Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand
Author:
Hayee Fusiyah1, Fongkaew Warunee2ORCID, Chanprasit Chawapornpan1, Kaewthummanukul Thanee1, Voss Joachim G.2
Affiliation:
1. Faculty of Nursing , Chiang Mai University , 110 Inthawaroros Road , SriPhum, Mueang , Chiang Mai , Thailand 2. Frances Payne Bolton School of Nursing , Case Western Reserve University , 10900 Euclid Avenue , Cleveland , OH , USA
Abstract
Abstract
Objectives
To describe individual, interpersonal, and environmental factors and sexual risk behaviors among Thai Muslim adolescents.
Methods
We recruited adolescents from four schools and one vocational college on the Southern border of Thailand during October 2018 to January 2019. We used password-protected online questionnaires for each respondent to protect their privacy.
Results
We recruited N = 700 participants of which 9% were sexually experienced. Of those participants, many had never used a condom (41.3%) or considered taking contraceptive pills (71.4%). Moreover, 54% of them have had sexual intercourse more than once. Some had been infected with an STI (17.5%), and (14.3%) became pregnant more than once. Adolescents reported individual factors such as high religiosity (58.7%), and (47.6%) practiced Islam daily with no differences between boys and girls. Girls had significantly higher refusal of sex self-efficiency than boys (96 vs. 119.5, p < 0.05). In the interpersonal factors, boys had more uninvolved parenting style, lower parental monitoring, higher parental approval of sex, and higher perceived peer norm than girls. The environmental factors besides cultural norms impacted girls and boys equally.
Conclusions
We showed low rates of sexual activity, but in those adolescents who were sexually active we showed high rates of lack of knowledge and higher rates of sexual risk behaviors. Individual, interpersonal, and environmental factors all influenced sexual risk behaviors. We recommend comprehensive sexuality education that includes Islamic context for adolescents and their parents embedded in policy, religious, and community cultural practices.
Funder
Office of the Higher Education Commission under the Strategic Scholarship Fellowships Frontier Research Networks (Specific for the Southern region) in Thailand. Office of the Higher Education Commission
Publisher
Walter de Gruyter GmbH
Subject
Public Health, Environmental and Occupational Health,Pediatrics, Perinatology and Child Health
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