Purpose: To compare parent and child reports on their relationship and communication about sex; quantify agreement; and find characteristics associated with higher agreement.Methods: Data is baseline data from an evaluation of Talking Parents, Healthy Teens, a multi-session worksite-based parenting program. Participants are 569 parents of 6-10th grades who responded to an advertisement posted in their workplace, and their 6-10th grade children (n=683): 683 parent-child dyads. Self-administered survey data were collected in Southern California from 2002-2004. We compare parent and child responses to 68 items about their relationships and communication about sex, and computed polychoric correlation (PCC), an agreement measure that corrects for possible parent-child differences in response threshholds, across dyads and across items. Factors associated with higher agreement were found through bivariate comparison of PCC; linear regression on intra-dyad PCC; and linear regression on raw bias.Results: After adjusting for possible parent-child differences in response threshholds, PCC for items were low, with median 0.34 (inter-quartile range (IQR) (0.22, 0.41)). Agreement was higher for sexual discussion topics (median 0.41 (IQR (0.37, 0.46))) than other items (Wilcoxon p<0.001); in general, agreement was higher for factual than emotionally negative or hypothetical items. PCC for dyads was very high, with median 0.87 (IQR (0.84, 0.91)), but left-skewed (skewness = -3.1). Factors associated with greater parent-child agreement include younger child age, better parenting skills, parent married or living as married, and parent recollection of good communication with their own parents. Agreement was not associated with socioeconomic factors.Conclusions: Survey-response discordance appears not to be solely attributable to response bias. Items about concrete events yield better agreement than hypothetical items. Response discordance may be partially attributable to different parent and child perceptions of their relationship because less discordance is evidence among parents with good parenting skills or who recall good communication with their own parents.