Purpose: The purpose of this paper is to explore how the content and approach of parent-adolescent communication about sexuality were associated with three adolescent sexuality variables (sexual attitudes, combination of all behaviors and advanced behaviors). Design/methodology/approach: Survey research with adolescents was conducted in classrooms at school. Participants were 473 adolescents (196 males, 253 females and 24 unreported) in grades 9-12 from two high schools (one urban and one suburban) in a large midwestern city. Findings: Adolescents who described their parents' communication approach as open, or who did not engage in conversations about sexuality with their parents reported lower rates of sexual behavior, when compared to adolescents whose parents dictated such conversations. Females were found to have more conservative sexual attitudes than males, and both mothers and fathers were found to have a direct role in talking to their children about sexuality. Originality/value: Findings from the study may offer guidance to parents and help adults aiming to empower youth to make healthy sexual decisions.