Factors Related to Multiple Risk Behaviors among Female Secondary School Students


  • พิมพ์รัตน์ ธรรมรักษา
  • อาภาพร เผ่าวัฒนา
  • สุภาพร วรรณสันทัด
  • กฤษณาพร ทิพย์กาญจนเรขา


female adolescents, risk behavior, multiple risk behaviors, secondary school students, factor predict, Theory of Planned Behaviors


     Currently, engagement in two or more risk behaviors including smoking, alcohol drinking, and sexual risk behaviors of Thai adolescents is increasing. This cross-sectional study aimed to examine the multiple risk behaviors among female secondary school students based on Theory of Planned Behaviors. The sample group was female secondary school students (grade 10-12). Three hundred five students were recruited into the study by stratified sampling. A self-administered questionnaire were used for data collection. Data were analyzed by descriptive statistics, Chi-square, and Logistic regression analysis.

     The results of the study revealed that: 1) Half of the sample has no multiple risk behaviors (50.2%) while the rest has one or more risk behaviors (49.8%). For the group with risk behaviors, it found that the group with one, two, and three risk behaviors was 38.7, 9.8, and 1.3 percent. Alcohol drinking was the most common in the group of a single risk behavior (83.1%) while smoking together with alcohol drinking were the highest risk behaviors for the group of couple risk behaviors (70%); 2) Factors related to multiple risk behaviors of female secondary school students with statistical significance were not living with both parents (OR = 2.56, 95%CI = 1.25 –5.29), parental separation (OR=2.47, 95% CI=1.20-5.09), poor family’s relationship (OR = 2.76, 95% CI=1.34–5.70), low subjective norms (OR = 2.73, 95%CI = 1.09–6.82), low perceived behaviors control (OR = 5.49, 95%CI = 1.63–18.43), and high intention to do multiple risk behaviors (OR = 23.19, 95% CI = 4.31-124.92); and 3) Multiple logistic analysis indicated that low perceived behaviors control and high intention to do multiple risk behaviors could explain the variance of engaging in multiple risk behaviors (p < .05).

The results addressed importance of including family and community in to the comprehensive risk behavior prevention program. Family should focus mainly on building high intention to avoid risk behaviors and school should promote essential skills to prevent multiple risk behaviors among female secondary school students.


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How to Cite

ธรรมรักษา พ, เผ่าวัฒนา อ, วรรณสันทัด ส, ทิพย์กาญจนเรขา ก. Factors Related to Multiple Risk Behaviors among Female Secondary School Students. JHNR [Internet]. 2019 Feb. 1 [cited 2022 Aug. 10];35(1):224-38. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/191019



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