Predicting Factors of Pre-coital and Sexual Behaviors among Thai Muslim Adolescents: A Cross-sectional Study

Authors

  • Fusiyah Hayee Faculty of Nursing, Princess of Naradhiwas University, Narathiwat, Thailand.
  • Warunee Fongkaew Faculty of Nursing, Thammasat University, Thailand.
  • Joachim G. Voss Frances Payne Bolton School of Nursing, Case Western Reserve University, USA.

DOI:

https://doi.org/10.60099/prijnr.2024.262660

Keywords:

Adolescent, Muslim, Precoital behavior, Sexual risk behaviors, Southern Thailand

Abstract

Pre-coital and sexual behaviors are precarious and may lead adolescents to face higher rates of unwanted pregnancies and sexually transmitted infections. This cross-sectional study aimed to determine the factors predicting pre-coital and sexual behaviors among
Muslim adolescents in southernmost Thailand. Seven hundred adolescents were recruited from a vocational college and four schools. Sexual risk behaviors and its related factors questionnaires were employed for data collection. Descriptive statistics were used to
describe the demographic characteristics of the participants; binary and ordinal logistic regression was used to examine the factors explaining sexual risk behaviors.

The results indicated that increased age was a predicting factor for higher pre-coital and sexual behaviors. For interpersonal factors, knowledge of sexual risk behaviors was a protective factor, while perceived parent and peer approval of sex and perceived peer norms predicted higher pre-coital and sexual behaviors. More parental monitoring was a protective factor for lower pre-coital behaviors. For environmental factors, cultural norms were a significant protective factor, while neighborhood disorganization predicted higher pre-coital behaviors. In conclusion, age, parental approval of sex, and perceived peer norms were predictors of sexual and pre-coital behaviors. These findings provide useful information for healthcare providers, especially nurses, to develop the intervention with the protective factors and predictors of sexual and pre-coital behaviors. We recommend action research that includes all community stakeholders to develop an intervention to prevent sexual risk behaviors among Muslim adolescents.

References

Center for Disease Control and Prevention. Youth risk behavior survey data summary & trends report:2022-2021. Available from: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBS_Data-Summary-Trends_Report2023_508.pdf

Tavakoli F, Haghdoost AA, Shahesmaeili A, Ghalekhani N, Khezri M, Mehmandoost S, et al. Frequency, correlates and consequences of early sexual intercourse among Iranian men who inject drugs. Sex Cult. 2021;26(2):750-61. https://doi.org/10.1007/s12119-021-09910-0 DOI: https://doi.org/10.1007/s12119-021-09910-0

Peltzer K, Pengpid S. Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015. Int J Adolesc Med Health. 2020;33(6):501-9. doi:10.1515/ijamh-2019-0230. DOI: https://doi.org/10.1515/ijamh-2019-0230

Saharso S, van Hoogstraaten J, Claassen R, Jokic M. No sex before marriage? Migrant youth navigating restrictive norms regarding premarital relationships. Ethn Rac Stud. 46;14:3145-65. doi:10.1080/01419870.2023.2168130. DOI: https://doi.org/10.1080/01419870.2023.2168130

Hayee F, Fongkaew W, Chanprasit C, Kaewthummanukul T, Voss JG. Sexual risk behaviors and influencing factors among Muslim adolescents on the southern border of Thailand. Int J Adolesc Med Health. 2020;33(6):469- 77. doi:10.1515/ijamh-2019-0221 DOI: https://doi.org/10.1515/ijamh-2019-0221

Crawford M. Ecological systems theory: exploring the development of the theoretical framework as conceived by Bronfenbrenner. J Pub Health Issue Pract. 2020;4(2):170. https://doi.org/10.33790/jphip1100170 DOI: https://doi.org/10.33790/jphip1100170

Bozon M, Kontula O. Sexual initiation and gender in Europe: a cross-cultural analysis of trends in the twentieth century. In: Hubert M, Bajos N, Sandfort T, editors. Sexual behavior and HIV/AIDS in Europe: comparisons of national surveys. 1st ed. Routledge; 1988. pp. 37-67. DOI: https://doi.org/10.4324/9781003015420-4

Lindberg LD, Maddow-Zimet I, Marcell AV. Prevalence of sexual initiation before age 13 years among male adolescents and young adults in the United States. JAMA Pediatrics. 2019 Jun 1;173(6):553-560. doi:10.1001/jamapediatrics.2019.0458. DOI: https://doi.org/10.1001/jamapediatrics.2019.0458

