ความสัมพันธ์ทางเพศเชิงอำนาจ และพฤติกรรมเพศสัมพันธ์ที่ปลอดภัย ของหญิงตั้งครรภ์วัยรุ่น

Power in Sexual Relationship and Safe Sex Behaviors Among Teenage Pregnancies

Abstract

Teenage pregnancy is crucial public health and social problems in the national level because the trend of sexual behavior among
teenagers has been changing dramatically. The objectives of this study were to study safe sex behavior, and examine association
between fear of AIDs, fear of pregnancy, self-esteem, relationship control, decision dominance, and safe sex behavior of teenage
pregnancies. The participants were 205 teenage pregnancies, aged less than 20 years with the first gestation, who attended ANC at
the community and provincial government hospitals in the east (Chonburi and Chacoengsao) during August to October 2010. The
research instrument was face-to- face interviewed questionnaire which the reliability of each part was demonstrated Cronbach’s
Alpha coefficient (a) of .7. Binary logistic regression was used to analyze correlation. The result showed that the average age of
teenage pregnancies was 17.7 years (ranging from 14 to 19 years); 21.9 % had experienced getting pregnant more than once; and
50.7 % had unplanned pregnancy. Sexual behavior in the past 6 months was revealed that 21.5 % accepted being not sure of partner’s
monogamy; 8.8 % accepted not having monogamy ;only 25% knew partner’s sexual risks; 50.7% knew partner’s HIV blood test ;
94.6% reported using condom at last sex. ; 35.6 % reported drinking before having sex; 60.5 % reported never using condom; and
56.6 % reported never using dual protection (condom and contraceptive method). Overall sexual behavior in the past 6 months before
getting pregnant was found 56.1 % of them reported unsafe sex. The statistically significant factor of safe sex behaviors was
relationship control: teenage pregnancies with poor relational control were twice times more likely to have unsafe sex than those with
good relational control (OR= 2.1, 95%CI = 1.19-3.72). The findings of this study could be used for developing strategic plan to
reduce sexual risk behavior and prevent teenage pregnancies, focused on gender and interpersonal relationship.