ความสัมพันธ์ระหว่างความรอบรู้สารสนเทศอิเล็กทรอนิกส์ด้านสุขภาพ และพฤติกรรมการป้องกันการตั้งครรภ์ไม่พึงประสงค์ในสตรีวัยรุ่น

Kodchanipa  Phonpruk; Netrachanee Kamonratananun; Wayuree  Lumpo

Authors

Kodchanipa Phonpruk Faculty of Nursing, Surat Thani Rajabhat University
Netrachanee Kamonratananun คณะพยาบาลศาสตร์ จุฬาลงกรณ์ มหาวิทยาลัย
Wayuree Lumpo Faculty of Nursing, Surat Thani Rajabhat University

Keywords:

E-health literacy, teenage, pregnancy, behaviors related to preventing unintended teenage pregnancies

Abstract

Purpose:

1. To examine the e-health information literacy and preventive behaviors concerning unintended pregnancies among adolescent females.
2. To explore the correlation between e-health information literacy and preventive behaviors regarding unintended pregnancies among adolescent females.

Design: Cross-sectional Descriptive Study

Methods: The participants comprised 311 female high school students. In Mueang District, a province located in Southern Thailand, during the first semester of the academic year 2022, a total of 311 participants who owned smartphones and expressed willingness to participate in the project were enrolled, achieving a participation rate of 91.47%. Initially, four out of six schools were randomly chosen, followed by stratified sampling to ensure representation across grades. Data collection, conducted online, involved administering e-health literacy questionnaires. Analysis included descriptive statistics (mean, standard deviation) and inferential statistics (Pearson correlation coefficient) with a significance level of α = 0.05.

Results: The study Findings revealed that the mean age of the sample group was 16.68 years (SD = 0.98), e-health literacy (M = 2.21, SD = 1.35) and e-health literacy regarding the content aspect were relatively low (M = 1.83, SD = 1.14), whereas the level of awareness was moderate (M = 3.06, SD = 1.38). Additionally, preventive behaviors against unintended teenage pregnancies were reported to be low (M = 1.93, SD = 1.30). Furthermore, there were statistically significant moderate positive correlation between e-health literacy, e-health literacy in content and the level of awareness with preventive behaviors against unintended teenage pregnancies among adolescents at a significance level of .01 (r =.68, p< .01, r =.36, p< .01, r = .68, p< .01 respectively)

Conclusion: Low e-health literacy is associated with an increased risk of engaging in behaviors that do not prevent unintended teenage pregnancies among adolescents.

References

UNICEF. Children with disabilities [Internet]. UNICEF; c2024 [updated 2023 Jun; cited 2024 Apr 5]. Available from: https://data.unicef.org/topic/child

Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. Youth risk behavior survey: Data summary & trends report 2011-2021 [Internet]. Washington, D.C.: Department of Health and Human Services (US); [cite 2024 Jun 29]. 89 p. Available from: https://www.cdc.gov/ healthyyouth/data/yrbs/pdf/YRBS_Data-Summary-Trends_Report 2023_508.pdf

Leung J, Lim C, Belete H, et al. Regional and country prevalence estimates of unsafe sex among adolescents in 68 low-income and middle-income countries. Arch Sex Behav [Internet]. 2024 Apr 18 [cited 2024 Jun 29];53:2337-46. Available from: https://doi.org/ 10.1007/s10508-024-02861-1

Ministry of Public Health, Department of Health. Statistics on Adolescent Births, Thailand 2022 [Internet]. Nonthaburi: Department of Health, Ministry of Public Health; [2022] [cited 2024 Apr 3]. Available from: https://rh.anamai.moph.go.th/web-upload/7x027006c2abe 84e89b5c85b44a692da94/m_magazine/35430/4729/file_download/8ef9ce93951bc46134d960dd8c0106ed.pdf (in Thai).

Eliner Y, Gulersen M, Kasar A, Lenchner E, Grünebaum A, Chervenak FA, Bornstein E. Maternal and neonatal complications in teen pregnancies: a comprehensive study of 661,062 patients. J Adolesc Health [Internet]. 2022 Jun [cite 2024 Jun 2];70(6):922-7. doi: 10.1016/j.jadohealth.2021.12.014

Ministry of Public Health, The Department of Health. Statistics on Adolescent Births, Thailand 2022. [Internet]. c2020 [cited 2024 Jun 29]. Available from: https://rh.anamai.moph.go.th/th/ adolescent-mothers-birth-statistics (in Thai).

