ABSTRACT
The study aimed to explore knowledge, attitudes and behaviors of premarital sex and its associated factors among bedsit-living students. A community-based cross-sectional study was conducted in Hue city, Vietnam in 2015. Multi-stage cluster sampling was used to recruit students. Data were collected by using a self-administered questionnaire at participant’s room. A total of 730 students (men/women: 44.2%/55.8%, mean age: 20.9 years) were enrolled. Prevalence of premarital sex was 11.9% with an average age of first sexual intercourse at 19.8 ± 2.2 years. For premarital sex, 13.3 to 19.5% students did not have enough knowledge of reproductive health and safe sex, 34.1% agreed on different situations. Male students accepted premarital sex more than female students did (45.8% vs. 24.8%, p < 0.001, ï£2). Gender, age group, marital status, knowledge of consequences of premarital sex and knowledge of STDs prevention were associated with attitude and practice of premarital sex (p < 0.05, ï£2). The prevalence of premarital sex was comparable with recent domestic and regional data, yet implied an increased trend. Up to one-fifth of students were not equipped with enough knowledge of safe sex, therefore, reproductive and sexual health education for bedsit-living students should be reinforced.
Key words: Premarital sex, knowledge, attitude, behavior, students.
REFERENCES
Adanikin AI, Adanikin PO, Orji EO, Adeyanju BT (2017). Survey of Sexual Activity and Contraceptive Use among Unmarried Young School and College Drop-Outs in a Defined Nigerian Population. Journal of Biosocial Science 49(5):675-684 Crossref
Adhikari R, Tamang J (2009). Premarital sexual behavior among male college students of Kathmandu, Nepal. BMC Public Health 9(1):241 Crossref
Akibu M, Gebresellasie F, Zekarias F, Tsegaye W (2017). Premarital sexual practice and its predictors among university students: institution based cross sectional study. The Pan African Medical Journal 28:234. Crossref
Azmawati MN, Dalila R, Idris IB, Hod R (2017) Bullying and truancy: Predictors to sexual practices among school-going adolescents in Malaysia - a cross-sectional study. The Medical journal of Malaysia 72(5):298-305
Berhan Y, Berhan A (2015). A Meta-Analysis of Risky Sexual Behaviour among Male Youth in Developing Countries. AIDS Research and Treatment 2015. Crossref
Cai R, Richardus JH, Looman CW, de Vlas SJ (2013). Trends in high-risk sexual behaviors among general population groups in China: a systematic review. PloS one 8(11):e79320 Crossref
Chamratrithirong A, Miller BA, Byrnes HF, Rhucharoenpornpanich O, Cupp PK, Rosati MJ,Chookhare W (2010). Spirituality within the family and the prevention of health risk behavior among adolescents in Bangkok, Thailand. Social Science and Medicine 71(10):1855-1863. Crossref
Do M, Fu H (2010) Attitudes Toward Premarital Sex in Contemporary Vietnam: Findings from a National Survey.International Journal of Sexual Health 22(2):103-118. Crossref
Ghuman S, Loi VM, Huy VT, Knodel J (2006) Continuity and change in premarital sex in Vietnam. International Family Planning Perspectives 32(4):166-174. Crossref
Gibbs SE, Le LC, Dao HB, Blum RW (2014). Peer and community influences on the acceptance of premarital sex among Vietnamese adolescents. Journal of Paediatrics and Child Health 50(6):438-443 Crossref
Ghuman S, Loi VM, Huy VT, Knodel J (2006) Continuity and change in premarital sex in Vietnam. International family planning perspectives 32(4):166-74 Crossref
Htay SS, Yoshida Y, Harun-Or-Rashid M, Sakamoto J (2010). Risk behaviours and associated factors among medical students and community youths in Myanmar. Nagoya Journal of Medical Science 72(2):71-81.
