5 1 2556 !"# BSRI, Srinakharinwirot University
Model of Promoting Behaviors to Prevent Unwanted Pregnancy of Secondary School Students (Level 3) at Suksa Songkhor School, Ministry of Education 1
Sompit Yaisoon 2 Preyarat Rattanaviboon 3 Received: July 16, 2012 Accepted: July 27, 2012
Abstract
The purpose of this research was to study the problems and needs to prevent of unwanted pregnancy of the secondary school students ( Level 3) at Suksa Songkhor School, Ministry of Education and developing the model of promoting behaviors to prevent unwanted pregnancy. The sample were 374 secondary school students (Level 3) at Suksa Songkhor School, Ministry of Education. Data was collected by the open-ended questionnaires in 374 students and find out more by focus group interviewing in 80 students. Data was analyzed by using content analysis . The results showed that the problems in promoting behaviors to prevent unwanted pregnancy were composed of 5 aspect :1)The family / parents 2)In school - teachers 3) Peers 4) Teenagers 5)Environment. The needs for promoting behaviors to prevent unwanted pregnancy for the sampling group were: 1) Families / parents aspect ; parents should take care their children, give them a guidance about sex closely and become their consultant for sexual knowledge 2) School/teacher ; teacher should cultivate their students and perform other roles on preventing them from sexual risk behaviors. 3) The government or relevant agencies; to educate and create awareness for young generation to prevent themselves from the risk of unwanted pregnancy. Setting up policy & legislation and strictly compliance. 4) The adolescent's need to know about sex education and skills to avoid risky sexual behaviors. Method to easily educate and enhance skills for adolescents to prevent undesirable pregnancy so that they can create analytical thinking and apply. The model of promoting behaviors to prevent unwanted pregnancy of Secondary school students (Level III) consist of three stages 1) preparation stage 2) promoting behavioral stage 3) evaluation stage
Key word : Problem, Needs, Unwanted Pregnancy, Promoting behaviors
1 The research was funded by The Thai Red Cross College of Nursing.
2,3 Assistant Professor, Department of Pediatric and Obstetrics Nursing, The Thai Red Cross College of Nursing E-mail: [email protected] , Tel. 668-7555-2648, 662-2564092
5 1 2556 !"# BSRI, Srinakharinwirot University
!"#$%&' 3 (#$ ) &*#$"
12 3
&+
$#%&%'()& *+,-./0)3&43& 7&
%&,89*&)& &#:%#*+ 3 !&#*+&)/ )&*+ 0)3&
<03& 7&%&,89*&)& (9#9& #:%#*+ 3
!&#*+&)/ )&*+ $= 374 @3<!"#4:30'#A"
0)/3< !"#(9 $(9#9& $= 80 )/3< !"# )/%/
03=D8"3E3<%F43&<03& 7&%&,89*&)&
D $# 9 ,-./43& 7&%&,89*&)& )"3# 5
"3 1) "3 / 909 2) "3!&#/< $# 3) "3 4) "3#(9& 5) "3 ,0"3 93&3& 7&%&,89*&)& )"3# 1) / 909 "<0 &	&43: "0)E*+"& 2) !&# /<
$# & 0)I /39&J47& " #&&
3) F //9#& 4/3<30)3&$ =*09"@#(9 4/3 #&9
%&,89*&)& %&=/"!## K/#0)I #9&9&" 4) #(9 <3
#*+ +)9&J ' " )/0)=8)#(4:38"3 7&%&,89*&)&
<03& 7&%&,89*&)& )"3# 3 % 1) %#
3 2) %3& 0) 3) %) D
, ,- : ,-./ 3& %&,89*&)& 3&
1 #& $#8"3(($ ###,:"8#
2,3 D<3:9#$# , :#"@0)D"(&, ###,:"8#
E-mail: [email protected], !.087-555-2648, 02-256-4092
5 1 2556 !"# BSRI, Srinakharinwirot University
*./* ,-02-)
-$$(,)%&,8934#(9 ( *%4(,< ,3#09&&$
#0&&& 8"3=/"STFU7 )&'S%&,&#(9(#( 10-19 ) !"#
3#)&D<3/. & #(=9 20 <S %&, 9D<3/. &((9#(%&, 3&89 3#) 10 09 4)8#0!3"(&"
#(9 4.. 2548 – 2552 4(9#(=9 20 <S $=3#)12.89, 13.03, 13.37, 12.01 0) 13.55 =" ()&
&0)&&(+#, 2554) 0)$
*+&( " 0&# (2552) & /(0) -$$#%&,89*&)&&#(9 S*+
: 3( 0) #(9 !&#
"” D $#9 %&,&#(9
#( 14-17 #<94)":%#*+3 #0&&&"@=4/3 9 #9#&#(9
&/@9E& &'E
&3# ͽ&<3$*W*%& #&09 4$@'8"3!"#893&<"
'*&09&&/ W*&D "*%$
0)E"&#(9"
3#&89'*&&8"33&$!&#
=4/3#!&*+ D "/&/
# %&#& "-./(,$ &#(9&
#" & &#/&"3#X9
# =03& E3
#(9E#(S9 W*&$)3*%
E&=.4) "&%F$*&8"3
##/0&4(S,&):
#(9 #4/3 !E#(
(S,4( # Y, 2541)
!"#)(9"3#!"4/3"<0 43: "/4/3=*+ 3&#<9#$=
4'&)/9&J D<3"<0$=3#0)89 '"<08"3#9&'*& #(9(9%3&4:38
*% $E/(D"=8<9-./
& :9 " " )) =9&=8<9 89*&
)& E3 #4!&#*+&)/
&"= /&*+ + =&
S ) * + % % F ) &
*+ (2553)!"#09&(9!&"E 2 (9 (9!&#*+&)/ 0)(9
!&#:):()/ E!�
!&#)$= $"*+=/"@"3#!
