Tipwareerom Worawan, Weglicki Linda
Faculty of Nursing Naresuan University, Phitsanulok, Thailand.
Florida Atlantic University Christine E Lynn College of Nursing, Boca Raton, Florida, USA.
Nurs Health Sci. 2017 Jun;19(2):212-219. doi: 10.1111/nhs.12331. Epub 2017 Mar 16.
Human immunodeficiency virus (HIV) is increasing in Thai youth. Consequently, a school-based National Condom Strategy program was launched in 2015 to reduce the rate of HIV and sexually transmitted infections. We conducted in-depth interviews of 31 parents/adoptive guardians of high-school age Thai boys to explore parents' knowledge, attitudes, behaviors, and barriers to promoting condom use and its role in preventing HIV/sexually transmitted infections. A descriptive phenomenological approach and thematic analysis was used. Most participants had knowledge and positive attitudes about condom use. Half disagreed with the National Condom Strategy of placing condom vending machines in schools. More than half did not initiate teaching male youth about condom use until the youth had broached the question or only intended to do so when the youths were older. Barriers included parents' lack of condom experience and knowledge, embarrassment/discomfort when talking about condoms, and belief that youth were not sexually active. Parents are a key factor for supporting condom use in Thailand. This study supports the need for education programs for parents.
泰国青少年中的人类免疫缺陷病毒（HIV）感染率正在上升。因此，2015年启动了一项以学校为基础的国家避孕套战略计划，以降低HIV和性传播感染率。我们对31名泰国高中男生的父母/养父母进行了深入访谈，以探讨父母在促进避孕套使用方面的知识、态度、行为和障碍，以及避孕套在预防HIV/性传播感染中的作用。采用了描述性现象学方法和主题分析法。大多数参与者对避孕套使用有一定的了解并持积极态度。一半的人不同意国家避孕套战略中在学校设置避孕套自动售货机的做法。超过一半的人直到青少年提出问题才开始向他们传授避孕套使用知识，或者只打算等青少年长大后才这么做。障碍包括父母缺乏使用避孕套的经验和知识、谈论避孕套时感到尴尬/不适，以及认为青少年没有性行为。在泰国，父母是支持避孕套使用的关键因素。本研究支持为父母开展教育项目的必要性。
