Exploring factors influencing attitudes toward premarital sex among Thai adolescents: a quantitative analysis 10.55131/jphd/2023/210321

Main Article Content

Busakorn Sangkaew
Sirinan Kittisuksathit
Apinya Ingard

Abstract

In Thai society, teenagers having sex before marriage is often avoided as it is considered forbidden. Nonetheless, it is widely believed that young people are becoming more sexually active before marriage. This study aimed to determine factors associated with attitudes toward premarital sex among Thai adolescents. Secondary data was used and drawn from the 2011 Survey on Conditions of Society and Culture by the National Statistical Office Thailand. The total study population was 674 Thai adolescents, comprising 364 younger adolescents aged 13–16 and 310 older adolescents aged 17–19. Three-quarters of the sample were school-going students. The analysis used Pearson chi-square and binary logistic regression. The results found that age, gender, education status, and acceptance toward sexual behaviors had a significant association with attitude toward premarital sex with those under 15 years old (p < .05). The probability of agreement with premarital sex was highly associated with the acceptance of open sexual behavior. However, older age groups and school-going adolescents had less likelihood of agreeing with premarital sex when compared with younger and out-of-school groups. Female adolescents had less probability of agreeing with premarital sex than males. In conclusion, accepting open sexual behavior is at risk of agreeing with premarital sex, but education programs in school may protect them from it. To provide knowledge and prevent the risk of premature sexual activity, sexual health should be promoted, including the appropriate sexual value, in primary school programs. In addition, the government should encourage sexual health through social activities for out-of-school adolescents.

Article Details

How to Cite
1.
Sangkaew B, Kittisuksathit S, Ingard A. Exploring factors influencing attitudes toward premarital sex among Thai adolescents: a quantitative analysis: 10.55131/jphd/2023/210321. J Public Hlth Dev [Internet]. 2023 Oct. 3 [cited 2024 May 12];21(3):275-88. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/264346
Section
Original Articles
Author Biographies

Busakorn Sangkaew, Institute for Population and Social Research, Mahidol University, Nakhon pathom, Thailand

Institute for Population and Social Research, Mahidol University, Nakhon pathom, Thailand

Sirinan Kittisuksathit, Institute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand

Institute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand

Apinya Ingard, Faculty of Information and Communication Technology, Silpakorn University, Petchburi IT Campus, Petchburi, Thailand

Faculty of Information and Communication Technology, Silpakorn University, Petchburi IT Campus, Petchburi, Thailand

References

World Health Organization. Programming for adolescent health and development: report of a WHO/UNFPA/UNICEF Study Group on Programming for Adolescent Health. [Internet]. Geneva: WHO; 1999 [cited 2023 June 15]. Available from https://apps.who.int/iris/handle/10665/42149

Khan S, Mishra V. Youth reproductive and sexual health, DHS comparative

Calverton. Maryland: Macro International; Geneva; 2008

Avery L, Lazdane G. What do we know about sexual and reproductive health of adolescents in Europe? Eur J Contracept Reprod Health Care. 2008 Mar;13(1):58-70. doi: 10.1080/13625180701617621

Ramiro L,Windlin B ,Reis M, Gabhainn SC, Jovic S, Matos MG, et al. Gendered trends in early and very early sex and condom in 20 European countries from 2002 to 2010 Eur J Public Health 2015; 25; 65-8.doi:10.1093/eurpub/clcv030

Macquarrie KLD, Mallick L, Allen C. Sexual and Reproductive Health in Early and Later Adolescence: DHS Data on Youth Age 10-19. DHS Comparative Reports No. 45. Rockville, Maryland, USA: ICF; 2017

Bureau of Reproductive Health, Department of Health. Reproductive Health Situation of Youth, 2020. [Internet].2021 [cited 2021 May 12]. Available from: http://rh.anamai.moph.go.th

Kassahun EA, Gelagay AA, Muche AA, Dessie AA, Kassie BA. Factors associated with early sexual initiation among preparatory and high school youths in Woldia town, northeast Ethiopia: a cross-sectional study. BMC Public Health 2019; 19:378. doi.org/10.1186/s12889-019-6682-8.

