Factors Associated with Premature Sexual Activity among Early Adolescents in Ubon Ratchathani Province, Thailand

Abstract

Background: Premature sexual activity among early adolescents can be linked to sexually transmitted disease and premature pregnancy. This study aimed to determine the factors associated with premature sexual activity in early adolescents in Muang district, Ubon Ratchathani province, Thailand.

Methods: A cross-sectional analytical study (n=386) was conducted from August to December 2016 by using a self-reported questionnaire. Univariate (chi-square test) and multivariate analyses (logistic regression) were performed to identify the factors associated with premature sexual activity in early adolescents in Muang district, Ubon Ratchathani province, Thailand.

Results: Findings revealed that the participants were females 51.3% and males 48.7% with an average age of 14.1±2.1. Around 52.3% had experience of sexual intercourse, with their first experience of sexual intercourse at the average age of 14 years old. Most respondents 70.8 % did not use a condom, 43.5% of sexual activity was due to substance abuse, and 36.4% consumed alcohol at the time of their first sexual experience. Premature sexual activity among adolescents were significantly associated with living without one or both parents (OR_adj = 12.43, 95%CI= 8.84-16.39), substance abuse (OR_adj = 4.47, 95%CI= 3.32-6.71), low knowledge level (OR_adj = 4.55, 95%CI= 2.67-6.88), and low attitude level (premature sexual activity among adolescents is appropriate) (OR_adj = 5.89, 95%CI= 3.78-8.82).

Conclusion: The study highlights the situation of premature sexual activity among early adolescences in Thailand. It is recommended that sex education should be improved within the curriculum and active campaigning in schools should be promoted.