Factors Related to Sexually Transmitted Disease Prevention Behavior Among Female Sex Workers in the Thai-Malaysian Border Area

Authors

  • Fareeda Kasor Public Health Program in Community Public Health, Faculty of Health and Sports Science, Thaksin University, Phatthalung, Thailand
  • Farzana Omsara Public Health Program in Community Public Health, Faculty of Health and Sports Science, Thaksin University, Phatthalung, Thailand
  • Patthama Rakkua Public Health Program in Community Public Health, Faculty of Health and Sports Science, Thaksin University, Phatthalung, Thailand https://orcid.org/0009-0009-9375-5827
  • Chamaiporn Thongphet Public Health Program in Community Public Health, Faculty of Health and Sports Science, Thaksin University, Phatthalung, Thailand
  • Watcharee Chitmanee Division of Family Medicine and Primary Health Care Services, Padangbasar Hospital, Songkhla, Thailand
  • Nusanda Rakman Division of Family Medicine and Primary Health Care Services, Padangbasar Hospital, Songkhla, Thailand
  • Jiraporn Benchakarn Dannok Volunteer Development Group, Songkhla, Thailand
  • Wuttikan Saripa Dannok Volunteer Development Group, Songkhla, Thailand

DOI:

https://doi.org/10.33165/rmj.48.04.e275139

Keywords:

Sexually transmitted diseases, Diseases prevention behavior, Female sex workers, Predisposing factors, Enabling factors, Reinforcing factors

Abstract

Background: The incidence of sexually transmitted infections (STIs) in Thailand continues to rise. In Songkhla province, the number of female sex workers undergoing STI screening has declined, while new cases of HIV and other STIs are still reported annually.

Objectives: To study the level of sexually transmitted disease prevention behavior and the factors related to sexually transmitted disease prevention behavior among female sex workers in the Thai-Malaysian border area.

Methods: A cross-sectional survey was conducted among 242 female sex workers in the Thai-Malaysian border area. Participants were selected using convenience sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics and multiple logistic regression.

Results: The results showed that the sample had a non-risky level of sexually transmitted disease prevention behavior (52.48 %). Factors associated with sexually transmitted disease prevention behavior among female sex workers include monthly income/compensation, household composition, history of STI screening, predisposing factors including attitude, enabling factors such as access to health services and condoms, and reinforcing factors such as social support.

Conclusions: Only about half of the female sex workers had a non-risky level of sexually transmitted disease prevention behavior. Healthcare providers should implement proactive screening services, promote access to health services, and strengthen social support mechanisms to improve preventive behaviors in this population.

References

Charoensiri S, Toonsiri C, Leelukkanaveera Y. Factors affecting sexually transmitted infection preventive behaviors among male students in non-formal education. Journal of Phrapokklao Nursing College. 2019;30(2):14-25.

Bureau of AIDS, TB and STIs, Department of Disease Control, Ministry of Public Health Facebook page. Top 5 Sexually Transmitted Diseases. 10 February 2021. Accessed 1 August 2025. https://www.facebook.com/das.ddc.moph/photos/a.1445367822383677/2802516326668813/?type=3

Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. 10 Health Situations 2010-2019: Situation of Sexually Transmitted Disease. Health Information System Development Office; 2016. Accessed 1 August 2025. https://www.hiso.or.th/thaihealthstat/analysis/report.php?y=25532562

Faculty of Medicine Siriraj Hospital, Mahidol University. Sexually Transmitted Disease. Faculty of Medicine Siriraj Hospital; 2020. Accessed 1 August 2025. https://www.si.mahidol.ac.th/th/healthdetail.asp?aid=802

Tunthanathip S. Quality of Life of Foreign Female Sex Workers in Economic Area. Master’s thesis. Prince of Songkla University; 2019. Accessed 1 August 2025. https://kb.psu.ac.th/psukb/bitstream/2016/13135/1/437826.pdf

Dannok Volunteer Development Group Facebook page. Female sex workers in Samnak Kham Subdistrict Municipality. 21 July 2016. Accessed 1 August 2022. https://www.facebook.com/profile.php?id=100064421993143

Green LW, Kreuter MW. Health Promotion Planning: An Educational and Ecological Approach. 3rd ed. Mayfield Publishing Company; 1999. Accessed 1 August 2025. https://archive.org/details/healthpromotionp0000gree/page/n3/mode/2up

Jirawatkul A. Statistics for Health Science Research. Witthayaphat; 2009. Accessed 1 August 2025. https://libebook.kku.ac.th/items/602cb18d-0190-4e6a-9f3c-1a432ebc1b85

Darawutthimaprakorn N, Phuengsamran D, Hawangchu D, Tapienthong K, Janyam S. Relationships between condom coercion and PrEP interest among female sex workers. Thai AIDS Journal. 2021;34(1):58-69. doi:10.14456/taj.2022.5

Supattanakul K. Behavioral perception and factors involved in prevention transmitted diseases of female sex workers who came to receive service at the Sexual Transmission Disease and AIDS Department 6.1 Bang Lamung District Chonburi Province. Office of Disease Prevention and Control Region 6 Chonburi, Department of Disease Control, Ministry of Public Health; 2017.

Bureau of AIDS, TB and STIs, Departments of Disease Control, Ministry of Public Health. STI Management Guidelines 2015. Aksorn Graphic and Design Publishing House; 2015.

Thongnopakun S. Sexual health: guidelines for health promotion among female sex workers. The Public Health Journal of Burapha University. 2015;10(2):117-125.

Bureau of AIDS, TB and STIs, Departments of Disease Control, Ministry of Public Health. Operational Standards Prevention of HIV Infection, Sexually Transmitted Diseases, and Care Services for Sexual Health and Hygiene, Fertility for Female Sex Workers. Agricultural Cooperative Society of Thailand Printing House Co, Ltd; 2013. Accessed 1 August 2025. https://klb.ddc.moph.go.th/dataentry/handbook/form/28

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Published

2025-10-10

How to Cite

1.
Kasor F, Omsara F, Rakkua P, Thongphet C, Chitmanee W, Rakman N, Benchakarn J, Saripa W. Factors Related to Sexually Transmitted Disease Prevention Behavior Among Female Sex Workers in the Thai-Malaysian Border Area. Res Med J [internet]. 2025 Oct. 10 [cited 2025 Dec. 28];48(4):e275139. available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/275139

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Original Articles