Dinh Thanh-Hang, van Teijlingen E R
Pasteur Institute Nha Trang, Epidemiology Department, 08 Tran Phu, Nha Trang, Khanh Hoa, Viet Nam.
Bournemouth University, Faculty of Health and Social Sciences, Bournemouth House, Bournemouth, BH21 3UJ, UK.
Int J Adolesc Med Health. 2019 Apr 17;33(4):/j/ijamh.ahead-of-print/ijamh-2018-0201/ijamh-2018-0201.xml. doi: 10.1515/ijamh-2018-0201.
With the rising trend of sexual engagement among Vietnamese young adults in recent years, concerns were raised over the issue of premarital sex and its potential health consequences. In order to prevent such consequences and further promote health, an in-depth understanding of factors influencing young people to have premarital sex would be valuable.
To generate a grounded theory explaining factors influencing engagement in premarital sex among Vietnamese young adults.
Vietnamese adults aged 18-24 who have voluntarily engaged in premarital sex (n = 18).
The study was conducted using the grounded theory approach by Glaser. Purposive and theoretical sampling was used. Ten in-depth interviews and three additional focus group discussions were carried out. The interviews were audio-recorded and transcribed verbatim. Data analysis involved using the constant comparative method and open and theoretical coding. Sampling, data collection and data analysis happened simultaneously until theoretical saturation was achieved.
The grounded theory is constructed around six emergent themes: (a) desire as the 'direct cause'; (b) the facilitators; (c) social changes; (d) media; (e) peer and (f) absence of family. The latter four themes are 'indirect causes' that influence through desire and the facilitators.
The study has contributed a grounded theory that identified the factors and described their relationships in a comprehensive way. It suggested a need for a reliable source of information to be tailor-designed to suit young people. Additionally, the stigma of talking about sex needs to be reduced to allow for more open discussions on sex and sexual health.
近年来，越南年轻人的性活动呈上升趋势，人们对婚前性行为及其潜在的健康后果表示担忧。为了预防这些后果并进一步促进健康，深入了解影响年轻人婚前性行为的因素将很有价值。
构建一个扎根理论，解释影响越南年轻人婚前性行为的因素。
18至24岁自愿有婚前性行为的越南成年人（n = 18）。
本研究采用格拉泽的扎根理论方法进行。采用了目的抽样和理论抽样。进行了十次深度访谈和三次额外的焦点小组讨论。访谈进行了录音并逐字转录。数据分析采用持续比较法以及开放式和理论编码。抽样、数据收集和数据分析同时进行，直至达到理论饱和。
扎根理论围绕六个新出现的主题构建：（a）欲望作为“直接原因”；（b）促成因素；（c）社会变革；（d）媒体；（e）同龄人；（f）家庭缺失。后四个主题是通过欲望和促成因素产生影响的“间接原因”。
该研究贡献了一个扎根理论，全面识别了相关因素并描述了它们之间的关系。研究表明需要量身定制一个可靠的信息来源以满足年轻人的需求。此外，需要减少谈论性话题的耻辱感，以便就性和性健康进行更开放的讨论。