10 ), )"3# "@'<#0&& / 0&&"@ "@99 "@#<94( $& /
!,S"@ "@'<" %&/=3 "@'<=3#
(S "@#$(E +) "@4:(93#
"@-./## " "@8"3D)
$!" /! "93#0&&&#$
0)"@4' $0)(3&"@0)#: W*&
$ " * + % & 0 9 :% ) ' * + 1 '* &
#*+ 6 %&:#0)/. & !"##
(3&)$=!&#,#43"<0&
$#)$=*0)D""<0409) -./&##&9=8%&<9 ,89*&)& #:#/. &
:<3 W*&#(9E#/%#/9&:
#0&	&<& %&"39&#
$ 4$ S 0)&((: $, 2545) &
/9%9&D9 #& "
(& /7&&0)=8<9
%&,89*&)&8"3&9# 039&!&#$)$"
4/3#*+4/<03@
"&%$*&$=E#9&# &*+ $#4"@
(9%*%=8<9"<0E + 0)$
'S #$ .(4#(90)#:
(=#$ .(, 2554) 9 #(
5 1 2556 !"# BSRI, Srinakharinwirot University
%&0$)0!3#("3#& !"#
0/9&3<*+ ' $#)S(
.. 2539 4:9&#( 18-19 90/9&3<
$=9& (, # .. 2545 0! .. 2547 0) #! ..
2552 9 #(%&0#<94:9&
#( 15-16 $)/@8"390!394/.9E:9&
#(=&*+4)"#*+ "&%D<3 $#$*&
4$*+,-./0)3&43&
7&%&,89*&)&
&#:%#*+ 3 !&#*+
&)/ )&*+ 03=D*+
4 :3EF43 & <03 &
7&%&,89*&)&&
# "9'=8)#(4:34 0)3& 7&%&, 89*&)&b
*45 0*6
1. *+,-./0)3&4 3& 7&%&,89*&
)&&#:%#*+ 3 !&#
*+&)/ )&*+
2. 3&<03& 7&
%&,89*&)&&#:%#*+
3 !&#*+&)/ )&*+
*"+,*6
*+%&% *+4#:%#
*+ 3 !&#*+&)/ )&
*+ *+ 2553 09&E 2 (9 (9#9&0' $= 374 !"#(90/#% (Multi-stage sampling) (9$#:!&#*+&)/
)&*+ ) E0, 4 ,&)8# ,) 1 !&# 4
!&# 0)(9#9&=(9(Focus
group) $= 80 !"#(9$!&#E 0, !&#) 20
& 4 :3 4 $ # ) "3 # 0'0#A" D<3 $#3&*% ' ,-./0)3&
%&,89*&)& $= 15 3 0)0='4(9 $ (S,& !"#D<3&(S( $= 3
$&&%/ =D8"3(&
038 03=8"&4:3(9+S)43#&
(9#9&$= 20 $ '<3& :"$&,+0)/)&
)#)4:340' &$ &"7
* + % & % 8 "3 & $ S)$ # $# & ###
,:"8# 0)D<3=#!&#&4 00"&# #39 $# 4F) D<3&&(9#9& &$(9#9&(
E#)$= #&89( ,)0) "
"#<94%/9&8/89 ""
8**0/
S)D<3 $#( /&@
3<$D<3=# ###
,:"8#9D<3=#!&#*+
&)/ )&*+ (9#9&&"
(9#9&:%0$&'()& $# 0)
"= @3<!"#4:30' 03=8 )/ =4"#&( 89 :"$ $*&/3<: &* !"#(9
"= !"#4:3 1 :!& 0)(.
