Let's Talk!, A South African worksite-based HIV prevention parenting program

Laura M. Bogart, Donald Skinner, Idia Thurston, Yoesrie Toefy, David J. Klein, Caroline H. Hu, Mark A. Schuster

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: South African adolescents have high HIV risk, yet few prevention interventions are effective. Parents play a pivotal role in youths' healthy sexual development and may be at risk themselves. We tested whether Let's Talk!, a worksite-based parenting program, improves parent-child communication about HIV and sexual health and parent condom use self-efficacy and behavior. Methods: We culturally adapted Let's Talk! in two languages, drawing on formative research and community stakeholder input. We then conducted a small randomized test at a large public worksite in Cape Town, South Africa. The intervention consisted of 5 weekly 2-hour group sessions for parents of youth aged 11-15. Sixty-six parents (64% female) and their 64 adolescents (41% female) completed surveys before and 1-2 weeks post-intervention; surveys assessed comfort with talking about sex, communication about 16 HIV- and sex-related topics, and parents' condom use self-efficacy and behavior. Thirty-four black African (Xhosa language) and 32 coloured (mixed-race; Afrikaans language) parent-child dyads participated. Parents were randomized to intervention (n = 34) and control (n = 32) groups; randomization was stratified by language. Results: Multivariate regressions indicated that the intervention significantly increased parents' comfort with talking to their adolescent about sex, b(SE) =.98(.39), p =.02, and the number of sex- and HIV-related topics discussed with their adolescent, b(SE) = 3.26(1.12), p =.005. Compared with control parents, intervention parents were more likely to discuss new sex- and HIV-related topics not discussed before the intervention, b(SE) = 2.85(.80), p <.001. The intervention significantly increased parents' self-efficacy for condom use, b(SE) =.60(.21), p =.007. Conclusions: Let's Talk! holds promise for improving parent-child communication, a critical first step in preventing HIV among youth.

Original languageEnglish (US)
Pages (from-to)602-608
Number of pages7
JournalJournal of Adolescent Health
Volume53
Issue number5
DOIs
StatePublished - Nov 1 2013

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Parenting
Workplace
Parents
HIV
Condoms
Self Efficacy
Language
Communication
Child Language
Sexual Development
Reproductive Health
Random Allocation
South Africa

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Let's Talk!, A South African worksite-based HIV prevention parenting program. / Bogart, Laura M.; Skinner, Donald; Thurston, Idia; Toefy, Yoesrie; Klein, David J.; Hu, Caroline H.; Schuster, Mark A.

In: Journal of Adolescent Health, Vol. 53, No. 5, 01.11.2013, p. 602-608.

Research output: Contribution to journalArticle

Bogart, Laura M. ; Skinner, Donald ; Thurston, Idia ; Toefy, Yoesrie ; Klein, David J. ; Hu, Caroline H. ; Schuster, Mark A. / Let's Talk!, A South African worksite-based HIV prevention parenting program. In: Journal of Adolescent Health. 2013 ; Vol. 53, No. 5. pp. 602-608.
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