Predicting factors influenced the risk behavior of sexual problems and STDs among sexually experienced homosexual adolescents in Thailand
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Abstract
Introduction : The dramatic social changes influenced increasingly self-discourses’ homosexual group in which involved with the proportion of homosexual adults identifying as lesbian, gay, bisexual or transgender (LGBT) increased. At the same time, A number of STDs patients and risky sexual behaviors was steadily higher among them. Research on the risk behavior of sexual problems and STDs among homosexuals in Thailand is still scarce and out of date.
Objective : This study investigated a predicting factors influenced the risk behavior of sexual problems and STDs among sexually experienced homosexual adolescents in Thailand
Methods : A cross-sectional descriptive study was conducted in homosexual adolescents aged 18-21 years at university of Phayao between April - June 2021. The instrument consisted of 3 questionnaire; 1) the demographics data ,2) Sexual Risk Behavior Beliefs And Self-Efficacy test (SRBBS)-Thai version ,and 3) Beck depression inventory II (BDI-II Thai version). Data analysis used descriptive statistics and inferential statistics for risk factors: Odds ratio (OR) with 95% Cl with multiple conditional logistics regression: Forward Stepwise.
Result : Among 199 participant were predominately Sexual orientation (Gay) (54.77%) ,Age range 18-20 years old (32.2% ,Authoritative Parenting Style (27.2 %) ,Making relationships via Facebook (27.6 %) , At Low risk behavior of sexual problems and STDs (cut-off point of SRBBS as 9 score) (90.5%). The conditional multiple conditional logistics regression forward stepwise analysis revealed their experience of family abuse [OR = 27.684 ; (95% Cl, 3.545-216.217)], Characteristic of abuse (Physical abuse)[OR = 4.165 ; (95% Cl, 1.130-15.355)] and Sexual orientation (Gay) [OR = 0.345 ; (95% Cl, 0.120-0.990)] was a predictor of risk behavior of sexual problems and STDs with Pseudo R2=0.236
Conclusion : A related organization should encourage greater community cognizance of the risk for abuse in family among homosexual adolescents. In addition, should include an intervention that prevent victimization, contribute related health staff to routinely screen homosexual adolescents with an experienced of family abuse and to provide an action plan in communities where homosexual adolescents who disclose abuse can be referred.
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References
2. Fay RE, Turner CF, Klassen AD, Gagnon JH. Prevalence and patterns of same-gender sexual contact among men. Science. 1989;243(4889):338-48.
3. González-Guzmán M, Santos-Ortíz MDC, Dávila-Torres RR, Toro-Alonso J. Attitudes towards homosexual and lesbians among Puerto Rican Public Health graduate students. Puerto Rico health sciences journal. 2007;26(3).
4. Arnold O, Voracek M, Musalek M, Springer-Kremser M. Austrian medical students’ attitudes towards male and female homosexuality: A comparative survey. Wiener Klinische Wochenschrift. 2004;116(21):730-6.
5. De Cuypere G, Van Hemelrijck M, Michel A, Carael B, Heylens G, Rubens R, et al. Prevalence and demography of transsexualism in Belgium. European psychiatry. 2007;22(3):137-41.
6. ดำรงชัย บัวล้อมใบ. การศึกษาเปรียบเทียบปัญหาสุขภาพจิต ของชายรักร่วมเพศกับชายปกติ [วิทยานิพนธ์]. กรุงเทพฯ: มหาวิทยาลัยศรีนครินทรวิโรฒ 2535.
7. Johns M, Lowry R, Andrzejewski J, Barrios LC, Demissie Z, McManus T, et al. Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students 19 States and Large Urban School Districts, 2017. Morbidity and Mortality Weekly Report. 2019;68:67 - 71.
8. Marks G, Bingman CR, Duval TS. Negative affect and unsafe sex in HIV-positive men. AIDS and Behavior. 1998;2(2):89-99.
9. Rosario M, Hunter J, Maguen S, Gwadz M, Smith R. The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: Stipulation and exploration of a model. American journal of community psychology. 2001;29(1):133-60.