* =D(9 )/ 4/3 '*&,-./0)3&43&
%&,89*&)&:"$# &*%
03=D8"3$*+%E3<%F4 3&<03& 7&
5 1 2556 !"# BSRI, Srinakharinwirot University
%&,89*&)& 03=<08"34/3 D<3&(S( $= 5 $S$ 0)
=(&03830) !"#=3<
8"3 )/: &%/
9/*6
$*+9 ,-./#3&
3& 7&%&,89
*&)&&(9#9& )"3# 5 "3 1. * / 9
1.1 "4$49/"!8"3 4$490)/)$ "&
3<“!
"!!# !$ $%&'$
($)$* $&
&! !$%&+ $%&,-.+
#$%&” /“"*(" $%&/
.( )) ”
1 . 2 " 8 "3 <3 # &
*+!"#&$ 09E=&
(9&4/3%&4$#" :9 “.0!
$”“.$!+.&!"“
1.3 4/3& 4/3 & !"#'3<:#$)&E: &
/3 4/3 89/) :9 “.
$&$!)%” “.0!$ "$1!
$ *".$)” 9<D<3/. &$)&
4/3& :9 “ .$)4
&$%&/!!”
2. (/ -./#3&
2.1 #*+/<
09#&" 34/3D<3#4/3 "34$0)
=8)#(4:38"3 9&J #&89/)$):9#
) ,&*+ %&9 0)( ,/)&<D<3 (9#9&
4/33< “ .-$)/
5.!% 6!” “7 6$)%&.*$1!”
2.2 "<07& " #&
&##&89'*& "&3< “ $!
) .& ..$&
89 internet 1:*&$1.!)$
8!$.!))#1”
2.3 ( ,&<0)+)4/3
=*+"4&“$%&$%&!.%,-.
$*#$%&.% &&$1$1” “)
!)* $1 .%1)"#” “) )*# )$()1!$”
3. =' $*+9
3.1 =/:$<&4/3 89/) "&3<$(9#9&:#
“$)$&;!$%&)0! *:
14-15 @ $%&/$. $$
$&$%!($BC&.-!.) ”0)3<
$(9#9&/. & “$$&$.*
$%& ”
3.2 '<3#$!"#)D<3:# $) ) 4/3# /D<3/. &30) :4& "&“&*"*;”“))”
4. **5 $*+9
4.1 <3&*+89/) /89'<3& “*7 !$%&*$ "
7)” “$!) "$ .%5
*) "$” “ ) ! )$”
4.2$ &89'<3&!"#:/
$ 89'<3&“& $5.!
) .%*!C 7$B4$*
$B&. *”
“7"*41!.$B))!
,-. 7.$5:&!(
$B )$B& *$.*0”
5 1 2556 !"# BSRI, Srinakharinwirot University
4.3 &89'<3& “$$!”
“7$'8.!()” “&*;%0 7 !!$! .EF.-!..! .C.-!)
!” “77 !!(" $$.%(
7 !!./0”
5. *+/ $*+9 5.1 9&J =8<93'*&&&
8 "3 &9 # " & 3 < $ (9 #9 & : # “ internet 6(*$ !$1 $ /!$$.!)$ $%&)
$.(.%$%& $%&” 3<$(9#9&
/. & “( $* * 1*1!!$ )” “! &
)!$8$G*6E&!&*!%&
7!: ;&!0!8*$/
.-*&.( $%&8”
5.2 ' &# D “.!$!
C 8$5) )8$* 7
$& ** .& %&
".C.-!& ” “ $.(
!8 6 78!
$*! $.( 7$&
$&C& .%$%&&$)//
;&!*!. $!)”
5.3 09Y/)&D<3/. & = 4/3)(3<3*& E09&###
"&3<$(9#9&:# “$$.(C.-!
! .%!89** )!
$” “)*8!0 8/$.(*%
! $:“ :9"#(9#9&/. &
4/33< “$%0 !0+ $B&C/”
$*+9 3&9&J
#43& 7&
% & , 8 9 * & ) & (9 #9 & 3 &
)"3# 4 "3
1. * / 9
1.1 #4/3"<0 && "&
3< “)/: )/$. C
&!” “/,-./!C) 1!” “).1!!/” “.
) )$ !
$”
1.2 E*+"&89"("9/
=/ #9&89/(D =4/3"@893$)*+ $*&
" 4$=4 &89'<3& “#
$” “#$H(7”
2. ( /
2.1 4/3& "<0 34$ 0) 4/3=*+	&43: "909 "&
3<“.)$. C /:
*$( $” “."!” “)
$%&!$#” !$.
$/$!.$*8/!$%&!”
2.2 I /3J "<0 0)7&",##9&'*& K)#
0)I K)##9&9&" "&3<
“! .8! $..$C.-!/
$&$” “)) .$ ! )” “!)*I1!$
/ ./$1..-!!$)!)”
3. @/ )=)*&''*0 3.1 4/3<30)3&$ =*09"@
#(9 4/3 #&9%&,89*&
)& (9#9&:#/. &4/33< “ )
* */5 $%&*"$&$%&!
