Health Promot Perspect. 2022;12(2): 178-185.
doi: 10.34172/hpp.2022.22
PMID: 36276420
PMCID: PMC9508389
  Abstract View: 151
  PDF Download: 141

Original Article

Sexual health literacy and preventive behaviors among middle-school students in a rural area during the COVID-19 situation: A mixed methods study

Mereerat Manwong 1 ORCID logo, Saowanee Thongnopakun 2* ORCID logo, Yuvadee Rodjarkpai 2 ORCID logo, Aimutcha Wattanaburanon 2 ORCID logo, Sawitree Visanuyothin 3 ORCID logo

1 College of Medicine and Public Health, Ubon Ratchathani University, Ubon Ratchathani, Thailand
2 Faculty of Public Health, Burapha University, Chon Buri, Thailand
3 National Health Security Office (NHSO), Nakhon Ratchasima, Thailand
*Corresponding Author: Corresponding Author: Saowanee Thongnopakun, Email: , Email: saowaneehe@hotmail.com


Background: This study explored the association between sexual health literacy (SHL) and preventive behaviors of pregnancies and sexually transmitted diseases (STDs) among middle-school students during the COVID-19 outbreak to aid in the development of an informative program.

Methods: Mixed-method study with stratified two-stage cluster sampling was used to obtain 730 students from 20 middle schools in a rural province of Thailand. Online self-administered questionnaire was used to collect data from February 2020 to February 2021. Two brainstorming sessions were conducted with a purposeful sample of 25 stakeholders. Multiple linear regressions were used to assess the relationships.

Results: The associated significant factors with the preventive behaviors were sex (b=2.06, 95% CI: 1.07, 3.05), nightlife (b=-2.33, 95% CI: -3.99, -0.67), drinking alcoholic beverages (b=2.24, 95% CI: -3.24, -1.23), sexual intercourse experience (b=-2.64, 95% CI: -4.56, -0.72), and SHL (b=0.12, 95% CI: 0.08, 0.16). The stakeholders recommended an edutainment online program via Facebook.

Conclusion: This study investigated factors associated with SHL and preventive behaviors among middle school students. The most effective variable in this model was SHL. Therefore, a trial of an online program emphasizing SHL improvement should be examined for effectiveness among these students and seems appropriate, considering their rural area context and middle-school status.

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Submitted: 10 Feb 2022
Revision: 15 Mar 2022
Accepted: 09 Apr 2022
ePublished: 20 Aug 2022
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