DETERMINANTS PREDICTOR OF INCONSISTENT CONDOM USED BEHAVIOR AMONG FEMALE STUDENTS IN A UNIVERSITY IN THE NORTHERN REGION

Main Article Content

Jakkrite Pinyaphong

Abstract

The purpose of this research was to study sexual risk behaviors and determinants predictor of inconsistent condom used behavior among female students in a university in the Northern region.  The sample group was 378 persons derived from systematic random sampling.  The questionnaire was developed by the researcher based on the review of the relevant literatures with the reliability of 0.898 of Cronbach’s alpha coefficient.  The data were subsequently analyzed by descriptive statistic and logistic regression was used to analyze determinants predictor of inconsistent condom used behavior.  The research results were as follows:  female students had sexual risk behavior due to inconsistent condom used especially when having sexual intercourse with a regular partner. Of those, only 24.70 % used condoms every time when having sex and had the behaviors of drinking alcohol before having sexual intercourse.  Determinant predictors of inconsistent condom used among female students who were not using a condom when having the sexual intercourse for the first time (adjusted odds ratio [AOR] =11.70; 95% CI=3.70-36.70), low perceived benefits of a condom (adjusted odds ratio [AOR]= 3.83; 95% CI=1.30-13.20), low intention to use condoms at the next sexual intercourse (adjusted odds ratio [AOR]= 2.90; 95% CI=1.20-7.20), and drinking alcohol before sexual intercourse (adjusted odds ratio [AOR]=1.23; 95% CI=1.30-4.00).  The finding could further be used to develop an intervention to reduce sexual risk behavior.

Article Details

Section
บทความวิจัย (Research Article)
Author Biography

Jakkrite Pinyaphong, คณะวิทยาศาสตร์และเทคโนโลยี มหาวิทยาลัยราชภัฏอุตรดิตถ์

รองศาสตราจารย์

References

Ajjzen, I. (2006). Attititude, personality, and behavior. NY: Open University Press.

Asare, M. (2015). Using the theory of planned behavior to determine the condom use behavior among college students. Am J Health Stud, 30(1), 43-50.

Aurpibul, L., Tangmunkongvorakul, A., Musumari, P. M., Srithanaviboonchai, K., & Tarnkehard, S. (2016). Patterns of sexual behavior in lowland Thai Youth and ethnic minorities attending high school in rural Chiang Mai, Thailand. PLoS One, 11(12), e0165866.

Blanc, A. K. (2001). The effect of power in sexual relationships on sexual and reproductive health: An Examination of the Evidence. Stud Fam Plann, 32(3), 189-213.

Bureau of Reproductive Health. (2017). Anual Report 2017. Retrieved April 13, 2019 from http://rh.anamai.moph.go.th/dowload/all_file/index/reportRH/report_rh_60.pdf (in Thai)

Bureau of Epidemiology. (2017). Annual report 2017. Retrieved April 13, 2019 from https://apps.boe.moph.go.th/boeeng/download/AESR-6112-24.pdf (in Thai)

Certain, H. E., Harahan, B. J., Saewyc, E. M., & Fleming, M. F. (2009). Condom use in heavy drinking college students: the importance of always using condoms. J Am Coll Health, 58(3), 187-194.

Chamratrithirong, A., & Kaiser, P. (2012). The dynamics of condom use with regular and casual partners: analysis of the 2006 National Sexual Behavior Survey of Thailand. PLoS One, 7(7), e42009.

Chirawatkul, S., Sawangchareon, K., Jongudomkarn, D., Rujiraprasert, N., Kittipongpaisarn, W., Rungreongkulkij, S., Chareonwong, S. (2013). Perceptions of male adolescents related to love and sexual relationships. Journal of the Psychiatric Association of Thailand, 58(1), 75-88. (in Thai)

Fehr, S. K., Vidourek, R. A., King, K. A., & Nabors, L. A. (2017). Perceived barriers and benefit of condom use among college students. American Journal of Health Studies, 32(4), 219-233.

Foss, A. M., Watts, C. H., Vickerman, P., & Heise, L. (2004). Condoms and prevention of HIV. BMJ, 329(7459), 185-186.