$5” “8 *. . )"# J!$5”
“:!)8! $!+ $%&
".$( *.7!) :)1!/”
“0! ) 8!$!+
J!0!)6!*!)”
5 1 2556 !"# BSRI, Srinakharinwirot University
3.2 =/"!## K/#0)I
#9&9&" F"= "&3<
“..0!)6 20 @” “..$(
&" L6*$&!)%.%%&1!$”
“)) %&!+ &$C$%&!$&
$.*” “!%&&$&0!)6!
*!)$C” “87 !!
4. ” 4. **5
#(9&3& &/9% #,
&#(9&4/3 7&
4/3 "%&,*&)&
4.1 <3#*+ "&3<(9
#9&#<3#&“$5
$ - $ 8 1 ! : ! + 1 ! :!$ I!$ I$&!
&*"$ 0!)6 (J!
1,-.) ) ) "$ 8)!
$5*8)$ C$0!)6!
*!) "! /*))1!
”
4.2 +)9&J /#& #&
& (9#9&3&+)4& “#*
M$5 .$&!$5
**!.$5 *!:!$
:!$.*”
4.3 4/3<30) +) 7&%&,89*&)&" 34/3 " "
)/ "&3< “)%&&".$1
! "!.$.%1!! *) /8 !*
$$$” “*+ (.
$%&!0 ).1!$1$!)$)*.$!” “8
$B 0".+ $& $%&.
$1&!10 $B/!+ $%&! /
$” “8C*C.)"# )$B )
C$/&/-$5.%)&
*:.4,!”
!" #$%&' 3 (#$ ) &*#$"
D<3 $#8"3=D*+,-./0) 3&43& 7&
%&,89*&)&&#:%#*+
3 !&#*+&)/ )&*+
"&9<S 90 ")$"
#	 " )/ 0)
#<3099 E0 "43&
<03& 7&
%&,89*&)&09#
0 "$$"#	 ( 4#(9, 2540 0) 0S, 2548) )"3# 9 % "&%
1. 3&4$ E%=4/3D<3#
4$4# E0&$<&4$ "*%%&,#
0),#4D<3# D<3$)(34/3D<3#!"#4:3 /3 9& #& /(S9&J
2. 0$3&$(")&4/3D<3# E 7/#/D$)8"3$#09D<3#
3. )(34/3)*'*&<3" E
"= 4/3D<3#)*'*& &#<39 W*&$) &4/9$)#
4. &3 /#4/9 !"#
4:3"((S9&J /)) 5. 4/30&#<3 E0&
:9#4/3D<3#'= $9&J D<30)=
0)= = $ 0/9&33E=&
4/30&D<3#8 "&
6.4/30"& /&I :9 # 4 /3 D<3 # ' 0 " &
$(")&
5 1 2556 !"# BSRI, Srinakharinwirot University
7.4/33<7 E%D<34/33<
#DI $/ D<3#
0"&9'<3& /89 #9&8
8.) D #<3E%"
0)) 9D<3# '#<3$(")&
#<3&# #&4"
9.9& $"$=0)'9#!#& E ( #<3D94/3
#<3U-&09/@838"3E $E
#& 0U\/"//<3 $4 /3&#
" ) / (Analytical Thinking) (( # <=, 2548 0) ) ($, 2551) EF=.&#<30)
"= : " )/E%F& "
%& E+)(8"3 )"3#
+)=. & ##
") )#(4:3 ) 0#0#) ), $"/"/<9 (D: &/(D
*+/ :!#&& &
9&J " 4$"3#/("3#D 0)#<3 099(($ ,<98<#, 2547) #<30 99F "$:4#,&
9 #<3&E)3&<3"3#
& D<3/ #ED<3=#)"%
9#<39'9#"<3 $*&4/3
=.+S) &#<3 "$
I )/9&D<3#& )/9&D<3#0) D<3 0)3& &)S" &D<3#09) =4/3 "###9&3&&&9#
<3(0)=09&- 9#<3"3#
#0"&0) 9&J %&<"
# 0"&9 & '=E
&40# )/0)&)/
<39#9&) ,!"#)"3# 3
% "&%
0&' 1 * E#
3&D<3#$ #*+ 99 3E &$=E9# 4%%D<3 $#
8"34:3)$"#	 D<3#4/3 "3
1. $$<&4$ E4:3/$"
#	% 1 3&
4$ E%=4/3D<3#4$4# !"#
"! & =03&
2. :%0$&'()&#
E4:3/$"##9 % 2 4/3D<3#34$'*&'()&#
E7/#/D$)8"3$
#09D<3#
3. ) <3%&3 E4:3 /$"##9% 3 )(34/3)*'*&<3" E"= 4/3 D<3#)*'*& &#<39 <3 $ 0) 7&%&,89*&)&
0&' 2 E4/3 3<09D(3#0)U\+)3&
7&%&,89*&)& !"#$) )#(4:3/ " )/ #<309 9 0)4:3/$"##9
% 4-9 "&%
1. &3!"#4:3S*+
2 . 4 /3 0 # <3 3 &
7&%&,89*&)& "3
