Parent-adolescent communication on sexual and reproductive health among mothers of adolescent girls in Bengaluru urban area: an exploratory study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20263213Keywords:
Sexual and Reproductive health, Mother and adolescent daughter communication, Exploratory study, BengaluruAbstract
Background: Effective parent-adolescent communication about sexual and reproductive health (SRH) promotes accurate knowledge, dispels misconceptions, and encourages healthy behaviors. Early and open discussions can help reduce teenage pregnancy, sexually transmitted infections, and risky sexual behaviors. However, such communication remains limited, necessitating the exploration of barriers to effective SRH discussions between parents and adolescent girls.
Methods: This exploratory study was conducted with 100 mothers of adolescent girls residing in urban Bengaluru using convenience sampling techniques. A structured questionnaire, derived from relevant literature, was developed to collect data from the participants. The data was analyzed using SPSS V20.0, employing descriptive statistics, and chi-square tests.
Results: Our findings indicate a low level of communication between parents and adolescent girls, with the majority of communication occurring regarding puberty (13.23±4.28) and secondary sexual characteristics changes (8.09±4.07). However, the lowest level of communication was observed in relation to teenage pregnancy (1.37±0.96). Additionally, the study revealed that 16% of parents and adolescent daughters engaged in poor communication, while only 30% exhibited good communication skills. Furthermore, a significant correlation was identified between age and communication levels (r2=0.1019, p=0.04*) educational status (r2=13.97, p=0.05*) family type (r2=15.34, p=0.01**) Source of information (r2=7.13, p=0.03*) at a significance level of 0.05.
Conclusions: Our study revealed inadequate parent–adolescent communication on sexual and reproductive health (SRH), influenced by cultural barriers, limited knowledge, and family dynamics. Early, open communication on SRH may strengthen parent-adolescent relationships and reduce unsafe sexual practices.
References
Hart AD, Weber CH. Stressed or depressed: A Practical and Inspirational Guide for Parents of Hurting Teens. Thomas Nelson Inc; 2005.
Bekele D, Deksisa A, Abera W, Megersa G. Parental communication on sexual and SRH issues to their adolescents and affecting factors at Asella town, Ethiopia: a community-based, cross-sectional study. Reprod Health. 2022;19(1):114.
Wudineh KG, Chekole FA, Tesfu AA. Adolescent-parent communication on sexual and SRH issues and associated factors among secondary school students in Woreta town, Northwest Ethiopia: an institutional based cross sectional study. Heliyon. 2021;7(3):e06528.
Karofsky PS. Relationship between adolescent parental communication and initiation of first intercourse by adolescents. J Adolesc Health. 2000;28:41-5.
UNICEF. Early childbearing and teenage pregnancy rates by country; 2022. Available from: https://data.unicef.org/topic/child-health/adolescent-health/#:~:text = Globally%20in%202021%2C%20an%20estimated,their%20education%2C%20livelihoods%20and%20health. Accessed on 10 September 2025.
International institute for population sciences (IIPS) and ICF. National family health survey (NFHS-5), 2019-21: India: volume 1. Mumbai: IIPS; 2021. Available from https://dhsprogram.com/pubs/ pdf/FR375/FR375.pdf. Accessed on 10 September 2025.
Shukla S, Castro Torres AF, Satish RV, Shenderovich Y, Abejirinde IO, Steinert JI. Factors associated with adolescent pregnancy in Maharashtra, India: a mixed-methods study. Sex Reprod Health Matters. 2023;31(1):2249284.
Saikia K, Nisha S, Malvika S, Shailendra KBH, Ashwin D. Understanding the factors leading to high prevalence of teenage pregnancies in the four aspirational Districts of Assam, Namely Goalpara, Barpeta, Dhubri, and darrang. Indian J Public Health. 2023;67(1):66-71
Pandit A. Girls drop out of schools due to early marriage, house work. The Times of India. 2022. Available from: https://timesofindia.indiatimes.com/ india/girls-drop-out-of-schools-due-to-early-marriage-house-work/articleshow/92195487.cms. Accessed on 10 September 2025.
Verma V, Das KB. Teenage primigravidae: a comparative study. Indian J Public Health. 1997;41(2):52-5.
Wamoyi J, Fenwick A, Urassa M, Zaba B, Stones W. Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people’s sexual health interventions. Reprod Health. 2010;7:6.
Vongsavanh V, Lan VTH, Sychareun V. Sexual and SRH communication between parents and high school adolescents in Vientiane Prefecture, Lao PDR. Glob Health Act. 2020;13:1785145.
Melese M, Esubalew D, Siyoum TM, Worku YB, Azanaw J, Mengistie BA. Parent-adolescent communication on sexual and SRH issues and associated factors among secondary public-school students in Gondar town, northwest Ethiopia: an institution based cross-sectional study. Front Public Health. 2024;19:12:1342027.
Tamanna T, Priyanka AS, Sourav DG, Moni MK, Zaman RU, Jahan N, et al. Comparing SRH communication with mothers between urban and rural adolescent girls. Int J Res Med Sci. 2024;12(8):2767-72.
Millanzi WC, Osaki KM, Kibusi SM. Parent-adolescent communication about sexual and SRH and its determinants among adolescents: baseline findings from a randomized controlled trial in Tanzania. SAGE Open. 2023;13(4).
Likith RS. Exploring factors influencing parent-adolescent communication on sexual and reproductive health (SRH)- a qualitative study from Bengaluru, India. J Psychosex Health. 2024;6(3):235-41.
Biddlecom A, Awusabo-Asare K, Bankole A. Role of parents in adolescent sexual activity and contraceptive use in four African countries. Int Perspect Sex Reprod Health. 2009;35:72-81.
Manlove J, Ryan S, Franzetta K. Patterns of contraceptive use within teenagers’ first sexual relationships. Perspect Sex SRH. 2003;35:246-55.
Bhatta BR, Kiriya J, Shibanuma A, Jimba M. Parent-adolescent communication on sexual and SRH and the utilization of adolescent-friendly health services in Kailali, Nepal. PLoS One. 202;16(2):e0246917.
Singh DR, Shrestha S, Karki K, Sunuwar DR, Khadka DB, Maharjan D, et al. Parental knowledge and communication with their adolescent on sexual and SRH issues in Nepal. PLoS One. 2023;18(7):e0289116.
Adam ND, Demissie GD, Gelagay AA. Parent-adolescent communication on sexual and SRH issues and associated factors among preparatory and secondary school students of Dabat Town, Northwest Ethiopia. J Environ Public Health. 2020;2020:1-7.
Downing J, Jones L, Bates G, Sumnall H, Bellis MA. A systematic review of parent and family-based intervention effectiveness on sexual outcomes in young people. Health Educ Res. 2011;26:808-33.
Ndugga P, Kwagala B, Wandera SO, Kisaakye P, Mbonye MK, Ngabirano F. "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. 2023;23(1):678.