Haque Mohammad Raisul, Soonthorndhada Amara
BRAC Health Programme, BRAC, BRAC Centre, Mohakhali, Dhaka 1212, Bangladesh.
J Health Popul Nutr. 2009 Dec;27(6):772-83. doi: 10.3329/jhpn.v27i6.4329.
Youths, aged 15-24 years, comprise a large fragment of the total population in Thailand, and unsafe sexual behaviours are increasing, nowadays, among young people. The study was conducted to explore the characteristics of youths and other conducive, facilitating and reinforcing factors associated with risk perception of sexually transmitted infections (STIs) among the study population. Data employed in this study were derived from the site of the Kanchanaburi Demographic Surveillance System of Thailand 2004 using a stratified systemic design. The study population was mainly young current condom-users aged 15-24 years, and cross-sectional analysis was done on this populace. The findings revealed that youths who fell into the single (unmarried) category having temporary partners were more likely to perceive the risks associated with STIs in relation to using condom. A greater proportion of unmarried youths was engaged in sexual activity before the age of 20 years and that condom-use was also inconsistent. Youths having temporary partners were more likely to perceive risk and reason for using a condom than when with their regular partner. Education played a significant role in risk perception of STIs. Risk perception was increasing with the increasing level of education. Other conducive and facilitating factors, such as household wealth, living in urban or semi-urban areas, and access to mass media such as television, also had a positive influence on risk perception. The odds ratio showed that condom-users who had indulgence in liquor were less likely to perceive the risk of STIs. Overall, socioeconomic status had a great influence on risk perception of STIs. Finally, youths exhibiting high-risk sexual behaviour need realistic risk assessments and positive ways of incorporating condom into their sexual lives.
15至24岁的青年占泰国总人口的很大一部分，如今年轻人中的不安全性行为正在增加。本研究旨在探讨研究人群中与性传播感染（STIs）风险认知相关的青年特征及其他有利、促进和强化因素。本研究使用的数据来自泰国2004年北碧府人口监测系统站点，采用分层系统设计。研究人群主要是15至24岁目前使用避孕套的年轻人群，并对该人群进行了横断面分析。研究结果显示，处于单身（未婚）且有临时伴侣类别的青年在使用避孕套方面更有可能意识到与性传播感染相关的风险。更大比例的未婚青年在20岁之前就开始了性行为，并且避孕套的使用也不一致。有临时伴侣的青年比与固定伴侣在一起时更有可能意识到风险及使用避孕套的原因。教育在性传播感染的风险认知中起着重要作用。风险认知随着教育水平的提高而增加。其他有利和促进因素，如家庭财富、生活在城市或半城市地区以及接触电视等大众媒体，也对风险认知有积极影响。优势比表明，沉溺于饮酒的避孕套使用者不太可能意识到性传播感染的风险。总体而言，社会经济地位对性传播感染的风险认知有很大影响。最后，表现出高风险性行为的青年需要现实的风险评估以及将避孕套纳入其性生活的积极方式。