<3 $ 0) 7&
<3 $ 0) 7&%&, 89*&)&
0&' 2 E4/33<09 D(3#0)U\+)3&
7&%&,89*&)& !"#$) )#(4:3/ " )/ #<309
5 1 2556 !"# BSRI, Srinakharinwirot University
9 0)4:3/$"##9
% 4-9 "&%
1. &3!"#4:3S*+
2 . 4 /3 0 # <3 3 &
7&%&,89*&)& "3
<3 $ 0) 7&%&, 89*&)& !"#34/3D<3#8"3 " " )/
0)#<3099 !"#4:3 # 09&J :9 ## , # $(9 S*+ (, 0) )3 " E3 34/3D<3#0"&
/+)K 43&
7&%&,89*&)&D9 $#
) D0)4/33<7 0) 9& $"$=0)'9#!#&!"#(0 "8"3
#<3!"#=0DD& " 0)$"=
0&' 3 9/ E) D %("
# !"#4:3/$"##9
% 8 E%"0)) 9D<3# '#<3
$(")&#<3 !"#) <3 $ 0) 7&%&,89*&)&
5/9/
$,-./#/909 D<3& 1)"4$49/"!8"3 4$490)/)$ 2)
"8"3<3#&*+!"#&$
3)4/3& 4/3 & /9%$E)+S) 8#<"(#&E &89/)
=4/3909893$)4/3<3&*+09(
#&09&4/3 " %&4$#
" W*&"3&*+& ""
/)(S0)S)(2547) & “%#&"<
"@&8#: 3<$ $#: &(S, 0): & S” 0&%#&"<0)
<U-&"@#(9 9 909/D<3%#&"<
%#&"<0)<U-&4/3"@E" %&4$#
/& 89 4/3D ":& 9
"3 D<3%#&"<94/.9"@/. &&
&0)4/3"@:#4/3E(,((+89
#!: &(9/9 !"#)#/9%
'E#"3#! 94/.9 +FF)= 0)&$-./4
#<94!&# $)3&#/& 0)#<9
!&#)$= !$)#<99093# ) 9093&=&/%#&: ""<04$
49<#9&43: " 0)"3&*+&
, D90)3# )!(2550) 9 94/.9" 34$89'<3&#
(= " 0)&9&3 0) (<3*&
E&9# 89<"(##9&A"D#
=4$$)<"(#&0)$*+
&(S &.$+F0)S)(2551) 9 -$$# 9 &&#(9
"3 8"309 +FF)= 9 #&
& "" ,4 8"3 4$49"<0 &4 $%4E
%F=.:9#4/334$4 )/9&: 4 48#
<"(#&E &89/) 4S)
$#0&& 830" = 4/33/3<9&J 8"3*%W*&9&D4/3#(9E
##<3#& #&&*%
( %(, 2554) 0)$#(9
#9&#<9!&#)$= /9&8909$*&" ! 8"34$490)/)$
$-./#!&# 1)
#*+/< 09#&"
34/3D<3#4/3 "34$0)=8
5 1 2556 !"# BSRI, Srinakharinwirot University
)#(4:38"3 9&J #&89/)$):9#
) ,&*+ %&90) ( ,/)&<D<3 2) "<07&
" #&&##&89'*& 3) ( ,&<0)+)4/3=*+"4&
W*&4##*+
((2553) 8"3/4*+ 8"309 1) 4 /3 "@ <3 8 & 0 )
&$ 4$ %&09 " 09&#
0)'4<3&"@ 2)D<3
<3	&'<3&4$/<3/
'$D<3<3 /& /(S," 3)
<98#<3 $&/) 0)'S/) )(34/3"@#<3 4)4/3/)4$ #<30) '& -.."@$)8"30)34$8"3 5) 9$) "#0& /9 "
-./"9$) "*%#( 0) 6) D<390) E& D<389
&#$/#& ##<""3#
9& E& 890"&<3*"3 "@
0"&4$& A"4$3& 7) 4/3
<3#9&'<3& 899##&/<"4/3"@
34$D " $% -./"<07& "
#&&#&89'*& %&( <0) +)4/3=*+"4& "&%<
"<0#9&43: "0)$+S)# &
# (9 E # 3 & ) E & &
3&0&/)S0J4/9J #&
#/@&9&J( 03&, 2549)
"&%<ED<34/3=*+"09#"
-./9 & J $ "*% # !"#
( S + S ) = . & D<3 4 /3 = * + " ( ( , : , 2553) " & % 1 ) % & 4 $ $ ) :9#/#9&$ &4$ 2)@+8"3" 3)4/3
# 89"<'< /&&9/9D<3 4)
A"4$3& _-& "/@0)<3*&D<3 5) /09 &&S 89/8/ 6) 34$<3*8"3" 0)<3*/@4$ 34$4 'SD<3=*+=&D: .#<9
$,-./# = /:$<&4/3 89/) 0) '<3#$ !"#)D<3:#$)) 4/3# /D<3/. &30):4
