Predictors of Condom Use Among Adolescent Thai Vocational Students

Purpose: To describe the prevalence of premarital sexual behavior and condom use, and to identify predictors of condom use using the expanded health belief model (EHBM) among vocational students in Bangkok, Thailand. Methods: A cross‐sectional correlational design was used with a cluster‐based sampl...

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Bibliographic Details
Published in:Journal of nursing scholarship 2003-01, Vol.35 (2), p.157-163
Main Authors: Thato, Sathja, Charron-Prochownik, Denise, Dorn, Lorah D., Albrecht, Susan A., Stone, Clement A.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adolescent Behavior - psychology
adolescents' condom use
Adult
AIDS
Condoms - utilization
Cross-Sectional Studies
Female
health belief model
Health Knowledge, Attitudes, Practice
HIV
Human immunodeficiency virus
Humans
intention to use condoms
Male
Models, Psychological
Nursing
Predictive Value of Tests
pregnancy
Pregnancy - statistics & numerical data
Psychology, Adolescent
Regression Analysis
Safe Sex - psychology
sexual behavior
Sexually transmitted diseases
STD
STDs
Students - psychology
Surveys and Questionnaires
Teenagers
Thailand
Vocational Education
vocational school students
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Summary:Purpose: To describe the prevalence of premarital sexual behavior and condom use, and to identify predictors of condom use using the expanded health belief model (EHBM) among vocational students in Bangkok, Thailand. Methods: A cross‐sectional correlational design was used with a cluster‐based sample of 425 students aged 18 to 22 years from eight randomly selected private vocational schools in Bangkok. Anonymous self‐report questionnaires were used to collect the data. Stepwise multiple regression was conducted to identify predictors of condom use. Results: Overall, 49.9% of participants were sexually active, 64.8% of men and 32% of women. Of the sexually active participants, only 6.3% reported using condoms every time when having sex in the beginning of the relationship, and 10.2% during the last few times. Twenty‐four percent of sexually active participants had unplanned pregnancies, and 7% had sexually transmitted diseases (STDs). The predictive model of condom use consisted of perceived benefits from using condoms; interactions between intention to use condoms and gender: knowledge of STDs, HIV, AIDS, pregnancy and peer norms; and alcohol use and age. Adjusting for modifying factors, the predictor set explained 27% of the variance in condom use. Conclusions: Most of this sample of sexually active Thai vocational students practiced unsafe sex, and many had unplanned pregnancies and STDs. The EHBM provided a modest predictive model of condom use.
ISSN:1527-6546
1547-5069
DOI:10.1111/j.1547-5069.2003.00157.x