The Causal Model of Factors Affecting to Sexual Risk Prevention Behaviors of Female teenagers in Bangkok: A Mixed Method Approch
Keywords:
sexual risk prevention behaviors, female teenagersAbstract
This research employed explanatory sequential mixed method design, which had two phases. The first phase, this quantitative study was aimed to develop and validate a causal relationship model of factors related to sexual risk prevention behaviors of female teenagers in Bangkok. The sample consisted of 430 senior high school female students of the secondary educational service area office 1 and 2 Bangkok, which were chosen by stratified random sampling. The data analyzed was used path analysis. The second phase, this qualitative study was aimed to explain about factors related to sexual risk prevention behaviors of female teenagers in Bangkok. The key informant consisted of 15 senior high school female students with the highest score of sexual risk prevention behaviors from the phase 1. The data analyzed was used pattern matching. The finding suggested that a causal relationship model was fitted with the empirical data, which explain the fifty percentage of the variance of sexual risk prevention behaviors, and also found that the sexual risk prevention behaviors had positive direct effect from future orientation and self-control, sexual value, self-esteem, and authoritarian parenting style (0.34, 0.21, 0.15 and 0.15, respectively). Furthermore, the remaining variables in the model had negative direct effect from sexual media perception and peer influence (-0.17 and -0.07, respectively). Regarding qualitative study, it was explained that the offspring future had been socialized through child rearing, by cultivating on education for building the social status. The premature sexual relationship was obstructed the education advancement. The parents will be proud and accept own offspring who have well-established social status that also enhance self-esteem. This finding demonstrated that sexual risk prevention behaviors were determined by intrapersonal and interpersonal factors. Therefore, in health promotion and prevention activities, it should implement throughout every level; at both Intrapersonal factor and Interpersonal factor; for maintaining sustainability of health behavior change.
References
Lortrakul M, Hirunthep T & Limsuwan N. Behavioral Medicine Texts. Bangkok: Department of Psychiatry, Faculty of Nursing, Ramathibodi Hospital, 2012. (in Thai)
Pankarin H & Wongsawat P. Thai Adolescent with Early Sexual Intercourse. Journal of Phrapokklao Nursing College. 2017; 28 (2): 172-82. (in Thai)
Department of mental health. Mental health Prevention Information [Internet]. Thailand: Department of Health Ministry of Public Health; [cited 2018 Jul 21] Available at http://mpis.srithanya.go.th/mhc/Pregnant.aspx (in Thai)
Bureau of Reproductive health. Situation of reproductive health in adolescents and youth in 2016 [Internet]. Thailand: Department of Health Ministry of Public Health; C2016 [updated 2017 Aug 28 cited 2018 Jul 21] Available at http://rh.anamai.moph.go.th/download/all_le/index/CRH2558_Newupdate.pdf (in Thai)
Keskinoglu P, Bilgic N, Picakciefe M, Giray H, Karakus N, Gunay T, et al. Perinatal Outcomes and Risk Factor of Turkish Adolescent Mother Journal of Pediatric and Adolescent Gynecology. 2007; 20: 19-24. (in Thai)
Muangpin S. Experiences of Being Unmarried Pregnant Adolescents in Northeastern Thailand. [Unpublished master’s thesis]. Bangkok Thailand: Mahidol University; 2009. (in Thai)
Poonkhum Y, Phromprapat P, Paisalachapong K, Samakkeekarom R. The Study to Promote Youth Health and Prevention of Rick Behaviors and Health Problems among Youths. Thailand Journal of Health Promotion and Environmental. 2012; 35(2): 48-65. (in Thai)
Rawajai N. Factors Influencing Sexual Risk Preventive Behaviors of Students in Vocational Education Commission Bangkok Metropolitan. [M.Sc. Thesis in Health Education]. Bangkok: Srinakharinwirot University; 2011. (in Thai)
Pimthong S. Psycho-Social Factors Correlated with HIV/AIDS Preventive Behavior in Men Who Have Sex with Men. [Phd. Thesis in Social Development and Environmental Management]. Bangkok: Nida University; 2011 (in Thai)
Puntang P. Factors Influencing Intention to Prevent Sexual Risk Behaviors of Female Secondary School Students Under The Department of General Education, The Secondary Education Service Area Office 2 in CHON BURI Province MAJOR. [M.N.S Thesis in Community Nurse Practitioner]. CHON BURI: Burapa University; (2014) (in Thai)
Pornsomboonsiri A, Moncham P, Krongrawa R. Parental Raising and Psychological Characteristics Related to Self-Defensive Behavior from Drugs of High School Students in School under Jurisdiction of Nakhon Pathom
Primary Educational Service Area Office 1. Journal of Boromarajonani College of Nursing Bangkok. 2013; 29(2): 1-9. (in Thai)
Sosungnoen S, Bhanthumnavin D. Psychosocial Factors as Correlate of Smart Eating Choice Behavior of Secondary School Students, National Conference. Bangkok: School of Social and Environmental Development National Institute of Development Administration; 2016.( in Thai)
Punmeekij N. Factor Affecting Sexual Risk Behaviors Among Female Lower Secondary School Students in Pattaya City. [M.N.S Thesis in Community Nurse Practitioner]. CHON BURI: Burapa University; 2016.( in Thai)
Mcleroy K, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Education Quarterly. 1988; 15: 351-77.