& ,-.//9%$E)(9#9&
E#(9 W*&E#3&#$(9 #9 & 8 "3 # :9 # 4 /3 "
<3*& ",# /@(S9&& 4$
4& #%#"9#"& #E::
$J 03&$)<3989" 0"&
&89/):9 "/3 <(/
#D<3/. & ( 03&, 2549 0) (, 2553) 0)4-$$(( # 0) !, #:3&9 #4&09&
0)" =4/3#(989<9"/#/0_<3*
9:# E3/& 8994$ # ( # :#&<, 2552)W*&"3&
*+& (+ $ ($(2544) *+
-$$# 9 #&&&#
)"*+ $&/"( 9 3#
(9 #&&
:9"#"( /&*
&# #9&
#=.&'
$,-./#(9 1) <3&
*+89/)/89'<3& 2) $ &
89'<3& 3) &89'<3& W*&
$(" F :( (3&4 %(, 2554) 99 $=$9("#
0)(= "4#(9:#/. &4 15 )(! 9(9#9#
) 31 89*+&(= "9
5 1 2556 !"# BSRI, Srinakharinwirot University
%&0 !"#))8#<&
'*&3#) 41 0)3#) 24 <9 4/9!"#897&/(= "# =/)"@
#<334$&(= " 9 (9#9&#&34$&7&0) (= "89'<3&!"#93#) 36 4:3 /&3&
W*& %) ,4(= "#&3#) 70 $%(9#9&94/.9*+&
(= "<90)(" &$
# 89338*+$3/3&"3S(
#9 & 8 @ $ ) /@ 9 " ( = "
=E-$$#=.-$$#/*&
=4/3 "%&,89*&)& 0)"3&
*+&$S: & 8# /&
0) @. (.(..) *+ #&
#&9%&,&# *+4 / &9. 9 $:/
&"@(94/9 :9 4##E&"89#/# 0)<34 7&%&, "3# 9&J (9#9&
8"3<3$#4/<%&094 )")'0)# <38"3E#&+K 094&I # *+&#&8934$
4&7&%&,'<3&
$,-./#,0"3 1) 9&J =8<93'*&&&8"3&9#
2) ' &# D 3) 09Y /)&D<3/. & =4/3)(3<3*&
E09&### $D"&9"3&
*+&(+ $ ($(2544) *+-$$#
9 #&&&#
)"*+ $&/"( 9 # ' & # 0 ) A " 9 $ :4& 9/& "<"
,# @)(3S&
#&&&#
#9&#=.&' :9"#8"3/@<9&
"9&/. &09&#!` "<@=4/3)(3Ub#
:#/@ "S&8"3 W*&$)/@
E98"39#4S&9D<3/. & Ub#
:#4/3/(D9/@09&#&D<3/. &!`
"S& 0)$(# D:)(2550) 9'*& -$$#/*&=4/3 "*%8"3
&9 # $ ) (3 "3 # & 3 & :9 ,# &/"#
=<"/0"&9&J )(3S4/3 "
<3*# )# 0)!
8 :9 #<9&9& #<94 @=4/3#(9 9#8"3 0)"3&
*+& S #<&(2541) 9 -$$#
&"3$ & #&
	&#=.&' $)( 0/9&
& & # & 0 ) ) (3 &
!"#)(9#9&3#) 60.7 #9E )(3<3*&8"3(" 0)$
3& !$ #((2553) 4$)4/3
#(99#"&8"3D# &*%
8"309 9&J 8"309 /& # 9&
@ ,# )
" dd =%/#&
0 ) #9 & / ) 0 ) E 0#9&'<3&/)4/309"@0)#:4
&-$$( W*&E#(3/3&!!#0) 9 I/# 0) K)#9&J'I 8"3$ & $):9#
7& 0)(-$$#J 90/
/##( /9& := 4/3"@0)#:
9# :9 K/#' &#
0/9&9&# K/##,#
!X+S K/##( dd
3&&(9#9&"3 1) #4/3"<0 && 2) E
5 1 2556 !"# BSRI, Srinakharinwirot University
*+"& 89"("9/=/ #9&89/(D
=4/3"@893$)*+ $*&" 4$=4 &8989 '<3& $D*+0"&9898"3
&4&"&9"3&-./8"3$
*+ "<3#&*+
!"#&$ 09E=&(9&4/3%&4$
#" 4/3& 4/3 & "4$49 0) /)$ "&%909=
/ 3 & * & ) = 7 & 4 /3 ( #&&0)=8<9%&,89*&
)&8"3 4/3<30)=0)=4&09 (4/3(<39: 3&&
&&0)&&3$)8"3<3$
(3&&&0)894/3"%&=
D "!"#<3989'*& ((S _&030)S), 2549) 0)9093&(94 !"#
(3 4/3#9&=E 0#9&"09< "$E*+ <
-.//3&# %#&"<<4/3"@,< 4$
4 & ' 4 & 0 ) 4 $ 4 ',&& %&<U-&
'<3&4&E/. &:# ((S &.
