The Relationship between Health Literacy and Condom Use Behaviors among Male Students at an Educational Institution in Suphanburi Province
Keywords:health literacy, male students, condom use behaviors
Introduction: Development of health literacy skills in adolescents related to condom use is an essential issue and becomes more relevant to their actions and behaviors. The levels of health literacy may be associated to their understanding for prevention of sexual transmitted diseases (STDs) and unintended pregnancy. Research objectives: This cross-sectional survey research aimed to study health literacy level on condom use, condom use behaviors, and relationship between health literacy and condom use behavior among male students at an educational institute in Suphanburi province. Research methodology: The participants were 260 male students, aged 18-23 studying at an educational institute in Suphanburi province. The snowball sampling technique was used to recruit participants and data were applied during May to June in 2020 using Google forms as an online survey. Data was analyzed using descriptive statistics and chi-square. Result: The study revealed that the majority of male students reported having high condom use behaviors and 75.39% of those subjects also reported at high level towards health literacy skills on condom usage. Focusing on the levels of health literacy on condom use behaviors, the participants presented (1) the levels of cognitive abilities at 57.31%, (2) the level of accessing to health information at 80.77%, (3) the level of media literacy capability at 82.69%, (4) the level of self-management skill at 90.77%, (5) the level of communication skill at 86.54%, and (6) the level of decision skill at 77.69%. Condom use behavior among male students had been reported at high level (93.85%). Overall relationship between the six dimensions of health literacy and condom use behavior among adolescent male students were statically significant with p-value <.05 (x^2=38.72, p-value .001). Conclusion: This study showed that the majority of male students had a high level of overall health literacy and was correlated with their actual condom use behaviors. Implications: Surveillance programs on health promoting behaviors of Thai adolescents should be implemented continuously in informing and improving adolescent health literacy on condom use which may be associated to condom use behaviors for understanding the importance of prevention of sexual transmitted diseases and unintended pregnancy.
Manochanphen N. The World Health Organization warns that sexually transmitted diseases spread rapidly. Meet 1 million new patients a day [Internet]. 2019 [cited 2020 January 27]. Available from: https://thestandard.co/alarmed-std-era-dating-apps/ (in Thai).
Thai Health Promotion Foundation Office. The situation of the sexually transmitted diseases (STDs) [Internet]. 2018 [cited 2020 Feb 27]. Available from: https://resourcecenter.thaihealth.or.th/thaihealthwatch/ (in Thai).
DʼAnna LH, Korosteleva O, Warner L, Douglas J, Paul S, Metcalf C, et al. Factors associated with condom use problems during vaginal sex with main and non-main partners. Sex Transm Dis 2012;39(9):687-93.
Suphanburi Public Health Office. Annual report 2019 for HIV/AIDs prevention and alleviation in Suphanburi province; 2019 (in Thai).
Ministry of Public Health. National condom strategy 2020–2030 under Thailand national strategy to end AIDS 2017–2030 [Internet]. 2020 [cited 2020 Oct 25]. Available from:
Ekakoon T. Research methodology in behavioral sciences and social sciences. 1st ed. Ubon Ratchathani: Ubon Ratchathani Rajabhat University; 2009 (in Thai).
Tumchueo S. Sexual behaviors and factors correlation with the intention of protection. Nursing Journal of Ministry of Public Health 2015;25(1):97-109. (in Thai).
Tachavijitjaru Ch. Health Literacy: A key Indicator towards Good Health Behavior and Health Outcomes. JORDAN 2018;19 (Supplement):1-11. (in Thai)
Saechee Ph, Thato R. Factors Predicting Condom Use Behavior of Myanmar Male Workers in Industrial Factories, the Upper Southern Region of Thailand. PNUJ 2018;9(2):26-37. (in Thai).
Krejcie RV, Morgan DW. Determining sample size for research activities. Education and Psychological Measurement 1970;30:607-10
Buapan C, Rutchanagul P, Buaboon N. Factors predicting condom use behavior among men who have sex with men in Bangkok. JHNR 2018;34(2):62-73. (in Thai).
Pariwatcharakul P. Trace the brain Look at the gambling effects [Internet]. 2018 [cited 2020 Oct 20]. Available from: www.thainhf.org/icgp
Laisuwannachart P, Auemaneekul N, Powwattana A. Factors predicting HIV preventive behaviors among male youths who have sex with men in Bangkok. JHNR 2020;36(2):177-189. (in Thai).
Tipwareerom W, Jalayondeja CH, Hanrungcharotorn U. Predicting factors of condom use among high school boys. JHNR 2020;36(3): 69-79. (in Thai).
Muksing W, Tohyusoh N, Punriddum J. Factors related to health care behavior among school children in Nakhon Si Thammarat municipality. The Southern College Network Journal of Nursing and Public Health 2017;3(3): 65-76. (in Thai).
Auevittayasuporn K, Pomuantip A. Teenage knowledge about and attitudes towards sexual risk behavior in Muang district, Nakhon Ratchasima province. The Journal of Boromarajonani College of Nursing, Nakhonratchasima 2012;17(2): 1-12. (in Thai).
Sookrak N, Srisuriyawate R, Homsin P. Predicting factors of consistent condom use among men who have sex with men (MSM) undergraduate students in higher education institutions Chonburi province. Journal of Public Health Nursing 2018;32(3): 83-100. (in Thai).
Srisuriyawet R, Homsin P. Relationship between sexual communication and condom use behavior among young Thai men who have sex with men (MSM) in Chonburi province. JNSCH 2017;29(2): 62-77. (in Thai).
Suwannaphant K, Khottarin S, Kansin S, Vonok L. Homsin P. Health literacy factors associated with risk behaviours in HIV infection among high school male students, Bueng Kan province. Journal of The Office of ODPC7 Khon Kaen 2019;26(2): 71-82. (in Thai).
Vongxay V, Albers F, Thongmixay S, Thongsombath M, Broerse JEW, Sychareun V, et al. Sexual and reproductive health literacy of school adolescents in Lao PDR [Internet]. 2019 [cited 2020 Jul 21]. Available from: https://doi.org/10.1371/journal.pone.0209675
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