10. HIV/AIDS JUNPo. 2008 report on the global AIDS epidemic: Unaids; 2008.
11. The United Nations Children’s Fund (UNICEF). Situation of Patients with AIDS on1st December 2019 [cited 2020 1 February ]. Available from: http://news.thaipbs.or.th/conten/6414.
12. กรมควบคุมโรค กระทรวงสาธารณสุข. เรียนรู้เข้าใจโรคติดต่อทางเพศสัมพันธ์และโรคเอดส์. กรุงเทพมหานคร:; 2551.
13. Rotheram-Borus MJ, Marelich WD, Srinivasan S. HIV risk among homosexual, bisexual, and heterosexual male and female youths. Archives of Sexual Behavior. 1999;28(2):159-77.
14. Saewyc E, Skay C, Richens K, Reis E, Poon C, Murphy A. Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest. American journal of public health. 2006;96(6):1104-10.
15. Goodenow C, Netherland J, Szalacha L. AIDS-related risk among adolescent males who have sex with males, females, or both: Evidence from a statewide survey. American journal of public health. 2002;92(2):203-10.
16. Benotsch EG, Kalichman S, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Archives of sexual behavior. 2002;31(2):177-83.
17. Basen-Engquist K, Edmundson EW, Parcel GS. Structure of health risk behavior among high school students. Journal of Consulting and Clinical Psychology. 1996;64(4):764.
18. Davis CM, Yarber WL, Bauserman R, Schreer G, Davis SL. Handbook of sexuality-related measures: Sage; 1998.
19. Ahrold TK, Farmer M, Trapnell PD, Meston CM. The relationship among sexual attitudes, sexual fantasy, and religiosity. Archives of sexual behavior. 2011;40(3):619-30.
20. Brown A, Finkelhor D. Impact of Child Sexual Abuse. A Review of the Research. Psychological Bulletin. 1986.
21. Carballo-Dieguez A, Dolezal C. Association between history of childhood sexual abuse and adult HIV-risk sexual behavior in Puerto Rican men who have sex with men. Child Abuse & Neglect. 1995;19(5):595-605.
22. O'leary A, Purcell D, Remien R, Gomez C. Childhood sexual abuse and sexual transmission risk behaviour among HIV-positive men who have sex with men. AIDS care. 2003;15(1):17-26.
23. Paul JP, Catania J, Pollack L, Stall R. Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men’s Health Study. Child abuse & neglect. 2001;25(4):557-84.
24. Fergusson DM, Horwood LJ, Beautrais AL. Is sexual orientation related to mental health problems and suicidality in young people? Archives of general psychiatry. 1999;56(10):876-80.
25. Russell ST, Driscoll AK, Truong N. Adolescent same-sex romantic attractions and relationships: Implications for substance use and abuse. American journal of public health. 2002;92(2):198-202.
26. Konrad K, Firk C, Uhlhaas PJ. Brain development during adolescence: neuroscientific insights into this developmental period. Deutsches Ärzteblatt International. 2013;110(25):425.
27. Franz N, Poon C. Making Choices: Sex, Ethnicity, and BC Youth: a Project of The McCreary Centre Society: Report: McCreary Centre Society; 2000.
28. Saewyc E, Bearinger L, Heinz P, Blum R, Resnick M. Gender differences in health and risk behaviors among bisexual and homosexual adolescents. Journal of Adolescent Health. 1998;23(3):181-8.
29. Holmes WC, Slap GB. Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. Jama. 1998;280(21):1855-62.
30. Stokes JP, Peterson JL. Homophobia, self-esteem, and risk for HIV among African American men who have sex with men. AIDS education and prevention. 1998.
31. Savin-Williams RC. An exploratory study of pubertal maturation timing and self-esteem among gay and bisexual male youths. Developmental Psychology. 1995;31(1):56.
32. Rosario M, Schrimshaw EW, Hunter J. A model of sexual risk behaviors among young gay and bisexual men: Longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process. AIDS Education & Prevention. 2006;18(5):444-60.