$+F0)S), 2551)
3&"3!&#/< (9#9&
3&4/3<& "<0 34$0)4/3
=*+	&43: "909 %&
I /3J"<00)7&
",##9&'*& K)#0)I K)##9&9&" "3&0 "&
(S &.$+F0)S)(2551) 8"3 7&)"F,< !"#3&4/3"@
,< 4$4& '4& 0)4$4 ',&& !"#3	(
Ub # D9 & 909 ! & # 0 # /9#&%&,F0): !"#$)D9
& 4 ) * + 0 ) )
*+ ( !$ #(, 2553) !"#&
"8"3$0)0#9&!"#909 < 0)& &0"3 $#(9 "#<3E+S& +)&
0 ) & / ) 0 )
$=E3&4/3"3& 4/3 /)4$ #<3 0)'
& -.. "@$)8"30)34$8"3 7&&&%&09@0)9&8
$'*&#(9 &$(#$!") "&8"3 4 < 0 0 9 & ( ( , 2553)
$%< 9& 4/3#4:39&4/3 "
)!#: )9&$=4/3#(9 4/3 //(9&8@#&$)4:3
&9#8 9f/=
$J #9&$ &$& $)9:9#"*&#(9894/3 // (9& 8"3 ( # :#&<, 2552)
$%<"<00)7&",##9&
'*& K)#0)I K)##9&
9&" $#(9!#<9=& 4 '/9&8/#$
=8<98"3( !$ #(, 2553) 3&$F //9#&
#3& 1) 4/3<30)3&$ =*09
"@#(9 4/3 #&9%&,89*&
)& (9#9&:#/. &4/33< 0) 2)
=/"!## K/#0)I #9&
9&" F"= W*& &/9%F 8"3) /'*& -. / 0 )D ) #
%&,89*&)& 8"3=/"7/#0)!##
:"$#9&9&'*&$=E3&"$=
%& , #(9 89*& )& !"#8"3
!&9&J //#<0 "=
7& ( "<00)4/3:9#/ $
5 1 2556 !"# BSRI, Srinakharinwirot University
/9#&9&J %&,F0):#3&899
$)E4!&#/:(:%&43&' 0))":
:94/3<3 /U\+):
# #&9%&,9#
!"#$"9& 7&+S)09&
&%0)(97/# !&
9&J94/.9(9&3#0& #&
)"( !"#4/3<3&*+%&
4!&#/4:(: %&(9&33&+) 8"309 +): 894/39#
+)",#$
%&, 0)! "9&( # #(, 2554) W*& $ D 3 & & (9 #9 &
"&9 0"&9I &F0)/9#&
#3& D9#&898"3D@ "&%@E &
)34/3F//9#& !"#) D<3D 0)D#09 0/9& & &# 9&J 90):9#03-./% 0)'E/3&
(Ub#$)3&7& 4/3 " #&$)
=8<9%&,89*&)& )$)94/3 "
-./&%&98 $% F/
9&4/3K/#/)#I =8I 8"3$ &
$):9#7&-$$#J 90/
/##( /9& := 4/3"@0)#:
9# :9 K/#' &#
0/9&9&# K/##,# !X+S /#( E3( !$ #(, 2553)
=.3&&#(9& 1)
<3#*+ 2) +)9&J/#&
#&& 3) 4/3<30) +)7&%&,89*&)&" 34/3 " " )/ )34/3/@9$)4/3"@
<3 $ 0 ) & '< 3 &
/)0)"3&3&% D<3
#3&(Ub#3&4/390)'E /39:9#7&-./%&,89
*&)& 8"309 /9#&()" %&09F
& :(: !&# !"#)#9&# &
909 D<3& 3&4/3=.&% %&
/9#&D ":E<0)) 984 &"#0)3&E#9&"
4/309"@ 4/3<3 0)+)4&
#"<0(,##$ .( 8'*&
*+#9&/)4"@0)#:09)#
$)3 & D9%& 4) *+0))
*+( !$ #(, 2553) %&3&3&
$ "0)'<3&4&"3# 4:909$)!+09
"@#(99% )"@$ . !D9 8"3%#&"<&$ !&#
0)3"3# &0"39&J 8"3/@#9&0) W*W &9&J%&"0)89"# 09)$),<
34&09& "&%4/3"@ "
" )/8"30)3& 4/3 ",< 4$4
& 4$4& )D: . ' S9 &J#& & 03 ' "
03-./0)" 4$"3#&0)0"&
8"3#9&'<3&/)0)$)3&4/3/4$
"<07&-./9&J 4#(9"3#!%
E + =#9&8$)4/3<334$
'<3& 03=8<9$ "'<3& 89 /&:/3# &<3#9&89/)
=8<9 7&%&,89
*&)& 03DE,)&& $ -./=03&D "K/# X9
" %&"@ 9/3/& #<9 9#%& W*&)34/3/@'*&39&&(Ub#
