Dittus PJ, Michael SL, Becasen JS, Gloppen KM, McCarthy K, Guilamo-Ramos V.
OBJECTIVE: We performed a meta-analysis to assess the magnitude of associationbetween parental monitoring and adolescent sexual intercourse, condom use, andcontraceptive use.
DATA SOURCES: We conducted searches of Medline, the Cumulative Index to Nursingand Allied Health Literature, PsycInfo, Cochrane, the Education ResourcesInformation Center, Social Services Abstracts, Sociological Abstracts, Proquest, and Google Scholar.
STUDY SELECTION: We selected studies published from 1984 to 2014 that werewritten in English, included adolescents, and examined relationships betweenparental monitoring and sexual behavior.
DATA EXTRACTION: We extracted effect size data to calculate pooled odds ratios(ORs) by using a mixed-effects model.RESULTS: Higher overall monitoring (pooled OR, 0.74; 95% confidence interval[CI], 0.69-0.80), monitoring knowledge (pooled OR, 0.81; 95% CI, 0.73-0.90), and rule enforcement (pooled OR, 0.67; 95% CI, 0.59-0.75) were associated withdelayed sexual intercourse. Higher overall monitoring (pooled OR, 1.12; 95% CI,1.01-1.24) and monitoring knowledge (pooled OR, 1.14; 95% CI, 1.01-1.31) wereassociated with greater condom use. Finally, higher overall monitoring wasassociated with increased contraceptive use (pooled OR, 1.42; 95% CI, 1.09-1.86),as was monitoring knowledge (pooled OR, 2.27; 95% CI, 1.42-3.63).
CONCLUSIONS: Provider-initiated family-based interventions focused on parentalmonitoring represent a novel mechanism for enhancing adolescent sexual andreproductive health.