Sexual Health

Effect of Parent-Based Sexual Health Education on Parent-Adolescent Communication and Adolescent Sexual Behavior: A Systematic Review and Meta-Analysis.

TL;DR

Parent-based sexual health education interventions positively impact various aspects of parent-adolescent sexual health communication and behavior, suggesting the effectiveness of the intervention in different social, cultural, and economic contexts.

Key Findings

Parent-based sexual health education interventions had a positive effect on parent-reported sexual health communication frequency.

  • Cohen's d = 0.32, indicating a small-to-moderate positive effect
  • This pooled effect was derived from a meta-analysis of studies identified through systematic search of databases from January 2013 to April 2023
  • 51 published studies were included in the overall review

Parent-based sexual health education interventions had a positive effect on adolescent-reported sexual health communication frequency.

  • Cohen's d = 0.26, indicating a small positive effect
  • This represents the adolescent perspective on communication frequency, distinct from parent-reported outcomes
  • Mixed effects were found in the broader systematic review, but the meta-analysis showed a net positive pooled effect

Parent-based sexual health education interventions had a positive effect on parental attitude toward sexual health communication.

  • Cohen's d = 0.38, indicating a small-to-moderate positive effect
  • Parental attitude was one of four outcome categories analyzed in the meta-analysis
  • The systematic review as a whole showed mixed effects on parent and adolescent-related outcomes, but meta-analytic pooling revealed positive direction

Parent-based sexual health education interventions had a positive effect on parental self-efficacy.

  • Cohen's d = 0.41, the largest pooled effect size among the four outcomes analyzed
  • Parental self-efficacy represented the strongest intervention effect across the outcomes examined
  • This suggests interventions may be particularly effective at building parents' confidence in discussing sexual health with their adolescents

The majority of included studies were conducted in high-income countries, with limited representation from low- and middle-income nations.

  • 36 of 51 studies (68.6%) were conducted in high-income countries
  • The lack of research in low- and middle-income nations was identified as a key gap
  • 51 total published studies were identified globally through the systematic search

Most included studies involved only mothers, with limited paternal participation.

  • 17 of 51 studies (33.3%) involved only mothers
  • Limited paternal participation was highlighted as a gap requiring further research
  • The skew toward maternal participation may limit generalizability of findings to two-parent or father-involved contexts

The majority of included studies were based on theoretical frameworks.

  • 37 of 51 studies (72.5%) stated they were based on theoretical frameworks
  • This indicates a generally theory-grounded evidence base for parent-based sexual health education interventions
  • The search covered publications from January 2013 to April 2023

What This Means

This research synthesized findings from 51 studies published between 2013 and 2023 to understand whether programs that teach parents how to talk to their children about sexual health actually work. The researchers combined results statistically (meta-analysis) to get an overall picture of the evidence. They looked at four key outcomes: how often parents say they talk to their kids about sexual health, how often adolescents say those conversations happen, parents' attitudes toward having those conversations, and parents' confidence in their ability to have them. The research suggests that these parent-focused programs have meaningful positive effects on all four outcomes. Parents who received the interventions reported talking more frequently with their adolescents about sexual health, and adolescents confirmed this increase. Parents also came away with more positive attitudes and greater confidence (self-efficacy) about having these conversations. The boost in parental self-efficacy was the strongest effect found. These benefits appeared to hold across different social, cultural, and economic settings, suggesting the programs are broadly applicable. However, the study also highlights important gaps in the existing research. Most of the studies were conducted in wealthy, high-income countries, meaning much less is known about how well these programs work in lower-income settings. Additionally, the majority of studies focused only on mothers, leaving fathers largely understudied. This research suggests that expanding parent-based sexual health education programs—and studying them more broadly across different countries and with greater father involvement—could be a valuable strategy for improving adolescent sexual and reproductive health outcomes globally.

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Citation

Gutu B, Mahimbo A, Percival N, Demant D. (2025). Effect of Parent-Based Sexual Health Education on Parent-Adolescent Communication and Adolescent Sexual Behavior: A Systematic Review and Meta-Analysis.. Perspectives on sexual and reproductive health. https://doi.org/10.1111/psrh.70029