Settheekul S, Fongkaew W, Viseskul N, Boonchieng W, Voss JG. Factors influencing sexual risk behaviors among adolescents: a community‐based participatory study. Nurs Health Sci. 2019;21(2):186–97. doi:10.1111/nhs.12580. DOI: https://doi.org/10.1111/nhs.12580

Asare BY, Zegeye B, Ahinkorah BO, Ameyaw EK, Seidu AA, Yaya S. Early sexual debut and its associated factors among young women aged 15–24 in Mali: a multilevel analysis. Arch Sex Behav. 2023;52(6):2491-502. DOI: https://doi.org/10.1007/s10508-023-02591-w

Cordova D, Munoz-Velazquez J, Mendoza Lua F, Fessler K, Warner S, Delva J, et al. Pilot study of a multilevel mobile health App for substance use, sexual risk behaviors, and testing for sexually transmitted infections and HIV among youth: randomized controlled trial. JMIR mHealth uHealth. 2020 Mar 17;8(3):e16251. DOI: https://doi.org/10.2196/16251

Shangase N, Kharsany AB, Ntombela NP, Pettifor A, McKinnon LR. A systematic review of randomized controlled trials of school-based interventions on sexual risk behaviors and sexually transmitted infections among young adolescents in Sub-Saharan Africa. AIDS Behav. 2021;25(11):3669-86. DOI: https://doi.org/10.1007/s10461-021-03242-8

Srijaiwong S, Sindhu S, Ratinthorn A, Viwatwongkasem C. Factors influencing sexual behaviors among Thai adolescents. J Popul Soc Stud. 2017;25(3):171-93. DOI: https://doi.org/10.25133/JPSSv25n3.002

Suwarni L, Ismail D, Prabandari YS, Adiyanti MG. Perceived parental monitoring on adolescence premarital sexual behavior in Pontianak City, Indonesia. Int J Public Health Sci. 2015;4(3):211–9. doi:10.11591/v4i3.4736. DOI: https://doi.org/10.11591/.v4i3.4736

Girmay A, Mariye T. Risky sexual behavior practice and associated factors among secondary and preparatory school students of Aksum town, northern Ethiopia, 2018. BMC Res Notes. 2019;12(1):698. DOI: https://doi.org/10.1186/s13104-019-4714-1

Vannucci A, Simpson EG, Gagnon S, Ohannessian CM. Social media use and risky behaviors in adolescents: a meta-analysis. J Adolesc. 2020;79:258-74. DOI: https://doi.org/10.1016/j.adolescence.2020.01.014

Pirrone D, Zondervan-Zwijnenburg M, Reitz E, van den Eijnden RJJM, Ter Bogt TFM. Pornography use profiles and the emergence of sexual behaviors in adolescence. Arch Sex Behav. 2022;51(2):1141-56. DOI: https://doi.org/10.1007/s10508-021-02140-3

Kinsey AC, Pomeroy WB, Martin CE. Sexual behavior in the human male. 1948. Am J Public Health. 2003;93(6): 894-8. DOI: https://doi.org/10.2105/AJPH.93.6.894

Peragine DE, Skorska MN, Maxwell JA, Impett EA, VanderLaan DP. The risks and benefits of being “Early to Bed”: toward a broader understanding of age at sexual debut and sexual health in adulthood. J Sex Med. 2022 Sep; 19(9):1343-58. DOI: https://doi.org/10.1016/j.jsxm.2022.06.005

Stacey J, Lozano V. Adolescent sexual development and sexuality education. In: Sanfilippo JS, Lara-Torre E, Gomez- Lobo V, editors. Sanfilippo’s textbook of pediatric and adolescent gynecology. 2nd ed. Routledge; 2019. pp. 26-32. DOI: https://doi.org/10.1201/9781315147659-4

Hattakitpanichakul K, Phuphaibul R, Phumonsakul S, Viwatwongkasem C. Effectiveness of the dual approach program to promote sexual abstinence in Thai early female adolescents and improve parent-daughter sexual communication. J Health Res. 2019 Jun 4;33(4):280-92. DOI: https://doi.org/10.1108/JHR-09-2018-0090

Alomair N, Alageel S, Davies N, Bailey JV. Factors influencing sexual and reproductive health of Muslim women: a systematic review. Reprod Health. 2020;17(1):33. DOI: https://doi.org/10.1186/s12978-020-0888-1

Löfgren-Mårtenson C, Ouis P. ‘We need “culture-bridges”: professionals’ experiences of sex education for pupils with intellectual disabilities in a multicultural society. Sex Ed. 2019;19(1):54-67. DOI: https://doi.org/10.1080/14681811.2018.1478806

