Factors Influencing to Sexual Risk Protective Behaviors of Adolescents, Regional Health 2
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Abstract
This study was predictive research. The purpose was to examine the sexual risk protective behaviors and factors influencing adolescent sexual risk protective behaviors utilizing the Socio-ecological model. The sample consisted of 1,092 male and female students aged between 15 and 19 years old. Research instruments were the questionnaire of demographic data, knowledge on sex education, attitude towards sexual intercourse, perceived self-efficacy, peer influence, perceived sexual information from media, parenting styles, family sexual communication, perceived sexual double standards, and sexual risk protective behaviors. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The result showed that the overall sexual risk protective behavior was at the medium level ( 87.03, SD = 0.42; factors influencing adolescent sexual protective behaviors including peer influence acceptance, perceived self-efficacy, attitude towards sexual intercourse, perceived sexual information from media, parenting styles, family sexual communication and knowledge on sex education can jointly predict sexual risk protective behaviors for 47.8 percent (p < .05). The study results suggested that nurses should develop sexual risk protective behavior programs by encouraging positive peer influence, promoting perceived self-efficacy, encouraging a positive attitude towards sexual intercourse, choosing to consume sexual information from multimedia, providing sexual education, and promoting family sexual communication to reduce sexual risk behaviors further to decrease the prevalence of HIV and STDs infections as well as teenage pregnancy.
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References
Bureau of Reproductive Health, Department of Health, Ministry of Public Health. Situation of reproductive health among adolescent and youth in 2019. [internet]. 2019 [cited 2020 Jul 31]; Available from: https://rhold.anamai.moph.go.th/more_news.php?cid=14&filename=index. Thai.
McNeely C, Blanchard J. The teen years explained: A guide to healthy adolescent development. United States of America: Center for Adolescent Health at the Johns Hopkins Bloomberg School of Public Health Publishers Inc.; 2012.
Siriwan Tumchuea and Pornpan Pumprayool. Teenage pregnancy: Concept of solving problems with the district health system. Journal of health science research. 2018; 12(2):29-38. Thai.
Yangyuen S, Mahaweerawat U, Somdee T, Songkang S. Concerning Safe Sex Among Adolescent. Journal of science and technology Mahasarakham University. 2010; 29(4):420-7.
Chaikoolvatana C, Praditsathaporn C, Kamkhieo W. Predictors of sexual risk behavior among adolescents in Phayao province. Journal of Nursing and Education. 2013;6: 105-15. Thai.
Tipwareerom W, Powwattana A, Rarpwongwattana P. Predictors of risky sexual behaviors among adolescent boy, Phitsanulok province. Journal of Public Health Nursing. 2013;27(1);31-45. Thai.
Araya Chiangkong, Praleena Thongsri, Chamaiporn Dhamavasi. The causal model of factors affecting to sexual risk prevention behaviors of female teenagers in Bangkok: A mixed method approach. Journal of Public Health Nursing. 2018;32(2):1-22. Thai.
Srijaiwong S, Sindhu S, Ratinthorn A, Viwatwongkasem C. Factors Influencing Sexual Behaviors among Thai Adolescents. Journal of Population and Social Studies. (2017); 25(3):171 –93. Thai.
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion program. Health education quarterly.1988;15:351-77.
PATH Organization. Learning management of comprehensive sexuality education in schools: A
guideline for school administrators. Bangkok: Urgent-tag; 2007. Thai.
Watcharaporn Butcharoen, Panan Pichayapinyo, Arpaporn Pawwattana. Factors related to sexual risk behavior among Thai secondary school students. Journal of Public Health. 2012; 42(1): 29-9. Thai.
Pankarin Hoyrat, Pramote Wongsawat Factors Influencing sexual intercourse behaviors among secondary school students. Journal of Health and Nursing Research. 2020;36(1):149-63. Thai.
Lekphet K, Wongsawat P, Tejativaddhana P, Michaeng S. Effecting factors of sexual relationship
experiences among upper secondary school students. Research and development health system
journal. 2015;8(1):163-74. Thai.
Risa Bunnag, Lakkhana Temsirikulchai, Paranee Vatanasomboon, Arpaporn Powwattana. Effectiveness of life skills program for preventive sexual risk behaviors of secondary school students, Nakhon Pathom Province. Journal of Public Health. 2013;43(1): 80-93. Thai.
Vivancos R, Abubakar I, Phillips-Howard P. Hunter PR. School-based sex education is associated with reduced risky sexual behavior and sexually transmitted infections in young adults. Public Health. 2012;127(1):53-7. Thai.
United Nations Children’s Fund (UNICEF). Analysis of pregnancy situation of teens in Thailand: Synthesis report 2015[Internet]. 2015 [cited2018 Mar20]; https://www.unicef.org/thailand/tha/160705_SAAP_in_ Thailand_report_TH.pdf. Thai.
Thanyapat Kumseeha, Jurairat Ardkaew, Pattharaporn Kessung. Factors affecting sexual risk behaviors of senior high school students under the secondary educational service area office 19: Multilevel Analysis. Sisaket Rajabhat University Journal. 2020;13(3):26-33. Thai.
Siriporn Chirawatkul et al. Perceptions of male adolescents related to love and sexual relationships. Journal of Psychiatric Association Thailand. 2013; 58(1):75-88. Thai.
Siriwan Tumchuea, Pornpan Pumprayool. Teenage pregnancy: Concept of solving problems with the district health system. Journal of health science research. 2018;12(2):29-38. Thai.
Vantamay S. An Assessment of sexual risk behavior among Thai youth in university student groups in Bangkok metropolitan area. National Demographic Conference 2007, Bangkok. Thai.
Nichapatr Punmeekij. Factors affecting sexual risk behaviors among female lower secondary school students in Pattaya city. (Dissertation). Thailand: Chonburi; 2016. Thai.
Bunyat K. Influence of parenting style, sexual communication and parental monitoring on sexual behavior among early adolescents. (Dissertation). Thailand: Chonburi; 2013. Thai.
Mchunu G, Peltzer K, Tutshana B, Seutlwadi. Adolescent pregnancy and associated factors in Sounth African youth. African Health Science. 2012;12(4), 426-34.