UN Joint Programme on HIV/AIDS (UNAIDS). Global Report: UNAIDS report on the Global AIDs Epidemic [Internet]. 2010 [cited 2023 June 15]. Available from:

https://www.refworld.org/docid/4cfca9c62.html

World Health Organization. Making health services adolescent friendly: Developing national quality standards for adolescent friendly health services [Internet]. Geneva: WHO; 2012 [cited 2023 June 15]. Available from: https://apps.who.int/iris/bitstream/handle/10665/75217/9789241503594_eng.pdf

World Health Organization. Adolescent and young adult health [Internet]. Geneva: WHO;2021 [cited 2023 June 15] Available from https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions

World Health Organization. Adolescent Pregnancy [Internet]. Geneva: WHO;2020 [cited 2023 June 15] Available from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

World Health Organization. Global health estimates leading cause of death: cause-specific mortality, 2000-2019 [Internet]. Geneva: WHO;2020 [cited 2023 June 15] Available from https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death

Liang M, Simelane S, Fillo GF, Chalasani S, Weny K, Canelos PS, Snow R. The state of adolescent sexual and reproductive health. J Adolesc Health 2019; 65: S3-S15.

World Health Organization. Global standards for quality health care services for adolescents [Internet]. Geneva: WHO;2015 [cited 2023 June 15] Available from https://reliefweb.int/report/world/global-standards-quality-health-care-services-adolescents?gclid=CjwKCAjws7WkBhBFEiwAIi1682y3IA4rC4PzIWcF5Y2eXQhsp8xk1NX2OK5pELeTzZNYqdKATGxtkxoCrC0QAvD_BwE

Fatusi AO, Blum RW. Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health 2008;8-136. doi: 10.1186/1471-2458-8-136.

Kassa GM, Woldemarian EB, Moges NA. Prevalence of Premarital Sexual Practice and Associated Factors among Alarmata High School and Preparatory school Adolescents Northern Ethiopia. Global Journal of Medical Research 2014;14: 55-65.

Bizuayehu HM, Abyu DM, Demessie HF. Assessment of time of sexual initiation and its associated factors among students in Northwest Ethiopia. Science Journal of Public Health.2015;3(1),10-8.

Do M, Fu M. Attitudes Toward Premarital Sex in Contemporary Vietnam: Findings from a National Survey, Int J Sex Health 2010; 22: 103-18. doi: 10.1080/19317610903498487.

Noonin S, Phuangprayong. Factor affecting lifestyle of young generation in Thai Rural Society. Journal of Social Development 2019; 21: 177-95 (in Thai)

Sittipiyasakul V, Nuwong P, Lucksitanon R, Uamasan, B. A survey on sexual experience, pinions and sexual risk behaviors among teenage students in Thailand. Journal of Health Science 2013; 22: 979-87. (in Thai)

Ounjit W, Social and Cultural Dimensions of Adolescent Sexual Relationships in Thailand. Social and Behavioral Sciences 2015; 171:606-15. doi:10.1016/j.sbspro.2015.01.167

Promma N, Suparp J, Chamroonsawasdi K, Theachaboonsermsak P, Tansakul S. Factors Predict intensions to have Premarital Sexual amongst Freshman College Male Students. Naresuan Phayao Journal 2013; 6: 155-66. (in Thai)

Itisen N, Nilla A, Chomchaypon K. The Attitude of Sakon Nakhon Rajabhat University Students on the Behavior of Living Together Before Marriage During the Study. [Internet] 2010 [cited 2016 August 1] Available from: http://cph.snru.ac.th/userfiles/file/%

Cohen S, Gottlieb BH, Underwood LG. Social relationships and health. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), Social support measurement and intervention: A guide for health and social scientists: New York: Oxford University Press ;2000. p.3-25.

Aspy CB, Vesely SK, Oman RF, Rodine S, Marshall L, McLeroy K. Parental communication and youth sexual behavior. J Adolesc 2007; 20, 449-66. doi:10.1016/j.adolescence.2006.04.007

D’Augeli AR. Lesbian and bisexual female youths age 14 to 21: Developmental challenges and victimization experiences. J Lesbian Stud. 2003;7: 9-29. doi: 10.1300/J155v07n04_02.

Somers CL, Anagurthi C. Parents’ attitudes about adolescents’ premarital sexual activity: the role of inter-parent consistency/inconsistency in sexual outcomes. Health Education Journal 2013; 0 :1 –9. doi: 10.1177/0017896913506702

Junnual N, Manwong M, Suebsamran P, Singto, S. Factors Related to Sexual Behavior among the Lower Secondary School Students at a school in Ubon Ratchathani Province. The Public Health Journal of Burapha University 2014; 9: 56-65. (in Thai)

Boamah J. Multiple logistic regression analysis of cigarette use among high school students. Journal of Case Studies in Education. [Internet].2011 [cited 2022 May 3]. Available from: http://www.aabri.com/manuscripts/10617.pdf

Hamid G. Mahalanobis distance and its application for detecting multivariate outliers. Series Mathematics and Informatics 2019; 34: 583-95.