Bonafide KE, Vanable PA, Carey MP. The association between African American parent–child sex communication and adolescent condomless sex. AIDS Behav. 2020 Mar;24(3):847-53. DOI: https://doi.org/10.1007/s10461-019-02504-w

Yamin P, Fei M, Lahlou S, Levy S. Using social norms to change behavior and increase sustainability in the real world: a systematic review of the literature. Sustainability. 2019 Oct 21;11(20):5847. DOI: https://doi.org/10.3390/su11205847

Fauk NK, Ward PR, Hawke K, Mwangi L. Cultural and religious determinants of HIV transmission: a qualitative study with people living with HIV in Belu and Yogyakarta, Indonesia. PLoS One. 2021 Nov 15;16(11):e0257906. DOI: https://doi.org/10.1371/journal.pone.0257906

Chawla N, Sarkar S. Defining “high-risk sexual behavior” in the context of substance use. J Psychosexual Health. 2019 Jan;1(1):26-31. DOI: https://doi.org/10.1177/2631831818822015

Tieu HV, Koblin BA, Latkin C, Curriero FC, Greene ER, Rundle A, Frye V. Neighborhood and network characteristics and the HIV care continuum among gay, bisexual, and other men who have sex with men. J Urban Health. 2020 Oct; 97(5):592-608. DOI: https://doi.org/10.1007/s11524-018-0266-2

Riley RD, Ensor J, Snell KI, Harrell FE, Martin GP, Reitsma JB, Moons KG, Collins G, Van Smeden M. Calculating the sample size required for developing a clinical prediction model. BMJ. 2020 Mar 18;368:m441. DOI: https://doi.org/10.1136/bmj.m441

LoBiondo-Wood G, Haber J. Nursing research E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences; 2021.

Council for International Organizations of Medical Sciences. International ethical guidelines for health-related research involving humans. Geneva: CIOMS. 2016. https://cioms.ch/wp-content/uploads/2017/01/WEB-CIOMS-EthicalGuidelines.pdf

Khoori E, Gholamfarkhani S, Tatari M, Wurtele SK. Parents as teachers: mothers’ roles in sexual abuse prevention education in Gorgan, Iran. Child Abuse Negl. 2020 Nov 1; 109:104695. DOI: https://doi.org/10.1016/j.chiabu.2020.104695

Orihuela CA, Mrug S, Davies S, Elliott MN, Tortolero Emery S, Peskin MF, Reisner S, Schuster MA. Neighborhood disorder, family functioning, and risky sexual behaviors in adolescence. J Youth Adolesc. 2020;109:104695. DOI: https://doi.org/10.1007/s10964-020-01211-3

Dittus PJ, Michael SL, Becasen JS, Gloppen KM, McCarthy K, Guilamo-Ramos V. Parental monitoring and its associations with adolescent sexual risk behavior: a meta-analysis. Pediatrics. 2015;136(6):e1587-99. DOI: https://doi.org/10.1542/peds.2015-0305

Govender D, Naidoo S, Taylor M. “My partner was not fond of using condoms and I was not on contraception”: understanding adolescent mothers’ perspectives of sexual risk behaviour in KwaZulu-Natal, South Africa. BMC Public Health. 2020;20:366. DOI: https://doi.org/10.1186/s12889-020-08474-2

Manrique-Millones DL, Pineda-Marin CP, Millones-Rivalles RB, Dimitrova R. The 7Cs of positive youth development in Colombia and Peru: a promising model for reduction of risky behaviors among youth and emerging adults. In: Dimitrova R, Wiium N, editors. Handbook of positive youth development: advancing research, policy, and practice in global contexts. Springer Nature; 2021. pp. 35–48. DOI: https://doi.org/10.1007/978-3-030-70262-5_3

Yang H, Wang JJ, Tng GY, Yang S. Effects of social media and smartphone use on body esteem in female adolescents: testing a cognitive and affective model. Children (Basel). 2020 Sep 21;7(9):148. DOI: https://doi.org/10.3390/children7090148

Jacobs LA, Gottlieb A. The effect of housing circumstances on recidivism: evidence from a sample of people on probation in San Francisco. Crim Justice Behav. 2020 Sep;47(9): 1097-115. DOI: https://doi.org/10.1177/0093854820942285

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Published

2023-12-01

How to Cite

1.
Hayee F, Fongkaew W, Voss JG. Predicting Factors of Pre-coital and Sexual Behaviors among Thai Muslim Adolescents: A Cross-sectional Study. PRIJNR [Internet]. 2023 Dec. 1 [cited 2024 Jul. 20];28(1):116-31. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/262660