Gullette, D. L., & Lyons, M. A. (2006). Sensation seeking, self-esteem, and unprotected sex in college students. J Assoc Nurses AIDS Care, 17(5), 23-31.

Janepanish, P., Dancy, B. L., & Park, C. (2011). Consistent condom use among Thai heterosexual adult males in Bangkok, Thailand. AIDS Care, 23(4), 460-466.

Jenkins, R. A., Manopaiboon, C., Samuel, A. P., Jeeyapant, S., Carey, J. W., Kilmarx, P. H., Van Griensven, F. (2002). Condom use among vocational school students in Chiang Rai, Thailand. AIDS Educ Prev, 14(3), 228-245.

Liu, A., Kilmarx, P., Jenkins, R. A., Manopaiboon, C., Mock, P. A., Jeeyapunt, S., Van Griensven, F. (2006). Sexual initiation, substance use, and sexual behavior and knowledge among vocational students in northern Thailand. Int Fam Plan Perspect, 32(3), 126-135.

Parsons, J.T, Bimbi, D., & Borkowski, T. (2001). Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. Journal of Adolescence, 23(4), 377-391.

Pearson, J. (2006). Personal control, self-efficacy in sexual negotiation, and contraceptive risk among adolescents: The Role of Gender. Sex Roles, 54(9-10), 615-625.

Pinyaphong, J. (2016). Sexual risk behaviors among university male student in Thailand. Paper presented at the The Asian Conference on Arts and Humanities 2016, The Art Center Kobe, Japan.

Pinyaphong, J., Srithanaviboonchai, K., Chariyalertsak, S., Phornphibul, P., Tangmunkongvorakul, A., & Musumari, P. M. (2018). Inconsistent condom use among male university students in Northern Thailand. Asia Pac J Public Health, 30(2), 147-157.

Shafii, T., Stovel, K., Davis, R., & Holmes, K. (2004). Is condom use habit forming? Condom use at sexual debut and subsequent condom use. Sexually Transmitted Diseases, 31(6), 366-372.

Srisuriyawet R, Fongkaew W., & Villaruel, A. M. (2006). Gender and sexual experience difference in adolescent sexual behavior in Thailand: Psychosocial Factors. . Thai J Nurs Res, 10(3), 215-227.

Tangmunkongvorakul, A., Carmichael, G., Banwell, C., Utomo, I. D., & Sleigh, A. (2011). Sexual perceptions and practices of young people in Northern Thailand. J Youth Stud, 14(3), 315-339.

Tangmunkongvorakul, A., Srithanaviboonchai, K., Guptarak, M., Wichajarn, M., Yungyuankul, S., Khampan, R., Grimes, R. M. (2014). Attitudes and behavior among rural Thai adolescents regarding sexual intercourse. Southeast Asian J Trop Med Public Health, 45(6), 1437-1447.

Teanchaithut, C., Masingboon, K., & Wacharasin, C. (2016). A casual model of safe sex behaviors in female adolescent. Journurnal of Phrapokklao Nursing College, 27(2), 78-94. (in Thai)

Thato, S., Charron-Prochownik, D., Dorn, L. D., Albrecht, S. A., & Stone, C. A. (2003). Predictors of condom use among adolescent Thai vocational students. J Nurs Scholarsh, 35(2), 157-163.

Uttaradit Provincial Province Public Health Office. (2018). Annual Report. Retrieved June 13,2019 from http://uto.moph.go.th/comdisease/source/epidem/. (in Thai)

Wayne, W. D. (1995). Biostatistics: a foundation of analysis in the heallth science: John Wiley&Sons.

Wayuhuerd, S., Phancharoenworakul, K., Avant, K. C., Sinsuksai, N., & Vorapongsathorn, T. (2010). Using the theory of planned behavior to predict condom use behavior among Thai adolescents. Pacific Rim International Journal of Nursing Research, 14(4), 315-329.

Westercamp, N., Mattson, C. L., Madonia, M., Moses, S., Agot, K., Ndinya-Achola, J. O., Bailey, R. C. (2010). Determinants of consistent condom use vary by partner type among young men in Kisumu, Kenya: a multi-level data analysis. AIDS Behav, 14(4), 949-959.