Katayon VS (2014) Estimation of sexual behavior in the 18-to-24-years old Iranian youth based on a crosswise model study. BMC Research Notes 7(28). Crossref
Lou C, Cheng Y, Gao E, Zuo X, Emerson MR, Zabin LS (2012). Media's contribution to sexual knowledge, attitudes, and behaviors for adolescents and young adults in three Asian cities. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine 50(3):26-36. Crossref
Mensch BS, Clark WH, Anh DN (2003). Adolescents in Vietnam: looking beyond reproductive health. Studies in Family Planning 34(4):249-262. Crossref
Motamedi M, Merghati-KE, Shahbazi M, Rahimi-NS, Salehi M, Karimi M, Khalajabadi-FF (2016) Paradoxical attitudes toward premarital dating and sexual encounters in Tehran, Iran: a cross-sectional study. Reproductive Health 13(1):102. Crossref
Mudassir ASASS, Keivan A, Tahir MK (2010) Awareness of school students on sexually transmitted infections (STIs) and their sexual behavior: a cross-sectional study conducted in Pulau Pinang, Malaysia. BMC Public Health 10(47). Crossref
Nguyen HN, Liamputtong P (2007). Sex, love and gender norms: sexual life and experience of a group of young people in Ho Chi Minh City, Vietnam. Sexual Health 4(1):63. Crossref
Philippines NSO (2014). Philippines National Demographic and Health Survey 2013. Calverton, Maryland: National Statistics Office Philippines and ICF Macro.
Rathavuth HVC (2009) Changes in HIV-Related Knowledge, Behaviors, and Sexual Practices among Cambodian Women from 2000 to 2005. Journal of Women's Health 18(8). Crossref
Regassa T, Chala D, Adeba E (2016). Premarital sex in the last twelve months and its predictors among students of Wollega University, Ethiopia. Ethiopian Journal of Health Sciences 26(4):351. Crossref
Shu C, Fu A, Lu J, Yin M, Chen Y, Qin T, Shang X, Wang X, Zhang M, Xiong C, Yin P (2016). Association between age at first sexual intercourse and knowledge, attitudes and practices regarding reproductive health and unplanned pregnancy: a cross-sectional study. Public Health 135:104-113. Crossref
Song Y, Ji CY (2010) Sexual intercourse and high-risk sexual behaviours among a national sample of urban adolescents in China. Journal Public Health 32(3):312-321. Crossref
Tangmunkongvorakul A, Carmichael G, Banwell C, Seubsman SA, Sleigh A (2012). Coital Experience Among Adolescents in Three Social-Educational Groups in Urban Chiang Mai, Thailand. Asian Population Studies 8(1):39-63. Crossref
Tangmunkongvorakul A, Carmichael G, Banwell C, Utomo ID, Sleigh A (2011). Sexual perceptions and practices of young people in Northern Thailand. Journal of Youth Studies 14(3):315-339. Crossref
Teferra TB, Erena AN, Kebede A (2015). Prevalence of premarital sexual practice and associated factors among undergraduate health science students of Madawalabu University, Bale Goba, South East Ethiopia: institution based cross sectional study. The Pan African Medical Journal 20:209. Crossref
Thi H, Tra L, Pham NQL (2015b). Current status and some factors related to the sexual behavior of student in Phu Tho Medical College. Journal of Public Health 34:49-56.
Thi TT, Nguyen VHT, Thi HH (2012a). Attitudes toward premarital sex among students in one university. Journal of Preventive Medicine 8(135)
Tran TDH, Tuan DK, Anh ND, Le TKA, Bui TTH (2018). Premarital sex, contraceptive use among unmarried women migrant workers in industrial parks in Vietnam, 2015. Health Care for Women International 39(4):377-388. Crossref
UNFPA UW (2015). Sexual and reproductive health of young people in Asia and the Pacific: A review of issues, policies and programmes. Bangkok.
World Health Organization (WHO) (2011). Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. Sixth Edition. 978 92 4 150111 8
Widyatuti, Hafilah SC, Yuni NA (2018). Correlation between parent-adolescent communication and adolescents' premarital sex risk. Enfermería Clínica 28:51-54. Crossref
Xu H, Xie J, Xiao Z, Xiao H, Li X, Goldsamt L, Wang H (2019). Sexual attitudes, sexual behaviors, and use of HIV prevention services among male undergraduate students in Hunan, China: a cross-sectional survey. BMC Public Health 19(1):250. Crossref
Yip PS, Zhang H, Lam TH, Lam KF, Lee AM, Chan J, Fan S (2013). Sex knowledge, attitudes, and high-risk sexual behaviors among unmarried youth in Hong Kong. BMC Public Health 13(1):691. Crossref