Washington D.C., USA, 22-27 July 2012www.aids2012.org

Family and young people’s sexual risk decisions: Thailand experience

Mukdarut Bangpan Department of Social Policy and Intervention, University of Oxford

EPPI Centre, Institute of education, United Kingdom

• Systematic review of qualitative studies – 9914 citations, 11 studies– Adapted from meta ethnography approaches

(Noblit and Hare, 1988)

• Focus group interviews with young Thai women in Bangkok– 8 groups, 40 young women aged 18- 25 years– Four sites: university, garment factory,

government office, and slum community– Thematic analysisMOPDD0104

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Results

• Three main themes: dynamics of family processes, parental attitudes towards sex and internalization of parental attitudesBangpan and Operario (2012) Understanding the role of family on sexual

risk decisions of young women: A systematic review, AIDS Care, 24 (9), 1163-1172.

• Focus groups in Bangkok– Barriers and facilitators of parent-child communications– Parental expectations- losing face– Internalized feelings- love, gratitude– Complex picture- modern sexual attitudes, self confidence,

and influenced from other social factors such as media, peerMOPDD0104

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Implications- Parent-child communication, parental

attitudes toward sex, and internalized feelings shown to be the important aspects

- Family-involved HIV intervention may benefit to address barriers and facilitators of young Thai women’s sexual decisions

- In Thai context, should consider expanding HIV intervention approaches to target at difference levels.

-MOPDD0104