Evidence map›Paper›PMID 29952665›Full record

ArticleJournal of sex research

Is Guardian Permission a Barrier to Online Sexual Health Research Among Adolescent Males Interested in Sex With Males?

Kimberly M Nelson, Michael P Carey, Celia B Fisher

Abstract read
In one paragraph

Article in Journal of sex research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Parent-Adolescent Relationship Quality, Sexual Health Communication, and Willingness to Support Pre-Exposure Prophylaxis for HIV: A Qualitative Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Disclosure of male attraction to primary care clinicians by adolescent sexual minority males.Sexuality research & social policy : journal of NSRC : SR & SP · 2022
    Article
  10. "Physical Sex Is Over for Now": Impact of COVID-19 on the Well-Being and Sexual Health of Adolescent Sexual Minority Males in the U.S.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
    Article
  11. Article
  12. Article
  13. Intersectional discrimination, positive feelings, and health indicators among Black sexual minority men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
  14. Article
  15. Surveillance studies involving HIV testing are needed: Will at-risk youth participate?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
  16. Article
  17. Article
  18. Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kimberly M Nelsona Centers for Behavioral and Preventive Medicine , The Miriam Hospital.ORCID 0000-0001-8893-5764
Michael P Careya Centers for Behavioral and Preventive Medicine , The Miriam Hospital.ORCID 0000-0003-4652-964X
Celia B Fisherd Department of Psychology , Center for Ethics Education, Fordham University.

Funding

Training Program in HIV Prevention Research EthicsR25DA031608 · NIDA · FORDHAM UNIVERSITY · PI FISHER, CELIA B · 2011 to 2025
$4.9M
Influences on risk behaviors among young menK23MH109346 · NIMH · MIRIAM HOSPITAL · PI NELSON, KIMBERLY M · 2016 to 2020
$709k
NIDA NIH HHS R25 DA031608NIMH NIH HHS K23 MH109346
6 · The paper itself

Abstract

Institutional review boards (IRBs) that refuse to grant waivers of guardian permission may hinder research to inform needed online sexual health interventions for adolescent males interested in sex with males (AMSM). Information on the challenges of obtaining (or waiving) guardian permission is imperative. In June and July 2017, AMSM (N = 206; ages 14 to 17) in the United States completed an online survey on sexual behaviors, sexually explicit media use, and sexual education exposure/needs. A mixed-methods approach assessed attitudes toward guardian permission for the current survey and future online sexual health intervention research. Logistic regression models assessed differences by "outness" to a guardian. A framework matrix analysis was conducted to summarize, then aggregate, qualitative responses. Findings indicated that most AMSM would not participate if guardian permission was required (current: 83%; future: 87%). Youth who were not out were more likely to say they would not participate (current: adjusted odds ratio [AOR] = 2.8, 95% confidence interval [CI]: 1.2 to 6.8); future: AOR = 4.7, 95% CI: 1.6 to 13.5). Participants reported that guardian permission would be an invasion of their privacy, lead to involuntary outing, and endanger participants. Overall, guardian permission appears to be a barrier to AMSM participation in online sexual health research. Investigators and IRBs should consider alternative practices and policies to facilitate such research.

Indexed as

AttitudeHomosexuality, MaleLegal GuardiansPrivacyResearchSexual BehaviorSexual HealthAdolescentHumansMale

Identifiers

PMID29952665
PMCPMC6310663

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.