendered-racial socialization (gendered-racial pride socialization; gendered-racial oppression socialization): (a) are related to adolescents' intentions to have early sex and (b) moderate the association of parental communication and monitoring with adolescents' intentions to have early sex. We found Black girls who are exposed to more empowering messages about Black girls and women are less likely to intend to have early sex. Additionally, gendered-racial pride socialization moderated the relationship between parental monitoring and intentions to have sex, such that more monitoring was associated with lower intentions to have early sex among girls low in gendered-racial pride socialization. For girls high in gendered-racial pride socialization, there was no relationship between parental monitoring and sexual intentions. Gendered-racial pride socialization is an important asset in Black families, which can be leveraged to improve the sexual health of Black girls. Future studies are needed to examine the causal, temporal pathways between gendered-racial socialization and sexual health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).}, number={2}, journal={Journal of Family Psychology}, publisher={American Psychological Association (APA)}, author={Evans, Reina and Stokes, McKenzie N. and Hope, Elan C. and Widman, Laura and Cryer-Coupet, Qiana R.}, year={2022}, month={Mar}, pages={318–323} }
 @article{maheux_roberts_evans_widman_choukas-bradley_2021, title={Associations between adolescents' pornography consumption and self-objectification, body comparison, and body shame}, volume={37}, ISSN={["1873-6807"]}, DOI={10.1016/j.bodyim.2021.01.014}, abstractNote={Although prior work indicates an association between idealized media content and adolescents’ body-related concerns, such as self-objectification, body comparison, and body shame, few prior studies have examined the role of pornography. Even fewer studies have included adolescent girls, limiting our understanding of potential gender differences. In this brief report, we investigate these associations in a diverse mixed-gender sample of high school students in the Southeastern U.S. (n = 223, ages 15–18, M age = 16.25, 59 % girls) who completed computerized self-report measures. Controlling for demographic covariates and frequency of social media use, we found an association between frequency of pornography consumption in the past year and higher self-objectification and body comparison, but not body shame. No evidence of differences by gender emerged. Results suggest that both boys and girls may be susceptible to pornography-related body concerns, yet these concerns may not include body shame. Future research should examine both risks and benefits of pornography use among adolescents using longitudinal designs, as well as how body-related concerns can be incorporated into pornography literacy interventions.}, journal={BODY IMAGE}, author={Maheux, Anne J. and Roberts, Savannah R. and Evans, Reina and Widman, Laura and Choukas-Bradley, Sophia}, year={2021}, month={Jun}, pages={89–93} }
 @article{widman_javidi_maheux_evans_nesi_choukas-bradley_2021, title={Sexual Communication in the Digital Age: Adolescent Sexual Communication with Parents and Friends About Sexting, Pornography, and Starting Relationships Online}, volume={25}, ISSN={["1936-4822"]}, url={https://doi.org/10.1007/s12119-021-09866-1}, DOI={10.1007/s12119-021-09866-1}, number={6}, journal={SEXUALITY & CULTURE-AN INTERDISCIPLINARY JOURNAL}, publisher={Springer Science and Business Media LLC}, author={Widman, Laura and Javidi, Hannah and Maheux, Anne J. and Evans, Reina and Nesi, Jacqueline and Choukas-Bradley, Sophia}, year={2021}, month={Dec}, pages={2092–2109} }
 @article{widman_javidi_maheux_evans_nesi_choukas-bradley_2021, title={Sexual Communication in the Digital Age: Adolescent Sexual Communication with Parents and Friends About Sexting, Pornography, and Starting Relationships Online (Apr, 10.1007/s12119-021-09866-1, 2021)}, volume={6}, ISSN={["1936-4822"]}, url={https://doi.org/10.1007/s12119-021-09883-0}, DOI={10.1007/s12119-021-09883-0}, abstractNote={A correction to this paper has been published: https://doi.org/10.1007/s12119-021-09883-0}, journal={SEXUALITY & CULTURE-AN INTERDISCIPLINARY JOURNAL}, publisher={Springer Science and Business Media LLC}, author={Widman, Laura and Javidi, Hannah and Maheux, Anne J. and Evans, Reina and Nesi, Jacqueline and Choukas-Bradley, Sophia}, year={2021}, month={Jun} }
 @article{brasileiro_widman_evans_javidi_2021, title={Social self-efficacy and sexual communication among adolescents in the United States: a cross-sectional study}, volume={18}, ISSN={["1449-8987"]}, DOI={10.1071/SH20221}, abstractNote={Background Sexual communication between partners is associated with safer sex behaviours, including condom use among adolescents. Several studies have found a relationship between negative psychological constructs (e.g. depression, anxiety) and poor sexual communication; however, scant research exists regarding positive psychological constructs and their potential to promote effective sexual communication among adolescents. This study examined the association between a positive construct, social self-efficacy - a person's belief in their ability to successfully manage social relationships - and three components of sexual communication: sexual assertiveness, self-efficacy for communication, and frequency of sexual communication with dating partners.Data were collected in a cross-sectional survey from 222 high school girls in a rural school district in the south-eastern United States (Mage = 15.2; 38% White, 29% Latina, 24% Black; 50% were in a dating relationship in the past 3 months). Variables were measured with Likert-type scales. Bivariate correlation and regression analyses were conducted.Social self-efficacy was significantly positively associated with sexual assertiveness and sexual communication self-efficacy for all girls, and there was a positive trend in the relationship between social self-efficacy and communication frequency among the subsample of girls who had a dating partner. The significant relationship with sexual assertiveness (β = 0.22, s.e. = 0.07, P = 0.001) and sexual communication self-efficacy (β = 0.17, s.e. = 0.04, P = 0.013) remained when controlling for sexual activity status.Strengthening social self-efficacy may enhance girls' sexual communication and assertiveness skills. Future studies are needed to confirm the causal and temporal nature of these associations.}, number={2}, journal={SEXUAL HEALTH}, author={Brasileiro, Julia and Widman, Laura and Evans, Reina and Javidi, Hannah}, year={2021}, pages={172–179} }
 @article{widman_evans_2020, title={Adolescent Sexual Health Interventions: Innovation, Efficacy, Cost, and the Urgent Need to Scale}, volume={145}, ISSN={["1098-4275"]}, DOI={10.1542/peds.2020-0392}, abstractNote={* Abbreviations:
 FTT — : Families Talking Together
 HCP — : health care provider

