Abstract
Background
With the rising trend of sexual engagement among Vietnamese young adults in recent years, concerns were raised over the issue of premarital sex and its potential health consequences. In order to prevent such consequences and further promote health, an in-depth understanding of factors influencing young people to have premarital sex would be valuable.
Objective
To generate a grounded theory explaining factors influencing engagement in premarital sex among Vietnamese young adults.
Subjects
Vietnamese adults aged 18–24 who have voluntarily engaged in premarital sex (n = 18).
Method
The study was conducted using the grounded theory approach by Glaser. Purposive and theoretical sampling was used. Ten in-depth interviews and three additional focus group discussions were carried out. The interviews were audio-recorded and transcribed verbatim. Data analysis involved using the constant comparative method and open and theoretical coding. Sampling, data collection and data analysis happened simultaneously until theoretical saturation was achieved.
Results
The grounded theory is constructed around six emergent themes: (a) desire as the ‘direct cause’; (b) the facilitators; (c) social changes; (d) media; (e) peer and (f) absence of family. The latter four themes are ‘indirect causes’ that influence through desire and the facilitators.
Conclusion
The study has contributed a grounded theory that identified the factors and described their relationships in a comprehensive way. It suggested a need for a reliable source of information to be tailor-designed to suit young people. Additionally, the stigma of talking about sex needs to be reduced to allow for more open discussions on sex and sexual health.
Acknowledgments
We would like to thank all participants who took part in this study.
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Conflict of interest: We declare no conflicts of interest.
References
[1] World Health Organization. Sexual health issues. Available at: http://www.who.int/reproductivehealth/topics/sexual_health/issues/en/. Accessed: August 1, 2017.Search in Google Scholar
[2] Vietnam Ministry of Health. Survey assessment of Vietnamese youth (SAVY). Hanoi: Vietnam Ministry of Health; 2006.Search in Google Scholar
[3] Vietnam Ministry of Health. Survey assessment of Vietnamese youth (SAVY) 2. Hanoi: Vietnam Ministry of Health; 2010.Search in Google Scholar
[4] Bélanger D, Hong KT. Single women’s experiences of sexual relationships and abortion in Hanoi, Vietnam. Reprod Health Matters. 1999;7(14):71–82.10.1016/S0968-8080(99)90008-3Search in Google Scholar
[5] Kaljee LM, Green M, Riel R, Lerdboon P, Tho LH, Thoa LTK. Sexual stigma, sexual behaviors, and abstinence among Vietnamese adolescents: implications for risk and protective behaviors for HIV, sexually transmitted infections, and unwanted pregnancy. J Assoc Nurses AIDS Care. 2007;18(2):48–59.10.1016/j.jana.2007.01.003Search in Google Scholar
[6] Nguyen HN, Pranee L, Murphy G. Knowledge of contraceptives and sexually transmitted diseases and contraceptive practices amongst young people in Ho Chi Minh city, Vietnam. Health Care Women Int. 2006;27(5):399.10.1080/07399330600629542Search in Google Scholar
[7] Hong KT. Adolescent reproductive health in Vietnam: Status, policies, programs, and issues. Hanoi, Vietnam: Center for Social Development Studies, Policy Project; 2003.Search in Google Scholar
[8] Phuong TTH, Haub C. Adolescents and youth in Vietnam. Hanoi, Vietnam: Committee for Population, Family and Children of Vietnam; 2003.Search in Google Scholar
[9] Vietnam Ministry of Health, Maternal and child health department. Abortion rate among women of reproductive age. Hanoi, Vietnam: Vietnam Ministry of Health, Maternal and child health department; 2017.Search in Google Scholar
[10] Vietnam Association of Family Planning. Statistics of reproductive health and family planning in Vietnam Statistics. Hanoi, Vietnam: Vietnam Association of Family Planning; 2016.Search in Google Scholar
[11] Keenan KF, van Teijlingen E. The quality of qualitative research in family planning and reproductive health care. J Fam Plan Reprod Health Care. 2004;30(4):257–9.10.1783/0000000042177117Search in Google Scholar
