(P207) PARENTAL SEXUAL COMMUNICATION & PARENTAL MONITORING AS CORRELATES OF CONDOM USE AMONG BLACK ADOLESCENTS: A META-ANALYSIS

Background:
Black adolescents are disproportionately affected by STIs, including HIV, compared to their same-age peers. Although condoms are the most accessible form of STI prevention for adolescents, Black adolescents report lower rates of condom use than their peers. Ecological theories have proposed that environmental factors, including parent-child relationships, influence adolescents' health behaviors. For Black youth, parental sexual communication and parental monitoring are associated with increased condom and contraceptive use. However, evidence for the strength of these associations varies. Thus, the purpose of this study was to meta-analyze and systematically review the literature surrounding parental communication and parental monitoring as predictors of condom use behavior among Black adolescents.

Methods:
A comprehensive search was conducted using PsycINFO, Medline, CINAHL and

Communication Source databases. Studies were included if they: 1) sampled U.S. adolescents

ages 13–24 (Mage <19); 2) included predominately Black adolescents; 3) assessed self-reported condom use; 4) assessed parental communication or monitoring; 5) were conducted between 2000 and 2023.

Results:
Eleven studies with 3108 adolescents (Mage= 16.14) met our inclusion criteria. Most samples were exclusively urban (k= 10). Parental sexual communication had a small positive correlation with condom use (weighted r=.15, p=.002), while the association for parental monitoring was not significant (weighted r=.07, p= .108). Effects for parental sexual communication were heterogenous.

Conclusion:
Results suggest that these aspects of parent-child relationships have small to no effect on condom use behavior. Thus, other environmental factors, such as partner communication, as well as more proximal factors (e.g., condom intentions), may be more influential to condom use among this population. Additionally, as parental sexual communication varies (e.g., in quality, frequency), future work is needed to understand what aspects of communication may be most influential to condom use.