African American and Latinx adolescents in the United States are at high risk for experiencing poor sexual health outcomes. Compared with their white peers, African American and Latina girls are nearly twice as likely to give birth before age 20.1 Rates of HIV and other sexually transmitted infections are also higher for racial and/or ethnic minority adolescents.2 The persistence of these sexual health disparities, despite decades of intervention efforts, necessitates prevention approaches that are innovative, efficacious, cost-effective, and scalable.

In this issue of Pediatrics , Guilamo-Ramos et al3 provide rigorous evidence for a highly promising intervention, a triadic version of Families Talking Together (FTT). The triadic FTT intervention is innovative in that it involves African American and Latinx youth in early adolescence, their female caregivers, and their health care providers (HCPs). Of more than two dozen sexual health interventions for African American and/or Latinx adolescents that have been evaluated in randomized clinical trials,4,5 FTT is the first of which we are aware that incorporates adolescents, parents, and HCPs in a single program. Incorporating both parents and HCPs into intervention efforts is wise for several reasons: HCPs can lend additional credibility to intervention … 

Address correspondence to Laura Widman, PhD, Department of Psychology, North Carolina State University, 640 Poe Hall, Raleigh, NC 27695. E-mail: lmwidman{at}ncsu.edu}, number={5}, journal={PEDIATRICS}, author={Widman, Laura and Evans, Reina}, year={2020}, month={May} }
 @article{evans_widman_stokes_javidi_hope_brasileiro_2020, title={Association of Sexual Health Interventions With Sexual Health Outcomes in Black Adolescents A Systematic Review and Meta-analysis}, volume={174}, ISSN={["2168-6211"]}, DOI={10.1001/jamapediatrics.2020.0382}, abstractNote={Importance
Black adolescents are at increased risk of contracting HIV and other sexually transmitted infections (STIs) and experiencing unplanned pregnancy. Although sexual health interventions aimed at decreasing these risks exist, evidence of the association between sexual health interventions and the sexual behavior of black adolescents has not been synthesized to our knowledge.


Objective
To examine the associations between sexual health interventions and behavioral, biological, and psychological outcomes.


Data Sources
For this systematic review and meta-analysis, a systematic search was conducted of studies published through January 31, 2019, using the PubMed, PsycINFO, and CINAHL databases and relevant review articles. The following key words were used: youth, adolesc* or teen*; sexual health or safe* sex or sexually transmitted disease or sexually transmitted infection or STD or STI or HIV or AIDS or pregnancy or reproductive health or condom* or contracept* or unprotected sex or abstinence; intervention or program or education or prevention or promotion or trial; latino* or latina* or latinx* or minorit* or ethnic* or hispanic or african american* or black* or race or racial or biracial.


Study Selection
Studies were included if they included a US-based sample of black adolescents, evaluated a sexual health intervention using experimental or quasi-experimental designs, included a behavioral outcome, and were published in English.


Data Extraction and Synthesis
Standardized mean differences and 95% CIs were extracted and meta-analyzed using random-effects models.


Main Outcomes and Measures
Behavioral outcomes were abstinence, condom use, and number of sex partners. Biological outcomes were pregnancy and STI contraction. Psychological outcomes were sexual health intentions, knowledge, and self-efficacy.


Results
Across 29 studies including 11 918 black adolescents (weighted mean age, 12.43 years), there was a significant weighted mean association of sexual health interventions with improvements in abstinence (Cohen d = 0.14; 95% CI, 0.05-0.24) and condom use (Cohen d = 0.25; 95% CI, 0.11-0.39). No significant mean association of these interventions with number of sex partners, pregnancy, or STI contraction was found. Sexual health interventions were significantly associated with improvements in psychological outcomes: sexual health intentions (Cohen d = 0.17; 95% CI, 0.05-0.30), knowledge (Cohen d = 0.46; 95% CI, 0.30-0.63), and self-efficacy (Cohen d = 0.19; 95% CI, 0.09-0.28). Intervention effect sizes were consistent across factors, such as participant sex and age and intervention dose.


