Sexual Behavior Model Among Young Thai Women Living in Slums in Bangkok,Thailand

Abstract

There has been a dramatic drop in age at first intercourse and concurrent rise in HIV infections among young Thai women living in slums. The participants included 492 young Thai women (average age = 19.7 years). They provided detailed self-perception, emotion, sexual self-efficacy, cognitive strategies, and power in relationships. Logistic regression analysis was used to explore sexual behavior model. Findings highlight the extreme vulnerability of Thai female adolescents who engage in risky sexual behaviors: 55.8% were sexually active with 41.8% having vaginal sex without using condom. Significant enabling factors included perceived ability to precautions (odds ratio [OR] = 1.7), relational gain thinking (OR = 1.5), and curious gain thinking (OR = 1.3). The significant protective factors were decision-making dominance (OR = 0.3), perceived ability to say no (OR = 0.7), and ethical-related punishment avoidance thinking (OR = 0.8). These findings contribute to greater understanding of factors involved in sexual risk taking. Implications for behavioral modification addressing cognition and power in relationships are discussed.

Keywords

sexual self-efficacy cognitive strategies power in relationships sexual behavior slums

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References

Country-Coordinating Mechanism (CCM) Thailand. HIV/AIDS Situation and Epidemic in Thailand. Nonthaburi , Thailand: Ministry of Public Health; 2006.

Powwattana A. Self-Discrepancies, Negative Emotions, Cognitive Strategies and Sexual Behaviors Among Young Adult Thai Women [dissertation]. Madison, WI : University of Wisconsin-Madison; 2002.

Danaidusadeekul, R. Factors related to sexual abstinence among late adolescent females in Bangkok metropolitan area. In: The 2006 Thai National Symposium on Population Studies. Bangkok, Thailand: Charunsanitwong; 2006:83-91.

Taywaditep KJ , Coleman E. , Dumronggittigule P. Thailand (Muang Thai). In: Francoeur RT , ed. The International Encyclopedia of Sexuality. Vol. 3. New York, NY: Continuum; 1997:1192-1265.

Higgins ET Self-discrepancy: a theory relating self and affect. Psychol Rev. 1987;94:319-340.

Brown A. , Yung A. , Cosgrave E. , et al. Depressed mood as a risk factor for unprotected sex in young people. Australas Psychiatry. 2006;14:310-312.

Ramrakha S. , Caspi A. , Dickson N. , Moffitt TE , Paul C. Psychiatric disorders and risky sexual behaviour in young adulthood: crossectional study in birth cohort. BMJ. 2000;321:263-266.

Bancroft J. , Janssen E. , Strong, D. , Carnes L. , Vukadinovic Z. , Long JS The relation between mood and sexuality in heterosexual men. Arch Sex Behav. 2003;32:217-230.

Mittal V. , Ross WT The impact of positive and negative affect and issue framing on issue interpretation and risk taking. Organ Behav Hum Decis Process. 1998;76:298-324.

10.

Raghunathan R. , Pham MT All negative moods are not equal: motivational influences of anxiety and sadness on decision making. Organ Behav Hum Decis Process. 1999;79:56-77.

11.

Tabachnick BG , Fidell LS Using Multivariate Statistics. 4th ed. Needham Heights, MA: Allyn & Bacon; 2001.

12.

Radloff LS The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385-401.

13.

Pulerwitz J. , Gortmaker SL , DeJong W. Measuring sexual relationships power in HIV/STD research. Sex Roles. 2000;42:637-660.

14.

DeLamater J. , MacCorquodale P. Premarital Sexuality: Attitudes, Relationships, and Behavior. Madison, WI: University of Wisconsin Press; 1979.

15.

Jakobsen R. Stages of progression in noncoital sexual interaction among adolescents: an application of the Mokken scale analysis. Int J Behav Dev . 1997;21:537-553.

16.

Montgomery MJ , Sorell GT Love and dating experience in early and middle adolescence: grade and gender comparisons. J Adolesc. 1998;21:677-689.

17.

Bruch MA , Rivet KM , Laurenti HJ Type of self-discrepancy and relationships to components of the tripartite model of emotional distress. Pers Individ Dif. 2000;29:37-44.

18.

Gramzow RH , Sedikides C. , Panter AT , Insko CA Aspects of self-regulation and self-structure as predictors of perceived emotional distress. Pers Soc Psychol Bull. 2000;26:188-205.

19.

Tangney JP , Niedenthal PM , Covert MV , Barlow DH Are shame and guilt related to distinct self-discrepancies? A test of Higgins’s (1987) hypotheses. J Pers Soc Psychol. 1998 ;75:256-268.

20.

Leith KL , Baumeister RF Why do bad moods increase self-defeating behaviors? Emotion, risk taking, and self-regulation. J Pers Soc Psychol. 1996 ;71:1250-1267.

21.

Miller LC , Burns DM , Rothspan S. Negotiating safer sex: the dynamics of African-American relationships. In: Kalbfleisch PJ , Cody MJ , eds. Gender, Power, and Communication in Human Relations . Hilldale, NJ: Erlbaum; 1995:163-188.

22.

Amaro H. Love, sex, and power: considering women’s realities in HIV prevention . Am Psychol. 1995;50:437-447.

23.

Bandura A. Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall; 1989.

24.

Emerson RM Social exchange theory. In: Rosenberg M , Turner RH , eds. Social Psychology: Sociological Perspectives. New York, NY: Basic Books; 1981:30-65.