Knowledge related to contraception, prevention of sexual transmitted diseases/HIV AIDS, consequences of teenage pregnancy, and sexual behaviors of school students in 17 provinces
This paper was a part of a study to evaluate an integrated approach to addressing the ongoing problem of teenage pregnancy in 17 provinces. It aimed to compare population characteristics, family background, and knowledge related to contraception, prevention of sexual transmitted diseases/HIV/AIDS, consequences of teenage pregnancy, and sexual behaviors between high school students who were in schools located in the city and those in schools out of the city. Survey was employed during July 2016-June 2018. Study population included two groups of students c consisting of (1) grade 8 and grade 10 high school students and (2) the second-year vocational school students (equivalent to grade 11 students) in 17 provinces. Sample size calculation was conducted using estimation of proportion. Two-stage cluster sampling and systematic sampling were used to select student samples. There were 10,025 students participating in the study. Self-administrated questionnaire was used for data collection. Data were analyzed using percentage and 95% confidence interval. It was found that the two groups had no significant difference in population characteristics and family backgrounds. Thirty eight to ninety percent of students in both groups had enough knowledge (more than 70%) on contraception, prevention of sexual transmitted diseases/HIV/AIDS, and the consequences of teenage pregnancy. Differences found between the two groups were the number of students who had sexual experiences, gender, and methods used to prevent pregnancy, sexual transmitted diseases, and HIV/AIDS.
Friedman HS, Mahon J, et al. Building the foundations for sustainable development: a case for global investment in the capabilities of adolescents. Lancet 2017;390:1792-806.
2. Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health 2018;2:223-8.
3. Kleinert S, Horton R. Adolescent health and wellbeing: a key to a sustainable future. The Lancet 2016;387:2355-6.
4. The National Statistical Office. Number of population by age group in Thailand 30 December 2017 [Internet]. [cited 2018 Sep 22]. Available from: http://stat.dopa.go.th/stat/statnew/upstat_age_disp.php (in Thai)
5. Bureau of Epidemiology, Department of Disease Control. Situations of STT/STD/HIV/AID 2017 [Internet]. [cited 2018 Sep 22]. Available from: http://aidssti.ddc.moph.go.th/contents/download/2144 (in Thai)
6. Bureau of Reproductive Health, Department of Health. Statistics of adolescent delivery in Thailand 2017. Bangkok: The Agricultural Co-operative Federation of Thailand; 2017. (in Thai)
7. Chirawatkul S. Situation of teenage pregnancy and nurses’ role. Journal of Health and Health Management 2515;2:1-11. (in Thai)
8. Chirawatkul S, Haniratsai T, Bouboon N, Srisang P, Kongvattananon P, Kittiwatpaisan W, et al. Sexual paradigms and the prevention of and response to teenage pregnancy problems in the Thai society. Journal of Health Science 2015;24:378-88. (in Thai)
9. Chirawatkul S. Options counseling for pregnant teenagers. Thai Journal of Nursing Council 2016;31(2):5-16. (in Thai)
10. Chirawatkul S. Rungreangkulkij S, Rujiraprasert N. Lesson learned from development of hotline system for helping teens pregnant. Thai Journal of Nursing Council 2016;31(3): 5-15. (in Thai)
11. Chirawatkul S, Anusornteerakul S, Patanasri K, Runreangkulkij S, Fongkaew W, Kongvattananon P, et al. Report on evaluation of sexual health promotion programme and projects related to prevention and dealing with problems on teenage pregnancy. Khon Kaen: Klungnana Vitthaya; 2016. (in Thai)
12. Teenage Pregnancy Independent Advisory Group. Teenage pregnancy: past success-future challenges [Internet]. [cited 2014 Dec 25]. Available from: http://dera.ioe.ac.uk/id/eprint/2258
13. Health Risk Control Plan, Thai Health Promotion Foundation. Guideline for development of prevention and dealing with teenage pregnancy project based on 9 missions. Bangkok: Health Risk Control Plan; 2013. (in Thai)
14. Chirawatkul S, Pattanasri K, Sawangchareon K, Chantarapat S, Bouboon N, Kongvattananon P, et al. Report on evaluation research on evaluation of integration for prevention and resolution to teenage pregnancy in provincial level. Khon Kaen: Klungnana Vitthaya; 2018. (in Thai)
15. Chirawatkul S, Pattanasri K, Sawangchareon K, Chantarapat S, Bouboon N, Kongvattananon P, et al. Integration model for the prevention of and solution to teenage pregnancy: concept and operation. Thai Journal of Nursing Council 2017;32(3): 5-24. (in Thai)
16. Chirawatkul S, Pattanasri K, Sawangchareon K, Chantarapat S, Bouboon N, Kongvattananon P, et al. An integration of prevention and resolution to teenage pregnancy in 17 provinces: phase II findings. Journal of Health Science 2018;27:1023-38. (in Thai)
17. Chirawatkul A. Statistics for health science research. Bangkok: Witthayaphat; 2013. (in Thai)
18. Sawatchareonying P. Prevention and solution of AIDs problem plan [Internet]. [cited 2018 Sep 29]. Available from: http://www.cqihiv.com/HIV_STI%20DSC%20Profile.docx (in Thai)
19. Tantivaj S, Pilasun T, Yamapai I, Teerawatananon Y, Yotasamut C, Mukdej A, et al. Situations of teenage pregnancy in Thailand 2013. Nonthaburi: Evaluations of Health Technology and Health Project, Department of Health, Ministry of Public Health; 2013. (in Thai)
20. Namawat C, Chantaramanee S. Result of behavior surveillance in relation to HIV infection in Thai students 2011. Nontaburi: Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health; 2011. (in Thai)
21. Footrakoon S. The National Strategies to Ending AIDs 2017-2030 and The National Strategies for Prevention and STD Control 2017-2021 [Internet]. [cited 2018 Sep 22]. Available from: http://www.aidssti.ddc.moph.go.th/contents/download/2134
22. Boonmongkol P, Promnart P, Samoa N, Chonlaratana N. Report on review of sexuality education in Thai schools. Nakorn Pathom: Department of Society and Health, Faculty of Social Science and Anthropology, Mahidol University; 2016. (in Thai)
23. Sara N, Rumreangwong C. Prevalence of sexual experiences and factors related to the first sexual engagement of female students in a vocational school at Nonthaburi Province. Chulalongkorn Medical Journal 2016;60:215-30. (in Thai)
24. Bureau of Reproductive Health, Department of Health. Statistics of adolescent delivery in Thailand 2015. Bangkok: The Agricultural Co-operative Federation of Thailand; 2017. (in Thai)
25. Chirawatkul S, Sawangchareon K, Jongudomkarn D, Rujiraprasert N. Situation of teenage pregnancy: perception among adolescents in 7 provinces of Thailand. Journal of Health Science 2012;21:865-77. (in Thai)
26. Bureau of Reproductive Health, Department of Health. Situation of reproductive health in adolescent 2016. Nonthaburi: Department of Health, Ministry of Public Health; 2017. (in Thai)
27. United Nations Population Fund Thailand. Motherhood in childhood: facing the challenge of adolescent pregnancy. Bangkok: The United Nations Population Fund Thailand Country Office and the Office of the National Economic and Social Development Board; 2013.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the Disease Control Journal considered as academic work, research or analysis of personal opinion of the authors, not opinion of the Department of Disease Control or editorial team. The authors must be responsible for their articles.