The Development of a School, Family, and Community Guideline for Risky Sexual Behavior Prevention Among Junior High School Students in a Semi-Urban Area in the Border of Thailand
Article Sidebar
Main Article Content
Abstract
Objective: The current study aimed to identify risky sexual behavior, develop, and assess the guideline for risky sexual behavior prevention among junior high school students, aged 12-15 years, in a semi-urban area of Mae Hong Son province, Thailand.
Materials and Methods: This development research design was divided into three phases: 1) study the risky sexual behavior among junior high school students by reviewing the literature on topics related to sexual risky behavior among junior high school students; 2) develop a risky sexual prevention guideline consisting of Ethnographic Delphi Future Research (EDFR) technique. With 19 participants including social workers, psychologists, nurses, public health specialists, secondary school administrators, and teachers; 3) study the satisfaction toward the SFC guideline by using self-administered questionnaires with 52 participants who were teachers and teachers advisors in junior high school level. Data collection consisted of semi-structured interviews, and the questionnaires. Data were analyzed using thematic analysis, and descriptive statistics. The processes were conducted between March 2018 –February 2020.
Results: The study shows that major themes related to risky sexual behavior were media access, and alcohol & drug abuse. The SFC guideline, which classifies the prevention on three levels were S: school, F: family, and C: community. The satisfaction toward SFC guideline was at very satisfactory level.
Conclusion: The SFC guideline may be an effective intervention which prevents risky sexual behavior among junior high school students in a semi-urban area. Nevertheless, the evidence of satisfaction was captured only from the school’s perspective. In the future, the effects of these guidelines prevention on risky sexual behavior among junior high school students need to be investigated.
Article Details
บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
References
World health organization. Adolescent health [Internet]. 2020 August 3 [cited 2020 Aug 3]. Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1
Chawla N, Sarkar S. Defining “High-risk sexual behavior” in the context of substance use. Journal of Psychosexual Health. 2019 Jan 17;1(1). doi: https://doi.org/10.1177 /263 1831818822015
Abebe M, Tsion A, Netsanet F. Living with parents and risky sexual behaviors among preparatory school students in Jimma zone, South west Ethiopia. Afr Health Sci. 2013 Jun;13(2):498-506.
United Nations Children’s Fund. A Situation analysis of adolescents in Thailand 2015-2016. [Internet]. 2020 Aug 3 [cited 2020 Aug 3]. Available from: https://www. unicef.org /thailand/sites/unicef.org.thailand/files/2018-08/adolescent-situation-analysis -thailand-en.pdf
Department of Health. An adolescent and youth reproductive situation in 2019. [Internet]. 2020 Aug 2. [cited 2020 Aug 2]. Available from: http://rh.anamai.moph. go.th/ewt_dl_ link.php?nid=86 (in Thai)
D Kirby, L Short, J Collins, D Rugg, L Kolbe, M Howard, et al. School-based programs to reduce sexual risk behaviors: A review of effectiveness. Public Health Rep. 1994 May-Jun;109(3):339-60.
Hall PA, Holmqvist M, Sherry SB. Risky adolescent sexual behavior: A psychological perspective for primary care clinicians. Topics in Advanced Practice Nursing. 2004 Jan 1;4(1).
Nord CW, Moore KA, Morrison DR, Brown B, Myers DE. Consequences of teen-age parenting. J Sch Health. 1992 Sep;62(7):310-8. doi:10.1111/j.1746-1561.1992.tb01249.x.
Girmay A, Mariye T. Risky sexual behavior practice and associated factors among secondary and preparatory school students of Aksum town, northern Ethiopia, 2018. BMC Res Notes. 2019 Oct 26;12(1):698. doi: 10.1186/s13104-019-4714-1.
Chanakira E, O'Cathain A, Goyder EC, Freeman JV. Factors perceived to influence risky sexual behaviours among university students in the United Kingdom: A qualitative telephone interview study. BMC Public Health. 2014 Oct 9;14:1055. doi: 10.1186/1471-2458-14-1055.
Braun-Courville D, Rojas M. Exposure to sexually explicit web sites and adolescent sexual attitudes and behaviors. J Adolesc Health. 2009 Aug;45(2):156-62. doi: 10.1016/j.jadohealth.2008.12.004.