[12] Gammeltoft T. Being special for somebody: urban sexualities in contemporary Vietnam. Asian J Soc Sci. 2002;30(3):476.10.1163/156853102320945367Search in Google Scholar
[13] Gammeltoft T. Seeking trust and transcendence: sexual risk-taking among Vietnamese youth. Soc Sci Med. 2002;55:483–96.10.1016/S0277-9536(01)00182-4Search in Google Scholar
[14] Phuong An N. Relationships based on love and relationship based on needs: emerging trends in youth sex culture in contemporary urban Vietnam. Mod Asian Stud. 2007;41(2):287.10.1017/S0026749X05002258Search in Google Scholar
[15] Ngo A, Ross M, Ratliff E. Internet influences on sexual practices among young people in Hanoi, Vietnam. Cult Health Sex. 2008;10(Suppl):S201–13.10.1080/13691050701749873Search in Google Scholar PubMed
[16] Nguyen V, Vu M, Le C, Nguyen H. Risk and protective factors for sexual intercourse among adolescents. Vietnam J Public Health. 2010;15.Search in Google Scholar
[17] Glaser BG, Strauss AL. The discovery of grounded theory : strategies for qualitative research: New York: Aldine de Gruyter, 1967.10.1097/00006199-196807000-00014Search in Google Scholar
[18] World Health Organization. Young people’s health – a challenge for society. Geneva: WHO; 1986.Search in Google Scholar
[19] Silverman D. Doing qualitative research: a practical handbook, 4th ed. London: SAGE; 2013.Search in Google Scholar
[20] van Teijlingen E, Pitchforth E. Focus group research in family planning and reproductive health care. J Fam Plan Reprod Health Care. 2006;32(1):30–2.10.1783/147118906775275299Search in Google Scholar PubMed
[21] Ritchie J, Lewis J, McNaughton Nicholls C, Ormston R. Qualitative research practice: a guide for social science students and researchers: Los Angeles, CA: SAGE; 2013.Search in Google Scholar
[22] Glaser BG. Theoretical sensitivity : advances in the methodology of grounded theory: Mill Valley, CA: Sociology Press; c1978.Search in Google Scholar
[23] Do M, Fu H. Attitudes toward premarital sex in contemporary Vietnam: findings from a national survey. Int J Sex Health. 2010;22(2):103–18.10.1080/19317610903498487Search in Google Scholar
[24] Gibbs SE, Le LC, Dao HB, Blum RW. Peer and community influences on the acceptance of premarital sex among Vietnamese adolescents. J Paediat Child Health. 2014;50(6):438–43.10.1111/jpc.12512Search in Google Scholar PubMed
[25] Tran TMH, Le CL. Association between exposure to porn movies and erotic websites and sexual perception and behaviour of unmarried youth in Gia Lam, Ha Noi. Vietnam J Public Health. 2009.Search in Google Scholar
[26] Lou C, Cheng Y, Gao E, Zuo X, Emerson MR, Zabin LS. Media’s contribution to sexual knowledge, attitudes, and behaviors for adolescents and young adults in three Asian cities. J Adolesc Health. 2012;50(3 Suppl):S26–36.10.1016/j.jadohealth.2011.12.009Search in Google Scholar PubMed PubMed Central
[27] Trinh T, Steckler A, Ngo A, Ratliff E. Parent communication about sexual issues with adolescents in Vietnam: content, contexts, and barriers. Sex Educ. 2009;9(4):371–80.10.1080/14681810903264819Search in Google Scholar
[28] Duong CT, Nguyen TH, Hoang TTH, Nguyen VV, Do TMN, Pham VH, et al. Sexual risk and bridging behaviors among young people in Hai Phong, Vietnam. AIDS Behav. 2008;12(4):643–51.10.1007/s10461-007-9265-0Search in Google Scholar PubMed PubMed Central
[29] Kaljee LM, Green MS, Min Z, Riel R, Lerdboon P, Lostutter TW, et al. Gender, alcohol consumption patterns, and engagement in sexually intimate behaviors among adolescents and young adults in Nha Trang, Vietnam. Youth Soc. 2011;43(1):118.10.1177/0044118X09351285Search in Google Scholar PubMed PubMed Central
[30] Regmi PR, Simkhada P, van Teijlingen ER. “There are too many naked pictures found in papers and on the net”: Factors encouraging premarital sex among young people of Nepal. Health Sci J. 2010;4(3):169.Search in Google Scholar
©2019 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials
Articles in the same Issue
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials