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Background: Thai adolescents tend to engage in sexual risk behaviors; furthermore, sexual media literacy is a significant factor linked to sexual behaviors in this group of people.
Objectives: This study was conducted to examine sexual media literacy, and factors related to sexual behaviors among adolescents in Thailand.
Methods: A cross-sectional descriptive study was designed with multistage random sampling to recruit 1,321 adolescents from universities. Data were collected using an online questionnaire and analyzed using descriptive statistics. Correlations were determined using the Chi-square statistical method, binary logistic regression, and adjusted odds ratio at a 95% confidence interval.
Results: The results revealed that sexual media literacy was at a high level (56.10%), and more than half of the adolescents exhibited good sexual behaviors (51.00%). Significant factors that correlated with sexual behaviors included gender, access to sexual social media, sexual intercourse experience, sexual media literacy (adjusted odds ratio [AOR]=2.10; 95%CI=1.64-2.57), media creation (AOR=1.96; 95%CI=1.56-2.47), media analysis (AOR=1.63; 95%CI=1.22-1.96), and media evaluation (AOR=1.48; 95%CI=1.20-1.85), with a statistical significance of .05.
Conclusions: The results showed that adolescents with low sexual media literacy were more than likely to exhibit inappropriate sexual behaviors. Stakeholders, therefore, must promote skill improving sexual media literacy, specifically regarding inappropriate sexual behaviors.
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