父母對其青少年子女的性行為及性經歷的知曉情況：索引分析 Parents' Awareness of Their Adolescents' Sexual Behaviors and Experiences: A Concordance Analysis ——《青少年健康雜誌》，第79卷第4期，2026年10月—— <Journal of Adolescent Health>, Volume 79, Issue 4, October 2026 【摘要】目的：青春期是性探索行為較為普遍的發展階段。在此期間，父母若能了解青少年的性行為，可起到保護作用；然而，研究表明，父母與青少年往往傾向於迴避有關這些敏感話題的公開交流。本研究旨在考察父母代述報告與青少年自述報告在青少年性行為及性經歷三個領域的一致性。方法：數據來自AmeriSpeak樣本庫中的522對親子（青少年年齡為15–17歲）全國性樣本（數據收集於2022年5月至9月）。研究採用經患病率和偏差校正的Kappa係數（PABAK）來評估一致性。結果：結果顯示，在青少年發送和接收色情短信方面，親子報告的一致性處於弱至中等水平（PABAK=0.54–0.79）；而在涉及非自願分享性相關照片的經歷方面，一致性較強（PABAK=0.92–0.94），這種高度一致性主要歸因於此類經歷的報告發生率較低。關於青少年是否有過性行為，親子報告顯示出較強的一致性（PABAK=0.80），這主要源於父母和青少年均報告青少年未發生過性行為。關於預防性傳播感染和妊娠的方法，親子報告的一致性因具體方法（或未採取任何措施）而異，呈現出從弱到強不等的水平（PABAK=−0.07–0.79）。討論：研究結果凸顯了父母對青少年性行為及性經歷的認知存在顯著差異。旨在增強親子間信任及關於與性相關話題的公開對話，並確保青少年擁有多種可信渠道獲取性健康信息的干預措施，將有助於青少年做出明智的性健康決策。 【關鍵詞】青少年，溝通，一致性，父母，性行為，發送色情短信，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 論文原文：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 （翻譯兼責任編輯：MARY） （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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