Predicting Factors of Sexual Communication between Parents and Adolescent Mothers Regarding Repeat Pregnancy Prevention
Keywords:
sexual communication, parents, repeat pregnancy, adolescent motherAbstract
Abstract
Introduction: Sexual communication has the positive effect of decreasing sexual risk behaviors among adolescents. However, repeat pregnancy continues to be a persistent problem among adolescents, meanwhile discussions about sexual issues are rare in Thai families. This study used the theory of Planned Behavior as the conceptual framework.
Research Objective: To examine factors related to and ability to predict sexual communication behaviors between parents and adolescent mothers regarding repeat pregnancy prevention.
Research Methodology: This study employed a predictive correlational design. Participants were parents of adolescent mothers who attended the postpartum care unit in tertiary hospitals. ; And 130 parents were recruited using a convenience sampling method. Data were collected using questionnaires. Data were analyzed using descriptive statistics and multiple linear regression (enter method).
Results: Significant predictors of sexual communication behaviors regarding repeat pregnancy prevention were parents living with daughters, attitude towards sexual communication, following subjective norms, and perceived behavioral control (b = .17, .24, .17, .39, p < .05, respectively). Together, the above mentioned factors statistically and significantly predicted sexual communication by 38.3% of variance (p < .05).
Conclusion: Living with daughters, attitude towards sexual communication, subjective norms, and perceived behavioral control were essential in promoting parents’ sexual communication behavior regarding repeat pregnancy prevention.
Implications: Nurses should promote parents’ perceptions of attitude, following of subjective norms, and perceived sexual communication ability of parents by developing activities and media to bring about parents’ sexual communications for repeat pregnancy prevention among adolescent mothers.
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References
[cited in 2020 December 25] Available from:https://www.who.int/news- room/factsheets/detail/adolescent-pregnancy
2. Bureau of Reproductive Health. Strategic plan for adolescent pregnancy prevention in
Thailand: 2017-2026 [internet]. 2017 [cited in 2021 January 20] Available from:
http://www.whaf.or.th/files/2017/Strategy_2560-2569.pdf (in Thai)
3. Aeamsamarug P, Srisuriyawet R, Homsin P. Risk factors of unintended repeat pregnancy
among adolescents. PHJBUU 2013;8(1):55-67. (in Thai).
4. Arayajaru P, Pataipakaipet K, Oumkrua A. Repeat pregnancy among adolescent mothers: the risk factors and the impacts on maternal and child’s health. J Royal Thai Army Nurses 2019;20(3):86-92 (in Thai).
5. Talungchit P, Lertbunnaphong T, Russameechareon K. Prevalence of repeat pregnancy including pregnancy outcome of teenage women. Siriraj Medical J 2017;69(6):363-9. (in Thai)
6. Pungbangkadee R, Ratinthorn A. Factors and consequences of repeat pregnancy among teenagers: a case study in Bangkok Metropolis. J Nurs Sci 2014;32(2):23-31. (in Thai).
7. Nkhoma DE, Lin CP, Katengeza HL, Soko CJ, Estinfort W, Wang YC, et al. Girls' empowerment and adolescent pregnancy: a systematic review. Int J Environ Res Public Health. 2020;17(5):1-14.
8. Widman L, Choukas-Bradley S, Noar S, Nesi J, Garrett K. Parent-adolescent sexual communication and adolescent safer sex behavior: a meta-analysis. JAMA Pediatr 2016;170(1):52-61.
9. Srisuriyawet R, Homsin, P. Importance of mothers’ communication with their daughters regarding sex-related risks, mothers’ attitudes towards pre-marital sex and females teenagers’ ability to refuse to have sexual intercourse. TJNC 2014;29(3):31-41. (in Thai).
10. Jaccard J, Dittus PJ, Gordon VV. Parent-teen communication about premartial sex: factors associated with the extent of communication. J Adolesc Res 2000;15:187-208.
11. Rattanamanee K, Heetakson C, Lawanangkul S. Factors predicting sexuality discussion behavior of parents and guardians with early adolescent children in Koh Pha Ngan district, Surat Thani province. Journal of Health Research and Innovation 2019;2(1):48-57. (in Thai).
12. Klabtablang P, Phuphaibul R, Kongsaktrakul C. Factors predicting sexual communication between parents and sixth grade students. JNSCU 2016;28(2):108-21. (in Thai)
13. Niamkan S, Sornchai S. Factors related to communication regarding sex matter between parents and their puberty children. Journal of Phrapokkloa Nursing College 2013;24(2):36- 46. (in Thai).
14. Fongkaew W, Meechamnan C, Thana K, Viseskul N, Chontawan R. Factors related to HIV-prevention communication between young adolescents and their parents. TJNC 2015;30(1):112-122.
15. Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health 2011;26(9):1113-27.
16. Suvarnakuta P, Congkhaow TS. The effect of promoting communication about sex program on feeling comfortable and practice in communication about sex between early female adolescents and mothers. Journal of Nursing and Education 2017;10(4):63-75. (in Thai).
17. Srisuriyawet R, Homsin P. Importance of mothers’ communication with their daughters regarding sex-related risks, mothers’ attitudes towards pre-marital sex and females teenagers’ ability to refuse to have sexual intercourse. TJNC 2014;29(3):31-41. (in Thai).
18. Phuphaibul R, Promneramit P, Hattakitpanichakul K. “The Birthday Box” project: effects of parental participatory program on parental sexual communication intention and sexual communication behavior to their children. Journal of the Royal Thai Army Nurses 2016;17(2):12-20. (in Thai).
19. Hattakitpanichakul K, Phuphaibul R, Viwatwongkasem C, Phumonsakul S. The effects of the dual approach program on parent’s sexual communication and sexual abstinence intention among Thai grade 7 female adolescents. J Health Res 2019; 33(4):280-92.
20. Thammaraksa P, Powwattana A, Wannasuntad S, Tipkanjanaraykha K. Factors related to multiple risk behaviors among female secondary school students. JHNR 2019;35(1):224- 38. (in Thai).
21. Powattana A, Thammaraksa P. The effect of learning medias to promote sexual communication among mothers with early adolescent daughters. JHNR 2018;34(1):58-70. (in Thai).
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