Bhanthumnavin D, et al. Religious Belief and Practice of Thai Buddhists Socialization and Quality of Life. Bangkok: School of Social and Environmental Development National Institute of Development Administration; 1997.(in Thai)
Kanchanapak S. A Study of Linear Structural Relationship of Factors Influencing Self-Esteem of Mathayomsuksa VI Students in Schools under the Office of Nakhon Sri Thammrat Educational Service Area II. [M.A. Thesis in Educational Research and Statistics]. Bangkok: Srinakharinwirod University; 2006. (in Thai)
Vittayarangsipong S. The Contributions of Biosocial Factors and Parenting Practices to the multilateral Reasoning ability of the Vocational Students in Bangkok Metropolis. [M.A. Thesis in Developmental Psychology]. Bangkok: Srinakharinwirod University; 2007. (in Thai)
Miles M, Huberman A. Qualitative Data Analysis: an Expanded Sourcebook. 2nd Edition. London: Sage; 1994.
Kline R. Principles and Practice of Structural Equation Modeling. 4th Edition. New York: The Guilford Press; 2016.
Schermelleh-Engel, K., Moosbrugger, H., and Müller, H. Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodnessof-Fit Measures. Methods of Psychological Research Online.2003;8:33.
Cooper S. The Antecedents of Self-Esteem. CA: Consulting Psychologists Press 1; 1981.
Wong-arsa W, Kongnguen P, Vuthiarpa S. Factors Affecting Sexual Risk Behaviors among Adolescents: a Case Study Conducted in One University. Journal of Public Health. 2015; 45(3): 285 – 97. (in Thai)
Wong-Arsa W & Sitkul-a-nan P. Factors Affecting Health Promotion Behaviors Among Thai Adolescents with Unplanned Pregnancy. Journal of Public Health. 2008; 38(2): 221-32. ( in Thai)
Magnani R, Karim A, Weiss L, Bond K, Lemba M, Morgan G. Reproductive Health Risk and Protective Factors among Youth in Lusaka Zambia. Journal of Adolescent Health. 2002; 30: 76-86.
Fongkaew W, Meechamnan C, Thana K, Viseskul N and Chontawan R. Factors Related to HIV-Prevention Communication between Young Adolescents and Their Parenth. Thai Journal of Nursing Council Bangkok. 2015; 30(1): 112-22. (in Thai)
Phetsumrit T, Pranee C & Hombubpha S. Factors Affecting Sexual Health Behavior in Students of Junior High Schools in Nakhon Sawan Province. Journal of Graduate Studies in Northern Rajabhat Universities. 2014; 4(6): 71-84. (in Thai)
Juntud J. The Relationship between Child Rearing, Family Relationship and Behaviors of Juvenile Delinquent in the Juvenile Training Center Area 9, Songkhla Province. Journal of Human Ecology. 2014; (suppl): 85-91 (in Thai)
Lawrence, K. The Claim to Moral Adequacy of a Highest Stage of Moral Judgment. Journal of Philosophy.(1973).70:630–64
Pantaewan, P. Ecological Model and Health Behavior Change. Journal of The Royal Thai ArmyNurses.(2017).18(2) 7-1
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)
