The Attitudes towards Barriers of Condom Use and Errors among High School Boy Students


  • Worawan Tipwareerom Assistant Professor, Faculty of Nursing, Naresuan University
  • Umaporn Hanrungcharotorn Assistant Professor, Faculty of Nursing, Naresuan University
  • Anchalee Tongsen Instructor, Faculty of Nursing, Naresuan University


Attitudes towards condom use, Condom use barriers, Condom use errors, High school student, Boy students


The National Condom Strategy of Ministry of Public Health found an increased in the rate of condom use among sexually active adolescents. However the prevalence rate of Sexually Transmitted Infections among Thai adolescent ages 15-24 years of age is increasing dramatically. A cross-sectional study was conducted to examine the attitudes towards barriers of condom use, problems and condom use errors among high school boy students. The samples included 148 high school boy students in 10th to12th grade who had condom use experiences in ten high schools, Muang Phitsanulok District. Two measurements consisted of 1) the attitudes towards barriers of condom use, and 2) problems and errors of condom use. The reliability was tested by Alpha Cronbach’s 0.89, and 0.91, respectively. Data were analyzed using descriptive statistics such as frequency, percentage, mean, and standard deviation.

          The study results revealed that mean scores of attitudes towards barriers of condom use among high school boy students was moderate. Condom use errors included not leaving a gap at the tip of condom, not pinching the tip of condom after rolling it down, and waiting to remove the condom after sex was concluded. The condom use problems were not checking for breaking of the condom before sex, poorly fitting condom, and loss of sex simulation while using a condom. Results from this study could improve health education programs and promote condom effectiveness among adolescents and to decrease the sexually transmitted diseases rate and teenage pregnancy.


Download data is not yet available.


Apakupakul, N. (2006). Sexual relation and condom use in teenagers and young adults at clubs: a case study in Bangkok. Songklanagarind Medical Journal, 24(6), 475-482.(In Thai)

Boonmongkol, P., Promnart, P., Samao, N., Ojanen, T., Guadarmuz, T., Burford, J., … Sungsripet, C. (2016). Research report to review sexuality education in Thai educational institutes. Bangkok: Mahidol University. (In Thai)

Bureau of Epidemiology. (2014). Situation of HIV infection epidemic in Thailand, 2014.Retrieved from (In Thai)

Bureau of Reproductive Health. (2017). Reproductive health situation in adolescent and youth 2017. Retrieved from (In Thai)

Crosby, R., Sanders, S., Yarber, W. L., & Graham, C. A. (2003). Condom – use errors and problems: A Neglected aspect of Studies assessing condom effectiveness. Am J Prev Med, 24(4), 367-370.

Department of Health. (2018). The correct of Condom use. Retrieved from Thai)

Department of Health. (2019). Reproductive health situations among teenagers and adolescences. Retrieved from (In Thai)

Meechamnan, C., Fongkaew, W., Chotibang J., & McGrath B. B. (2014). Do Thai Parents discuss sex and AIDS with young adolescents: A qualitative study. Nursing and Health Science, 16(1), 97-102.

Medthai. (2017). Condom: Condom use method & review 13 condom brands. Retrieved from (In Thai)

Ministry of Public Health. (2015). National Condom Strategy 2015-2019. Bangkok: J S Publishing. (In Thai)

PATH. (2008). Sex Education guideline for students in Grade 11. Bangkok: Urgent Tech Co Ltd. (In Thai)

Sridawruang, C., Pfeil, M., & Crozier, K. (2010). Why Thai parents do not discuss sex with their children: A qualitative study. Nursing and Health Science, 12(4), 437-443. (In Thai)

Tipwareerom, W., Powwattana, A., Lapvongwatana, P., & Crosby, A. (2011). Effective of a model of risky sexual behavior prevention among adolescent boys in Thailand. Southeast Asian Journal of Trop Medicine and Public Health, 42(3), 726-736. (In Thai)

Olanratmanee, B., & Jungsomjatepaisai, W. (2017). The effect of comprehensive sex education program on knowledge and skill of condom application to model of 2nd grade high school. Journal of Nursing Science, 35(1), 48-60. (In Thai)

Srijan, N., Moolphate, S., & Jaitae, S. (2017). Determinants of condom use behavior among men who have sex with men, Mueang district, Chang Mai province. Journal of Graduate Research, 8(1), 217-233. (In Thai)

Tipwareerom, W., & Weglicki, L. (2017). Parents’ knowledge, attitude, behaviors, and barriers in promoting condom use among their adolescent sons. Nursing and Health Sciences, 19(2), 212-219. (In Thai)

Wibulpolprasert, S., Sirilak, S., Ekachampaka, P., Wattanamano, N., & Taverat, R. (Eds.). (2001).Thailand Health Profile 1999-2000. Bangkok: Express Transportation Organization. (In Thai)

Yamane, T. (1973). Statistics: An introductory analysis (3rd ed.). New York: Harper and Row Publication.