父母对其青少年子女的性行为及性经历的知晓情况：索引分析 Parents' Awareness of Their Adolescents' Sexual Behaviors and Experiences: A Concordance Analysis ——《青少年健康杂志》，第79卷第4期，2026年10月—— <Journal of Adolescent Health>, Volume 79, Issue 4, October 2026 【摘要】目的：青春期是性探索行为较为普遍的发展阶段。在此期间，父母若能了解青少年的性行为，可起到保护作用；然而，研究表明，父母与青少年往往倾向于回避有关这些敏感话题的公开交流。本研究旨在考察父母代述报告与青少年自述报告在青少年性行为及性经历三个领域的一致性。方法：数据来自AmeriSpeak样本库中的522对亲子（青少年年龄为15–17岁）全国性样本（数据收集于2022年5月至9月）。研究采用经患病率和偏差校正的Kappa系数（PABAK）来评估一致性。结果：结果显示，在青少年发送和接收色情短信方面，亲子报告的一致性处于弱至中等水平（PABAK=0.54–0.79）；而在涉及非自愿分享性相关照片的经历方面，一致性较强（PABAK=0.92–0.94），这种高度一致性主要归因于此类经历的报告发生率较低。关于青少年是否有过性行为，亲子报告显示出较强的一致性（PABAK=0.80），这主要源于父母和青少年均报告青少年未发生过性行为。关于预防性传播感染和妊娠的方法，亲子报告的一致性因具体方法（或未采取任何措施）而异，呈现出从弱到强不等的水平（PABAK=−0.07–0.79）。讨论：研究结果凸显了父母对青少年性行为及性经历的认知存在显著差异。旨在增强亲子间信任及关于与性相关话题的公开对话，并确保青少年拥有多种可信渠道获取性健康信息的干预措施，将有助于青少年做出明智的性健康决策。 【关键词】青少年，沟通，一致性，父母，性行为，发送色情短信，性健康 [Abstract] Purpose: Adolescence is a developmental period during which sexual exploration is normative. Parental awareness of adolescents' sexual behaviors can be protective during this stage; however, research suggests both parents and adolescents tend to avoid open conversations about these sensitive issues. This study aimed to examine concordance between parent proxy-reports and adolescent self-reports across three domains of adolescents' sexual behaviors and experiences. Methods: Data were collected from a national sample of 522 parent–adolescent dyads (aged 15–17 years) from the AmeriSpeak panel (data collected May-September 2022). Prevalence-adjusted bias-adjusted kappa (PABAK) statistics were calculated to evaluate agreement. Results: Findings revealed weak-to-moderate concordance regarding adolescents sending and receiving sexual photos (PABAKs = 0.54–0.79), whereas stronger concordance was observed for experiences related to nonconsensual sharing of sexual photos (PABAKs = 0.92–0.94), with high agreement largely driven by low reported prevalence of these experiences. Strong concordance regarding whether adolescents had ever had sex (PABAK = 0.80) was largely driven by both parents and adolescents reporting the adolescent had not had sex. Concordance regarding sexually transmitted infection and pregnancy prevention methods varied, ranging from weak to strong agreement across specific methods (or lack thereof; PABAKs = −0.07–0.79). Discussion: Results highlight significant discrepancies in parents' knowledge about their adolescents' sexual behaviors and experiences. Interventions aimed at enhancing trust and open dialogue between parents and adolescents about sexuality-related topics, as well as ensuring adolescents have a variety of trusted sources to consult for sexual information, can help adolescents make informed sexual health decisions. [Key words] Adolescents, Communication, Concordance, Parents, Sex behavior, Sexting, Sexual health 论文原文：Hannah Javidi, Jharna Katara, Stephanie Dickinson, et al. (2026). Parents' Awareness of Their Adolescents' Sexual Behaviors and Experiences: A Concordance Analysis. Journal of Adolescent Health, Volume 79, Issue 4, Pages 483-490. October 2026, https://doi.org/10.1016/j.jadohealth.2026.05.013 （翻译兼责任编辑：MARY） （需要英文原文的朋友，请联系微信：millerdeng95或iacmsp）
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