Conclusions and Relevance
The findings suggest that sexual health interventions are associated with improvements in sexual well-being among black adolescents. There appears to be a need for wide-scale dissemination of these programs to address racial disparities in sexual health across the US.}, number={7}, journal={JAMA PEDIATRICS}, author={Evans, Reina and Widman, Laura and Stokes, McKenzie N. and Javidi, Hannah and Hope, Elan C. and Brasileiro, Julia}, year={2020}, month={Jul}, pages={676–689} }
 @article{widman_kamke_evans_stewart_choukas-bradley_golin_2020, title={Feasibility, Acceptability, and Preliminary Efficacy of a Brief Online Sexual Health Program for Adolescents}, volume={57}, ISSN={["1559-8519"]}, url={https://doi.org/10.1080/00224499.2019.1630800}, DOI={10.1080/00224499.2019.1630800}, abstractNote={This study evaluated the feasibility, acceptability, and preliminary efficacy of a 45-minute interactive, online sexual health program for adolescents, called Health Education and Relationship Training (HEART). The program was originally developed and evaluated among adolescent girls (HEART for Girls); the current project describes and evaluates a new version of the program that was adapted for boys and girls. Participants were 226 high school students (mean age = 16.3; 58% girls; 46% White; 79% heterosexual). Students were randomized to HEART or an attention-matched control and assessed at pre-test and immediate post-test. Overall, the program was feasible to administer in a school setting and youth found the program highly acceptable (83% liked the program, 87% learned new things, and 93% would use program content in the future). At post-test, students who completed HEART demonstrated improvements on every outcome we examined: sexual communication intentions, condom use intentions, HIV/STD knowledge, condom attitudes, condom norms, self-efficacy to practice safer sex, and sexual assertiveness compared to control participants (effect size ds = .23 to 1.27). Interactions by gender and sexual orientation revealed the program was equally acceptable and worked equally well for boys and girls and for heterosexual and sexual minority youth. We propose several avenues to further adapt and tailor HEART given its promise in promoting adolescent sexual health.}, number={2}, journal={JOURNAL OF SEX RESEARCH}, publisher={Informa UK Limited}, author={Widman, Laura and Kamke, Kristyn and Evans, Reina and Stewart, J. L. and Choukas-Bradley, Sophia and Golin, Carol E.}, year={2020}, month={Feb}, pages={145–154} }
 @article{evans_widman_kamke_stewart_2020, title={Gender Differences in Parents' Communication With Their Adolescent Children about Sexual Risk and Sex-Positive Topics}, volume={57}, ISSN={["1559-8519"]}, url={https://doi.org/10.1080/00224499.2019.1661345}, DOI={10.1080/00224499.2019.1661345}, abstractNote={A healthy sexual self-concept that captures an understanding of the risky and the positive aspects of sexuality is imperative to life-long well-being. Parents have a unique opportunity to instill knowledge of sexual risk as well as confidence and comfort around sexuality in their adolescents. Although parent–child communication about sexual risk is fairly common, less is known regarding the frequency of parent–child communication about sex-positive topics, such as sexual desire and satisfaction. This study examined the frequency of parents’ communication with their children about sexual risk and sex-positive topics among a sample of 901 parents of 13–17-year-old adolescents (parent Mage= 40.61; 71% mothers) from across the U.S. Parents reported on sexual communication with their adolescent children (child Mage = 14.68; 50% daughters). We examined gender differences in communication patterns. Few parents communicated with their adolescents about sex-positive topics. Only 38% discussed sexual satisfaction, 38% discussed different types of sexual practices (e.g., oral sex), and 55% discussed sexual desire. Parents communicate more about sexual risk than sex-positive topics with their adolescents and this discrepancy was largest for mothers of daughters. Fathers of daughters communicate the least about sex-positive topics. Implications for intervention development and future research on sexual communication are discussed.