The internet as a sex education tool: A case study of an online thai discussion board

Abstract

Given the emphasis on abstinence-only sex education in conservative countries, it is difficult for youth, especially those engaging in premarital sex, to acquire practical knowledge about reproductive health. Through an interview, a content analysis and an online survey, this study examines 1) the institutional challenges faced by a non-profit information provider, 2) motivational factors that trigger Thai Internet users to actively search for information about contraception and pregnancy on a discussion board, and 3) its perceived credibility and usefulness. Ninety-seven per cent of the 120 users surveyed reported the use of Clinicrak discussion board to make decisions and solve problems. Eighty-four per cent of the 100 posts sampled were problem-solving oriented, while only 13% were prevention-oriented. Fifty-three per cent of the posts were related to unwanted pregnancy. These suggest that the discussion board is likely to serve as a problem-solving tool for sexually active youth. Correlation analyses show that users tended to regard the discussion board as highly credible and useful only when the information was provided by a doctor. Doctor's replies are found to be responsive in most cases (M = 21.98 hrs; SD = 44.93) and more detailed for users with higher susceptibility (i.e., potential symptoms). Some of the issues pertaining to the implementation and use of the discussion board include, a high possibility of misunderstandings due to the lack of clarifications and a lack of volunteer doctors. The practical implications of this case study for similar projects and suggestions are discussed.