Berry WD, Feldman S. Multiple Regression in Practice. (Quantitative Application in the Social Science). SAGE Publications, Thousand Oaks, CA; 1985.

Pramulratana A. The impact of societal change and role of the old in a rural community in Thailand. In Yoddumnern-Attig et al. editors. Changing roles and statues of women in Thailand: a documentary assessment: Bangkok: Institute for Population and Social Research Publication Mahidol University; 1992. p.44-54

Sridawruang C, Crozier KP, Feil M. Attitudes of adolescents and parents towards premarital sex in rural Thailand: a qualitative exploration. Sex Reprod Healthc 2010;1: 181-87. doi: 10.1016/j.srhc.2010.06.003.

Somers CL, Paulson SE. Students’ perceptions of parent-adolescent closeness and communication about sexuality: relations with sexual knowledge, attitudes, and behaviors. J Adolesc 2000; 23: 629-44. doi: 10.1006/jado.2000.0349

Photaworn P, Pensuwan A, Wongyai S,Sookkaew N. Prospective Nursing Students: factors related to attitude toward sex while studying. The Southern College Network Journal of Nursing and Public Health 2018; 5: 96-109. (in Thai)

Mensch BS, Clark WH, Anh DN. Adolescents in Vietnam: Looking beyond reproductive health. Stud Fam Plann 2003;34 :249–62.

Pham NHNT. Vietnam’s urban sex culture: Is it fueling the HIV/AIDS epidemic? Pacific News [internet] 2004 [cited 2023 March 18]; 22: 6–9. Available from: http://www.pacific-geographies.org/wp-content/uploads/sites/2/2017/06/urban-sex-culture-vietnam.pdf

Zabin LS, Emerson MR, Nan L, Chaohua L, Ersheng G, Nguyen HM, et al. Levels of change in adolescent sexual behavior in three Asian cities. Stud Fam Plann. 2009; 40:1-12. doi: 10.1111/j.1728-4465.2009.00182. x.

Murphey DA, Lamonda KH, Carney JK,Duncan P. Relationships of a brief measure of youth assets to health- promoting and risk behaviors. J Adolesc Health 2004; 34: 184-91.

Reininger BM, Evans AE, Griffin SF,Sanderson M, Vincent ML,Valois RF. Predicting adolescent risk behaviors based on and ecological framework and assets. Am J Health Behav 2005; 29: 150-61. doi:10.5993/ajhb.29.2.6.

Rawajai N. Factor influencing Sexual Risk Preventive Behaviors of Students in Vocational Commission Bangkok Metropolitan. [Thesis]. Bangkok: Graduate School, Srinakharinwirot University; 2012 Available from: http://thesis.swu.ac.th/swuthesis/Hea_Ed(M.S.)/Nathaphop_R.pdf (in Thai)

Ministry of Education & UNICEF Thailand. Review of Comprehensive Sexuality Education in Thailand [Internet] 2016 [ cited 2022 Jan 20]. Available from https://www.unicef.org/thailand/sites/unicef.org.thailand/files/201808/comprehensive_sexuality_education%20EN.pdf

Mahaarcha S, Kittisuksathit S. Relationship between Religiosity and Prosocial Behavior of Thai Youth. Silpakorn University Journal of Social Sciences, Humanities, and Arts 2013; 13: 69-92.

Jensen LA, Arnett, JJ. Going global: new pathways for adolescents and emerging adults in a changing way. J Soc Issues 2012; 68:473-91. doi:10.1111/j.1540-4560.2012. 01759.x

Twenge JM, Ryne AS, Brooke EW. (2015) Change in American Adults’ sexual behavior and Attitudes, 1972-2012. Arch Sex Behav 2015;44: 2273-85 doi: 10.1007/s10508-015-0540-2.

Srisot M, Isarabhakdi, P. Acceptance of Premarital sex of Thai People]. Phranakhon Rajabhat Research Journal Humanities and Social Sciences 2016;11: 137-45. (in Thai)