Ministry of Public Health, The Department of Health. Percentage of condom use among adolescents during their first sexual intercourse [Internet]. 2020 Jun 15 [cited 2024 Jun 29]. Available from: https://dashboard.anamai.moph.go.th/dashboard/rh04?year=2020 (in Thai).

Ajayi AI, Odunga SA, Oduor C, Ouedraogo R, Ushie BA, Wado YD. “I was tricked”: understanding reasons for unintended pregnancy among sexually active adolescent girls. Reprod Health [Internet]. 2021 Jan 22 [cited 2024 Jun 2];18(1):19. Available from: https://pubmed.ncbi.nlm.nih.gov/33482843/ doi: 10.1186/s12978-021-01078-y. PMID: 33482843; PMCID: PMC7821647.

Sommana W, Chaimay B, Woradet S. Factors Associated with Risk Behavior of Teenage Pregnancy among Secondary School Students in Paphayom District, Phatthalung Province. SCNJ [Internet]. 2018 Nov 21 [cited 2024 Jun 29];5(3):25-36. Available from: https://he01.tci-thaijo.org/index.php/scnet/article/view/156507/113554 (in Thai).

Panyapin J, Inpiban K, Rattanabuapa A, Jitjakm J, Kunjina S. Factors predicting unwanted pregnancy prevention behavior among female adolescent students. TRC Nurs J [Internet]. 2023 Mar 3 [cited Jun 29];15(3):51-72. Available from: https://he02.tci-thaijo.org/index.php/ trcnj/article/view/252216/ 178558 (in Thai).

Prapassara P, Lukawee P and Orasa K.Safe Sex Health Literacy among Undergraduate Students in Khon Kaen Province. Journal of Nursing and Education, 2022. 14(4),1-17. Available from: https://he01.tci-thaijo.org/index.php/JNAE (in Thai).

Saraban S, Visuddhiñāṇmedhī PP, Phutchu S, Inping N, Khamkaew S. Social Buddhist process with prevention of unwanted pregnancy in teenagers in Phayao Province. JMPS [Internet]. 2021 Oct 27 [cited 2024 Jul 10];9(6):2484-2503. Available from: https://so03. tci-thaijo.org/index.php/journal-peace/article/view/246290/170697 (in Thai).

Saejueng K, Kittithanesuan Y, Songthamwat M, Saeng-aroon P, Summart Srisuda U, et al. Complications of adolescent pregnancy: a multicenter retrospective cohort study. udhhosmj [Internet]. 2022 Dec 31 [cited 2024 Apr 1];30(3):446-459. Available from: https://he02.tci-haijo.org/index.php/udhhosmj/article/view/260640/178126 (in Thai).

Ministry of Digital Economy and Society, Electronic Transactions Development Agency (ETDA). Thailand Internet User Behavior 2022 [Internet]. Bangkok: Electronic Transactions Development Agency (ETDA), Ministry of Digital Economy and Society;2022 Aug [cited 2024 Apr 1]. Available from: https://www.etda.or.th/getattachment/ 78750426-4a58-4c36-85d3-d1c11c3db1f3/ IUB-65-Final.pdf.aspx (in Thai).

Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res [Internet]. 2006 Jun 16 [cited 2024 Jul 14];8(2);e9. doi:10.2196/jmir.8.2.e9

Gürkan KP, Ayar D. The impact of e-health literacy on health promotion behaviors of high school students. J Pediatr Res [Internet]. 2020 Jul 8 [cited 2024 Apr 1];7(4):286–92. Available from: https://cms.jpedres.org/Uploads/Article_ 39797/JPR-7-286-En.pdf

Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas [Internet]. 1970 [cited 2024 Feb 3];30(3): 607-10. Available from: https://doi.org/10.1177/ 001316447 003000308

Pivongkomjhon, P. Development of Preventive and Solving Strategies for Teenage Pregnancy by Participation of Family, Community and Local Organizations in Kumpawapi Sub-District, Udonthani Province. JHS [Internet]. 2020 Aug 28 [cited 2024 Jun 29];29(4):608-17. https://thaidj.org/index.php/JHS/article/view/9304 (in Thai).