title: Effects of the culturally-sensitive comprehensive sex education programme among Thai secondary school students.
abstract: OBJECTIVE
  This paper reports on a study to evaluate the effectiveness of a culturally-sensitive comprehensive sex education programme among Thai secondary school students.
  
  
  BACKGROUND
  Increasing number of adolescents in Thailand have been engaging in premarital sex. No theory-based, abstinence-oriented models of sex education have been evaluated in this population.
  
  
  METHODS
  A quasi-experimental study was conducted in 2006-2007. Outcome measures included sexual behaviour, condom use, intention to refuse sex, intention to use condoms, and knowledge regarding sexually transmitted infections/human immunodeficiency virus/acquired immunodeficiency syndrome and pregnancy.
  
  
  RESULTS
  Students in the experimental group had lower levels of reported sexual intercourse at 3- and 6-month follow-ups, compared with those in control group (P < 0.01). Students participating in the programme had significantly greater intention to refuse sex in the future across time than controls (P < 0.05). Sexually active adolescents participating in the programme reported significantly lower frequencies of sexual intercourse across time than controls (P < 0.01). However, the programme did not influence consistent condom use (P > 0.05), although the intervention was associated with increased intention to use condoms (P < 0.01). Knowledge about sexually transmitted infections/human immunodeficiency virus/acquired immunodeficiency syndrome and pregnancy among students in the intervention group was significantly greater than that of the controls (P < 0.05).
  
  
  CONCLUSIONS
  School nurses can play a major role by applying this kind of sex education programme. For nurse researchers, it would be useful to extend this research by considering alternative ways to foster condom use in the non-commercial partnerships that have become common among adolescents.
authors.affiliation: Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand. ratsiri99@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Thato
authors.forename: R A
authors.initials: RA
authors.lastname: Jenkins
authors.forename: N
authors.initials: N
authors.lastname: Dusitsin
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control; D000293:Adolescent; D017280:Condoms / Q000706:statistics & numerical data*; D003469:Culture; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control; D015397:Program Evaluation / Q000379:methods; D000297:Psychology, Adolescent; D012736:Sex Education / Q000379:methods / Q000592:standards*; D012725:Sexual Behavior / Q000208:ethnology / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D013785:Thailand / Q000453:epidemiology