Factors Related to Sexual Risk Behaviors of Adolescents with Visual Impairment

Main Article Content

Chakkkrich Pidjadee
Rutja Phuphaibul
Penchan Pradubmook Sherer

Abstract

Purpose: The study aimed to examine the level of sexual risk behaviors and relationships between
predisposing factors, reinforcing factors, enabling factors and sexual risk behaviors of adolescents
with visual impairment.
Design: Descriptive correlational research.
Methods: The subjects were 99 adolescents with visual impairment who studied in 3 schools for
the students with visual impairment. Purposive sampling was used. Data were collected using
seven Braille’s questionnaires, including 1) demographic characteristics, 2) sexual knowledge,
3) sexual attitude, 4) self-esteem, 5) influence from friends, 6) sexual media accessibility and
7) sexual risk behaviors of adolescent with visual impairment. All questionnaires had content
validity. Their Cronbach’s alpha coefficients of the 2nd- 7th questionnaires were .74, .75, .71, .75,
.78 and .75, respectively. Data were analyzed using descriptive statistics, Pearson’s Product
Moment Correlation, Spearman’s Rank Correlation and Point Biserial Correlation.
Findings: The mean of sexual risk behaviors was low level X–
= 28.19, SD. = 5.43). Gender was
related to sexual risk behaviors (rpb = .277, p < .01). GPA and self-esteem were negatively related
while influence from friends and sexual media accessibility were positively related to sexual risk
behaviors (r = -.211, p < .05, r = -.268, p < .01, r = .411, p < .01, r = .257, p < .05, respectively).
Conclusions: Nurses should promote appropriate sexual behaviors of adolescents with visual
impairment by increasing self-esteem, refusal skills and appropriate internet accessibility skills.

Article Details

Section
Research articles

References

McCabe MP, Cummins RA, Deeks AA. Construction and psychometric propertiesofsexualityscales:knowledge, experience, and needs scale for intellectual disabilities (SexKEN-ID),

people with physical disabilities (SexKEN-PD)and thegeneral population (SexKEN-GP).Researchin Development

Disabilities 2005; 20: 241-54.

Intapanom S,BualarT.Sexual consciousness of the blinded men [Master’s thesis in Arts]. Nakhonpathom: Silpakorn University; 2013. [In Thai]

Limmanee A, Yoelao D, Peungposob N. The causal relationship model and effectiveness of the behavioral

modification program on reproductive healthof femalestudents withmobility impairment. [Doctoral dissertation]. Bangkok: Srinakharinwirot University; 2017. [In Thai]

BrunnbergE,BostromML,Berglund M.Sexual force at sexual debut. Swedish adolescents with disabilities at higher riskthanadolescentswithout disabilities. Child Abuse & Neglect2012;36:285-95.

Department of Disease Control. Annual epidemiological surveillance report

[Internet]. 2015 [cited 2017 January23]. Availablefrom:http://www.boe.moph.go.th/Annual/AESR2014/aesr2557/Par%201/1-6/1-61.pdf

Kef S, Bos H. Is Love Blind? sexual behavior and psychological adjustment of adolescents with blindness. Sexuality and Disability 2006; 24: 89-100.

Hoglund B,LindgrenP,Larsson M.Pregnancy and birth outcomes of women with intellectual disability in Sweden: A national registerstudy. Childbearingand intellectual disability 2006; 91: 1381-7.

Jones KH, Domenico DM, Valente JS. Incidence of pregnant and parenting teens with disabilities within FACS

programs. Journal of Family andConsumerSciencesEducation2006;24: 24-35.

Green LW, Kreuter MW. Health promotion planning: Aneducationand environment approach. 2nd ed. London: May field Publishing; 1991.

ButcharoenW,PitchayapinyoP,Powwattana A.Factorsrelated tosexual risk behaviors among secondary school students [Master’sthesisinPublic Health Nursing]. Nakhonpathom: Mahidol University; 2011. [In Thai]

T ipw ar e erom W , Powwattana A , Larpwongwattana P. Predictors of risky sexual behaviors among adolescent boy, Phitsanulok province. Journal of Public Health Nursing 2013; 27: 32-45.[In Thai]

Sriwiangya J, Kasiphol T. Factors related to sexual risk behaviors among grade 2of secondary school students Bangkapi Bangkok [Master’s thesis in Community Nurse Practitioner]. Samutprakan: Huachiew Chalermprakiet University; 2014. [In Thai]

Silrungtham, S. Factors affecting the sexual risk behaviors of undergraduate students, major of physical education and health education, faculty of education and development sciences, Kasetsart University Kamphaengsaen campus. Journal of Education Thaksin University 2016; 16: 104-19. [In Thai]

Worraka A,TansakulS, Imamee N.Lifeskills and sexual risk behaviorsof juniorhigh schoolstudents,Kanchanaburi province [Master’s thesis in Public Health]. Nakhonpathom: Mahidol University;

[In Thai]

Polit DF, Beck CT. Nursing research: Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Burns N, Grove SK. The Practice of Nursing Research: Conduct, Critique, and Utilization.5th ed.Philadelphia:Elsevier; 2005.

Koktatong U. The survey from adolescent sexual behavior of children andadolescent in the 4th and 5th publichealth region [Internet]. 2011 [cited 2017 November 19]. Available from:

http://www.hpc5.anamai.moph.go.th/rcenter//_flltext/20130322142429_471/fulluthiwan2.pdf [In Thai]

Arreekul W. Adolescent Health Care and Supervision. Bangkok: Roongsil Press;2010. [In Thai]