}, number={2}, journal={JOURNAL OF SEX RESEARCH}, author={Evans, Reina and Widman, Laura and Kamke, Kristyn and Stewart, J. L.}, year={2020}, month={Feb}, pages={177–188} }
 @misc{widman_evans_choukas-bradley_2020, title={More Meta-analytical Explorations on Adolescent Sexual Health Interventions Are Needed Reply}, volume={174}, ISSN={["2168-6211"]}, DOI={10.1001/jamapediatrics.2019.5894}, abstractNote={Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA Pediatrics HomeNew OnlineCurrent IssueFor Authors Podcast Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA Pediatrics journal}, number={4}, journal={JAMA PEDIATRICS}, author={Widman, Laura and Evans, Reina and Choukas-Bradley, Sophia}, year={2020}, month={Apr}, pages={390–391} }
 @article{maheux_evans_widman_nesi_prinstein_choukas-bradley_2020, title={Popular peer norms and adolescent sexting behavior}, volume={78}, ISSN={["1095-9254"]}, DOI={10.1016/j.adolescence.2019.12.002}, abstractNote={ABSTRACT Introduction Adolescents misperceive and are heavily influenced by the behavior of their popular peers, yet research has not yet investigated this phenomenon for a relatively new and potentially risky behavior: adolescent sexting. The present study investigates rates of sexting among popular and non‐popular adolescents and the association between adolescents' perceptions of popular peers’ sexting behavior and their own sexting behavior. Methods A school‐based sample of 626 adolescents from a rural high school in the Southeastern U.S. ( M age = 17.4, 53.5% female) completed surveys indicating whether they had sent a sext in the past year. Participants also reported on perceptions of popular peers’ sexting behavior and completed sociometric nominations of peer status. Results While 87.4% of adolescents believed the typical popular boy or girl in their class had sent a sext in the past year, only 62.5% of popular adolescents had actually sent a sext. There was no significant difference between rates of sexting among popular and non‐popular (54.8%) adolescents. After adjusting for gender and sexual activity status, adolescents who believed that the typical popular peer sent a sext were over ten times more likely to have also sexted in the past year. Among adolescents who believed their popular peers had not sexted, girls were more likely than boys to have sexted themselves; however, this gender difference disappeared among adolescents who believed their popular peers had sexted. Conclusions These results underscore the importance of peer status and perceptions of peer norms in adolescents’ sexting.}, journal={JOURNAL OF ADOLESCENCE}, publisher={Elsevier BV}, author={Maheux, Anne J. and Evans, Reina and Widman, Laura and Nesi, Jacqueline and Prinstein, Mitchell J. and Choukas-Bradley, Sophia}, year={2020}, month={Jan}, pages={62–66} }
 @misc{evans_widman_stokes_javidi_hope_brasileiro_2020, title={Sexual Health Programs for Latinx Adolescents: A Meta-analysis}, volume={146}, ISSN={["1098-4275"]}, DOI={10.1542/peds.2019-3572}, abstractNote={Synthesizing 12 trials, sexual health interventions improved abstinence, condom use, and sexual health knowledge and reduced the number of sex partners among Latinx adolescents. BrightcoveDefaultPlayer10.1542/6154056863001PEDS-VA_2019-3572 Video Abstract CONTEXT: Latinx adolescents are at risk for negative sexual health outcomes, and many interventions have been developed to reduce