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Repeatedly, parents have reported more frequent and higher quality sex communication with adolescent children than adolescents report taking place. The current study analyzes the discrepancy in parent-child report of sex communication with three main focuses: the magnitude of the discrepancy, whether parent or adolescent perception is more associated with adolescent sexual esteem, and whether the discrepancy is associated with adolescent sexual esteem. Using data from the Healthy Sexuality Project, we analyze a random sample of 620 families using a hierarchical linear regression to measure whether a discrepancy in parent-adolescent reports of the frequency and quality of sex communication has influence on adolescent sexual-esteem.