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Understanding family influences on young women’s sexual risk behaviour: experience from Thailand

Bangpan, Mukdarut (2012) Understanding family influences on young women’s sexual risk behaviour: experience from Thailand. In: International AIDS Conference, 2012-07-22 - 2012-07-27, Washington DC.

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Background: Young people are at risk of HIV/AIDS. Research suggests that family can strongly influence sexual decisions of young people. A culturally appropriate understanding of family context is essential to effective HIV intervention. This study aimed to explore to what extent family plays a role in sexual risk behaviour of young Thai women in Bangkok. Methods. We conducted 1) A systematic review of qualitative studies to provide a general understanding of family influences on sexual risk behaviour based on young women’s accounts. Searches were carried out in eight databases, journals, references, and websites. Using a meta-ethnographic approach, 11 studies were synthesised to develop themes relevant to familial influences. 2) Eight focus groups (n=40; 4-6 participants in each group) with young Thai women aged 18-25. The samples were purposely recruited from four sites across Bangkok; a university, a government office, a slum community, and a garment factory. Thematic analysis was carried out based on the focus group data. Results: Three broad themes emerged from the synthesis of qualitative studies: the dynamics of family processes, parental attitudes and behaviour and daughters’ internalisation. Results of focus groups highlight the importance of family processes including parent-child communication, family relationship, and parental monitoring in Thai context. Several factors identified as a barrier to effective parent-child sexual communication, including a lack of parents’ HIV related knowledge, communication skills and Thai conservative values regarding sex. In a broader social context, the findings suggest that sexual decisions in Thai context were rather dynamic and complex, involving different influencing factors including personal, familial, social, and cultural dimensions. Conclusions: When developing HIV interventions with family involvement, it may be useful to understand the role of family in a local context. Future research and HIV interventions in Thailand should consider expanding intervention approaches to target at individual, familial and social levels.

Item Type: Conference or Workshop Item (Poster)
Divisions: IOE Departments > Departments > Social Science Research Unit
Depositing User: Atira Pure
Date Deposited: 01 Jun 2013 04:34
Last Modified: 29 Jan 2015 10:39
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