A CAUSAL MODEL OF THE SEXUAL BEHAVIORS AMONG LATE ADOLESCENT STUDENTS: FINDINGS FROM A SCHOOL-BASED SURVEY
Main Article Content
Abstract
This research aims to study the causal relationship of influential factors on safe sexual relationships among late adolescent students in the Nakhon-Nayok provinces. Participants were late adolescent students between 15 and 18 years old studying in upper secondary school, Nakhon-Nayok Province under the office of Secondary Educational Service Area, Prachinburi, Nakhon-Nayok (Prachinburi, Nakhon-Nayok) Participants were selected using Cluster sampling (n = 281). Instruments were questionnaire reliability between .80 - .97. Data were analyzed using frequency, percentile, mean, standard deviation, spearman correlation statistics, and path analysis. The finding modeling analysis revealed that safe sexual behavior among late adolescent students is in concordance with empirical research at a reasonable level (χ2 /df = 1.890, GFI = .95, AGFI = .92, CFI = .97, TLI = .95, RMR = .04, RMSEA = .05) Knowledge and understanding on safe sexual behavior, decision-making for safe sexual behavior, and the perceived self-efficacy in safe sexual behavior directly influence safe sexual behavior. The indirect effect was access to information on safe sexual behavior, communication on safe sexual behavior, and decision on safe sexual behavior. All stated variables could predict safe sexual behavior among late adolescents at a 29.8% level (R2 = .298, p < .001).
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Any articles and comments This journal is the opinion of the author. The Faculty of Physical Education doesn't always have to agree. Anyone wishing to publish or distribute a message must obtain direct permission from the author.
References
Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: W.H. Freeman and Company.
Department of Disease Control, Ministry of Public Health. (2021). Projects under the Master Plan of the
Department of Disease Control and the 20 Year National Strategy. Retrieved January 20, 2022 from https://ddc.moph.go.th/uploads/files/1072120191224061446.pdf
Department of Health, Ministry of Public Health. (2021). Situation of Reproductive Health in Adolescents and Youth in 2021. Retrieved January 20, 2022 from https://rh.anamai.moph.go.th/th
Department of Mental Health, Ministry of Public Health. (2007). Construction of the Desirable Sexual Behavior
Scale of Youth in Thai Society. Nonthaburi: Ministry of Public Health.
Kaewdumkerng, N., Piyayothai, S., Makunchon, J. Chaijaroen, S. & Jaingam, B. (2020). Handbook of Promoting
HIV and STIs Literacy. Division of AIDS and Sexually Transmitted Diseases, Department of Disease Control, Ministry of Public Health.
Kickbusch, I., Pelikan, J.M., Apfel, F., & Tsouros, A.D. (2013). Health Literacy. The solid facts. World Health
Organization, Regional Office for Europe.The European Health Literacy project 2009-2012, 21-35
Kilfoyle, K.A., Vitko, M., O'Cono,r R., & Bailey, S.C. (2016). Health Literacy and Women's Reproductive Health: A Systematic Review. J Womens Health (Larchmt). 25(12), 1237-1255.
Kuysuwan, K., Supparerkchaisakul, N., Chuawanlee, W., Intarakamhang, U. (2013). Causal Factors of HIV/AIDS Safe Sex Behavior among Thai Navy Conscripts: The Study of Change during Training in the Recruitment Center and Effects of AIDS Risk Reduction Program. Journal of Behavioral Science. 19(2), 35-58.
Manoppiroon, P., Prembamrung, P., Sinamnong, W., Phantumas, S., Namthan, P. & Prasomrak, P. (2020).
Factors Related To Sexual Risk Behaviors Among Secondary School Students In Rajaprajanugroh 54 School, Mueang Districts, Amnatcharoen Province. Journal of Regional Health Promotion Centre 7 Knokain. 12(2), 77-90.
Mendonca, V., Antunes, S., Andrade, I., Osorio, N., Valado, A., Caseiro, A., Gabriel, A., Martins,A. C., & Mendes, F. (2016). Health literacy and social behaviors: What relationship to sexually transmitted diseases among students?. International Journal of Biomedical Laboratory Science. 5(1), 9-17.
Office of the Basic Education Commission. (2020). Basic of School Information Under the province / Division of Education in Nakhon- Nayok, Educational Management Information System (XLS). Retrieved March 15, 2022 from https://data.bopp-obec.info/emis/school_edu_p_XLS.php?province=17
Padphai, I., Sanchon, P.,Chotchai, T., Chanthasukh, S., Meelun, N. & Sripromsa, W. (2022). AIDS and other Sexually Transmitted Disease (STDs): The Relationships between Sexual Health Literacy and Protective Behaviors among Adolescents in Northeastern Thailand. The Southern College Network Journal of Nursing and Public Health. 9(1), 296-309.
Phromma, N. (2021). Perceived Self-Efficacy In Preventing Unwanted Pregnancy Among College Students In One University. Journal of Public Health. 30(1), 5-13.
Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Philadelphia: Lippincott Williams & Wilkins
Sawadcharoenying, P. (2020). A Study Of Factors Affecting Sexually Transmitted Diseases Prevention And Control Implememented By The Division Of AIDS AND STIs During 2010-2019. Thai AIDS Journal. 32(3), 94-113.
Simpson, S., Clifford, C., Ross, K., Sefton, N., Owen, L., Blizzard, L., et al. (2015). Sexual health literacy of the student population of the University of Tasmania: results of the RUSSL Study. Sex health. 12(3), 207–216.
Tongnorakul, P., Sananreangsak, S. & Narumon, T. (2019). The Relationship between Sexual Health Literacy and
Sexual Behavior among Middle School Female Students. Royal Thai Navy Medical Journal. 46(3), 607-620.
Tungsaengsakul, S., Suwonnaroop, N., Nakakasien, P. & Panitrat, R. (2017). Effects of Sexual Health Life Skills
Prograrn on Percerved Self- Efficacy In Safe Sex of Earty Adotescent Students. Journal of The Royal Thai Army Nurses. 18(2), 119-128.
Vamos, C.A., Thompson, E.L., Logan, R. G., Griner, S.B., Perrin, K.M., Merrell, L.K. & Daley, E. M. (2020) Exploring college students’ sexual and reproductive health literacy. Journal of American College Health. 68(1), 79-88.
Vongxay, V., Albers, F., Thongmixay, S., Thongsombath, M., Broerse, J.E.W., Sychareun, V., et al. (2019). Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS ONE. 14(1), e0209675.
World Health Organization. (2014). Health for the world’s adolescents: a second chance in the second decade. Geneva: World Health Organization.