this risk. OBJECTIVE: In this meta-analysis, we synthesized the literature on sexual health interventions for Latinx adolescents and examined intervention effects on 3 behavioral outcomes (abstinence, condom use, number of sex partners) and 3 psychological outcomes (safer sex knowledge, intentions, self-efficacy). Moderators of intervention success were explored. DATA SOURCES: A systematic search of studies published through January 2019 was conducted by using PubMed, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature databases. STUDY SELECTION: All studies included a US-based sample of Latinx adolescents, evaluated sexual health intervention by using an experimental or quasiexperimental design, included a behavioral outcome, and were in English. DATA EXTRACTION: Standardized mean difference (d) and 95% confidence intervals (CIs) were meta-analyzed by using random-effects models. RESULTS: Effect sizes from 12 studies, sampling 4673 adolescents, were synthesized. Sexual health interventions improved abstinence (d = 0.15, 95% CI: 0.02 to 0.28), condom use (d = 0.44, 95% CI: 0.18 to 0.70), number of sex partners (d = −0.19, 95% CI: −0.37 to −0.001), and sexual health knowledge (d = 0.40, 95% CI: 0.10 to 0.70), compared with control conditions. Effects were consistent across a number of demographic and clinical characteristics, although culturally tailored interventions produced greater change in condom use than nontailored interventions. LIMITATIONS: There was variation across studies in measures of sexual behavior, and some elements of individual study quality were unclear. CONCLUSIONS: Sexual health interventions have a small but significant impact on improving safer sexual behavior among Latinx adolescents. Health educators should consider the importance of cultural tailoring to program success.}, number={1}, journal={PEDIATRICS}, author={Evans, Reina and Widman, Laura and Stokes, McKenzie and Javidi, Hannah and Hope, Elan and Brasileiro, Julia}, year={2020}, month={Jul} }
 @article{evans_widman_goldey_2020, title={The Role of Adolescent Sex Education in Sexual Satisfaction among LGB+ and Heterosexual Young Adults}, volume={15}, ISSN={["1554-6136"]}, url={https://doi.org/10.1080/15546128.2020.1763883}, DOI={10.1080/15546128.2020.1763883}, abstractNote={Abstract Comprehensive sex education from schools and parents can reduce adolescent sexual risk. Little is known about the associations between adolescent sex education and sexual satisfaction among young adults—particularly lesbian, gay, bisexual, and other sexual minority (LGB+) young adults. We examined how adolescent sex education (comprehensive versus abstinence-only) was associated with young adult sexual satisfaction (sexual contentment and sexual communication satisfaction). More comprehensive school-based sex education had a stronger association with sexual contentment and communication satisfaction in young adulthood for heterosexual participants than LGB+ participants. More comprehensive family-based sex education was associated with higher communication satisfaction for all participants.}, number={3}, journal={AMERICAN JOURNAL OF SEXUALITY EDUCATION}, publisher={Informa UK Limited}, author={Evans, Reina and Widman, Laura and Goldey, Katherine}, year={2020}, month={Jul}, pages={310–335} }
 @misc{widman_evans_javidi_choukas-bradley_2019, title={Assessment of Parent-Based Interventions for Adolescent Sexual Health A Systematic Review and Meta-analysis}, volume={173}, ISSN={["2168-6211"]}, DOI={10.1001/jamapediatrics.2019.2324}, abstractNote={Importance
Parent-based sexual health interventions have received considerable attention as one factor that can increase safer sexual behavior among youth; however, to our knowledge, the evidence linking parent-based interventions to youth sexual behaviors has not been empirically synthesized.


