Trends in adolescent sexual health, the relation between parenting and adol
escent sexual outcomes, and adolescent sexuality interventions with a paren
t component are reviewed. American adolescents have higher rates of unprote
cted sex and STI contraction than adults and nine times the teen pregnancy
rate of their European counterparts. Parenting efforts are related to adole
scent sexual behavior. The review of 19 relevant programs supports the inco
rporation of theory and the ecological model in program design and evaluati
on.