Fetene N, Mekonnen W. The prevalence of risky sexual behaviors among youth center reproductive health clinics users and non-users in Addis Ababa, Ethiopia: A comparative cross-sectional study. PLoS One. 2018 Jun 7;13(6):e0198657:1-15. doi: 10.1371/ journal.pone.0198657.
Moore MR, Chase-Lansdale PL. Sexual intercourse and pregnancy among African American girls in high-poverty neighborhoods: The role of family and perceived community environment. J Marriage Fam. 2004 Mar;63(4):1146-57. https://doi.org/ 10.1111/j.1741-3737.2001.01146.x
Office of the National Economic and Social Development Council. Thailand poverty report [Internet]. 2017. 2020 Aug 2. [cited 2020 Aug 2]. Available from: https:// www.nesdc.go.th/ewt_w3c/ewt_dl_link.php?nid=7787 (in Thai)
Hayami Y. Morality, sexuality and mobility: changing moral discourse and self. In: Delang CO, editor. Living at the edge of Thai society: The Karen in the highlands of northern Thailand. London: Routledge/Curzon; 2003. p.112-29.
Kanchanachitra M, Chamchan C. Adolescent mothers in Thailand 2020 [Internet]. 2020 Aug 10 [cited 2020 Aug 10]. Available from: https://thailand.unfpa.org/sites/ default/files/pub-pdf/Final%20report_Teen%20 Pregnancy.pdf (in Thai)
Srijaiwong S, Sindhu S, Ratinthorn A, Viwatwongkasem C. Factors influencing sexual behaviors among Thai adolescents. JPSS. 2017Jul 1;25(3):171-93.
Tippanya P, Mahathamnuchock M, Wongfan P, Intajak T. The model of risky sexual prevention among junior high school, Meuang Mae Hong Son province. Ching Mai: Ching Mai Rajaphat University; 2016.
Mahathamnuchock M, Tippanya P, Wongfan P, Intajak T. The model of risky sexual prevention among junior high school, Meuang Mae Hong Son province. The 2nd National and International Conference of Nakhon Sawan Rajabhat University, Localization: The Driving Innovation in Thailand 4.0, ICNSRU2017. Nakhon Sawan: Nakhonsawan Rajabhat University; 2018.
Poolpatarachewin C. Ethnographic Delphi futures research. J Res Methodol. 1986; 1(2):24-33.
Jong JD. Self-Administered Surveys 2016 [Internet]. 2020 Aug 12 [cited 2020 Aug 12]. Available from: https://ccsg.isr.umich.edu/chapters/data-collection/self-administered -surveys/.
Mitchell ES. Multiple triangulation: a methodology for nursing science. ANS Adv Nurs Sci. 1986 Apr 1;8(3):18-26.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2008 Jul 21;3(2):77-101.
Escobar-Chaves S, Tortolero S, Markham C, Low B, Eitel P. Impact of the media on adolescent sexual attitudes and behaviors. Pediatrics. 2005 Jul 1;116:303-26.
Hootsuit. Digital 2019 Global Digital Yearbook 2019 [Internet]. 2020 Aug 16. [cited 2020 Aug 16]. Available from: https://www.juancmejia.com/wp-content/uploads/ 2019/03/Digital-2019-WeAreSocial-y-HootSuite.pdf.
Dangkrueng S, WannaUeumol T, Yodming P, Sirithongthaworn S. Relationships between internet addiction and loneliness, and internet addiction and teenage social skills: a case study or mathayom suksa students in the northern region. CDMH. 2013 Jul 30;1(2):26-30.
Degenhardt L, Hall WD. The impact of illicit drugs on public health. In: Brownstein HH, editor. The handbook of drugs and society. Chichester, West Sussex: Wiley Blackwell; 2015. p.300-19.
Powwattana A. An adolescent risky sexual prevention: the participation of family, school, and community. Bangkok: Noble printing; 2009. (in Thai)
Reichstein L. Risky sexual behavior among youth: prevention and practice [Internet]. 2020 Nov 18. [cited 2020 Nov 18]. Available from: https://agrilifeextension.tamu .edu /library/4-h-youth-development/risky-sexual-behavior-among-youth-prevention-and-practice/
Tipwareerom W, Powwattana A, Lapvongwatana P, Crosby RA. Effectiveness of a model of risky sexual behavior prevention among adolescent boys in Thailand. Southeast Asian J Trop Med Public Health. 2011 May 1;42(3):726-36.