Abstract

Extended family can be a resource for conversations about sex, but extended family perspectives have been largely left out of existing research. The present study investigates how extended family, such as aunts and uncles, siblings and cousins, perceive communication with teens in their families about sex. A thematic analysis was conducted with data from interviews in the U.S. with 39 extended family members, primarily siblings, who reported talk with teens in their families about sex. The analyses identified one theme focused on perspectives surrounding what is most important for teens to know about sex and relationships and seven themes focused on the content of conversations with teens about sex. The most prevalent content areas were: Healthy and Unhealthy Relationships (87%), Sexual Orientation (82%), Sexual Behavior (82%), and Protection (74%). The findings highlight extended family members’ unique roles in supporting the sexual health of teens in their families, which include providing information and support about issues other family members may not address, such as sexual orientation and the positive aspects of sex. The findings suggest the need to include extended family in sex education interventions to reflect the broader ecology of teens’ family relationships and access an underutilized resource for teens’ sexual health.

Highlights

  • Communication with parents about sex can support teens’ health through delayed sex [1] and more frequent safer sex behaviors [2]

  • The most prevalent topics of conversation with teens described by extended family members were: Relationships (87%), Sexual Orientation (82%), Sexual Behavior (82%), and Protection (74%)

  • The high number of teens who talk with extended family about sex [4,5] and the associations of this communication with teens’ sexual behavior [4,46] suggest the need to understand extended family roles in sexuality communication

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Summary

Introduction

Communication with parents about sex can support teens’ health through delayed sex [1] and more frequent safer sex behaviors [2]. Extended family members often serve as resources for teens’ communication about sex [4,5] and initial research suggests that this communication may be protective against adolescents’ risky sexual behavior [4]. Despite these findings, both sexuality communication research and practice largely focus on teen–parent relationships. Teens identify extended family as key sources of sexual information and support [5], suggesting the need to explore extended family roles in teens’ sexual socialization. Other sources, such as media, can shape teens’ sexual socialization [9,10], but this exploration is largely beyond the scope of this study

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