Objective
To examine the association of parent-based sexual health interventions with 3 primary youth outcomes-delayed sexual activity, condom use, and parent-child sexual communication-as well as several secondary outcomes. We also explored potential moderators of intervention effectiveness.


Data Sources
A systematic search was conducted of studies published through March 2018 using MEDLINE, PsycINFO, Communication Source, and CINAHL databases and relevant review articles.


Study Selection
Studies were included if they: (1) sampled adolescents (mean age, ≤18 years), (2) included parents in a key intervention component, (3) evaluated program effects with experimental/quasi-experimental designs, (4) included an adolescent-reported behavioral outcome, (5) consisted of a US-based sample, and (6) were published in English.


Data Extraction and Synthesis
Standardized mean difference (d) and 95% confidence intervals were computed from studies and meta-analyzed using random-effects models. A secondary analysis evaluated potential moderating variables.


Main Outcomes and Measures
The primary outcomes were delayed sexual activity, condom use, and sexual communication.


Results
Independent findings from 31 articles reporting on 12 464 adolescents (mean age = 12.3 years) were synthesized. Across studies, there was a significant association of parent-based interventions with improved condom use (d = 0.32; 95% CI, 0.13-0.51; P = .001) and parent-child sexual communication (d = 0.27; 95% CI, 0.19-0.35; P = .001). No significant differences between parent-based interventions and control programs were found for delaying sexual activity (d = -0.06; 95% CI, -0.14 to 0.02; P = .16). The associations for condom use were heterogeneous. Moderation analyses revealed larger associations for interventions that focused on younger, compared with older, adolescents; targeted black or Hispanic youth compared with mixed race/ethnicity samples; targeted parents and teens equally compared with emphasizing parents only; and included a program dose of 10 hours or more compared with a lower dose.


Conclusions and Relevance
Parent-based sexual health programs can promote safer sex behavior and cognitions in adolescents, although the findings in this analysis were generally modest. Moderation analyses indicated several areas where future programs could place additional attention to improve potential effectiveness.}, number={9}, journal={JAMA PEDIATRICS}, author={Widman, Laura and Evans, Reina and Javidi, Hannah and Choukas-Bradley, Sophia}, year={2019}, month={Sep}, pages={866–877} }