Boonmongkon Pimpawun, Shrestha Manash, Samoh Nattharat, Kanchawee Kunakorn, Peerawarunun Pimnara, Promnart Petcharat, Ojanen Timo, Guadamuz Thomas E
Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, 999 Putthamonthon 4 Road Salaya, Nakhon Pathom 73170, Thailand; and Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, 999 Putthamonthon 4 Road Salaya, Nakhon Pathom 73170, Thailand.
Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, 999 Putthamonthon 4 Road Salaya, Nakhon Pathom 73170, Thailand.
Sex Health. 2019 Jun;16(3):263-273. doi: 10.1071/SH18121.
Background The purpose of this nationwide study was to assess implementation of comprehensive sexuality education (CSE) in Thai public secondary schools, with a view to reveal its strengths and weaknesses.
This was a mixed-methods study using a cross-sectional survey of 8837 students and 692 teachers at 398 public secondary schools, selected by multistage cluster sampling from six regions of Thailand, along with participatory focus group discussions with 150 students, and semi-structured in-depth interviews with 30 students and 70 teachers.
Sexuality education was provided in most schools, but its implementation was incomprehensive and inconsistent across different types of schools. Topics covered were broad, but emphasis was primarily on biology and negative consequences of sex, in particular preventing adolescent pregnancy. Topics related to human rights, gender equality, and sexual and gender diversity were not addressed sufficiently. Pedagogy was found to be heavily lecture-based, while class environment was not comfortable for many students.
Gaps recognised in this study reflect the challenges of providing sexuality education in school settings where society's political and sociocultural norms are imposed and traditional pedagogical ways have remained dominant. Strategies are needed to address implementation shortcomings to make sexuality education more comprehensive in Thailand.
背景 这项全国性研究的目的是评估泰国公立中学全面性教育（CSE）的实施情况，以揭示其优势和不足。
这是一项混合方法研究，对泰国六个地区通过多阶段整群抽样选取的398所公立中学的8837名学生和692名教师进行横断面调查，同时与150名学生进行参与式焦点小组讨论，并对30名学生和70名教师进行半结构化深度访谈。
大多数学校都提供性教育，但其实施在不同类型的学校中并不全面且不一致。涵盖的主题广泛，但主要侧重于生物学以及性行为的负面后果，特别是预防青少年怀孕。与人权、性别平等以及性和性别多样性相关的主题没有得到充分探讨。教学方法主要以讲座为主，而课堂环境对许多学生来说并不舒适。
本研究中发现的差距反映了在社会政治和社会文化规范盛行且传统教学方式仍占主导地位的学校环境中提供性教育所面临的挑战。需要采取策略来解决实施中的不足，以使泰国的性教育更加全面。