5 1 2556 !"# BSRI, Srinakharinwirot University
89'03-.//9%4/3/"88"3 )"3##
&E:9&/%#/9)/9&E"@0) D<34/.9#&3&"<04$49 D<3#:9#/ 4/3
=*+ :%0)0&'<3& 0)E#9&"
$<03&
7&%&,89*&)&09#:%#
*+ 3 !&#*+&)/ )&
*+ 3&*%$0 ")
$"#	 0) " )/
#<3099 !"#"/&D8"3$)
=4/3D<3#(# (9),< (3"
/) 899$)#<94'S4"J #(9 '$) " )/ D: .-./ 03-./
0)" 4$8"3'<3&7& "%&, 89*&)&8"3 W*&"3&*+& &
"8&0)(S +:#(2555) &
*+ 360 & : *+099
!"#!&#:9& # $&/":
)-./#&$&:<3 0) 3&4## !&#$*&=/<*+
"334!&# 4/3D<3& 0) D<3=:(: '*&U\ #3#9&
<39&*+'<3&4/3:(: W*&
/&$A"9 2 9' #
&!&#"&$ 3.37 /#& 0.88 0)'3$"#"$)# & 4/3 "
#<3 0)4/3"@ " " )/0) 03-./8"3"3#&8"3
0
1.=<03&*%8"&4:30)
<04:3E0&4/3!	&J 4$=8)#(4:343&
7&%&,89*&)&0)/9#&
#3&98
2. $#,-./0)3&4
*+&<D<3=8E0&
#(4*+4/3) ,
=8<97&%&,89*&)&98
)&&0)&&(+#
(2554).*!6* 1! . 3 30 '(# 2554 $ www.m- society.go.th/document/statistic (# D:).(2550). $#$%&!() ".
. (&d: !& __A.
$S: & , 8# /& 0) @.
(..(...) ! I$&!
0!)61!$ #.$1
$$%!. 3 20 +, 2554 $ http://info.thaihealth.or.th (.(2553). *+4#(9 :
7&-./&4!&#. 4 # ' F, (.# & ) <S 0) !) ,
S . 0!)6*)
".. ,-.&. (&d: % %&.
S #<&. (2541).I$&!!$1!
#*/#!..
*+ ) S(/ST ST ## / ##:#&4/9.
# #(. (2554). J!
0!)61! . $ *
*/ / & “ 3&0 " : : -./%&,4#(9” 16-17 ..
2554 S ### ,:"8#.
5 1 2556 !"# BSRI, Srinakharinwirot University
%(. (2554) .Teenage Pregnancy. 4 :# ! :, - / 0) (.
$::< ,S . 0!)6
$&!. (&d: #<#:.
"" /)(S0)S)(2547). $0!
$(1!)) :1 $/!
) :6*$/!:. (&d: =&
&(( $#.
& "8&0)(S +:#. (2555).
$# 360 ! :$#
. !< =&S) ("*+ )&*+ 3 9 ( 2555 $ http://www.
thaiteachers.tv/vdo2.php?id=3476 (S _&03.". 0)S). (2549).
1!C)!!$ 16 !$
*$-5 *J!$/$(
. !&#: 0):(:
S)# / ##:#&4/9.
# :#&<. (2552). . (&d:
!& "(.
!$ #(.(2553). 16 * .)"*" .(&d: (9& Y ; 03&.( 2549).L / /! –! . (&d:
= / ##.
# Y. (2541). 51!)) )6$!1! # ..
&/ST $#):0)
& ST ## / ##/ ".
(: $.(2545). L.
(&d: !& 8# :.
( , :.(2553). .)"#
0!)6.4 # ' F, (.# & ) <S 0) !) ,S .
0!)6*)"....
,-.&.(&d: % %&.
(S &.$+F0)S). (2551).
5!$ 16 .(&d::#$ ..
( " 0&#.(. #& $#& “/(0) -$$#%&,89*&)&&#(9 S*+:3( 0) #(9
!&# "” 3 13 +, 2554 $
http://www.li.mahidol.ac.th/
=&S) $#0/9&: . (2554).
8* 5.!/
(..2551-2554).3 13 +, 2554 $ http://www.nrct.go.th.
=&#$ .(.(2554). 7:
$-5 *$/.3 30 .#. 2555 $http://rh.anamai.moph.
go.th/all_file/index/rh_policy.pdf.
= /&*+ +, =&
S)*+%%F )&*+ .(2553). 3 13 K 2555 $
http://special.obec.go.th/.
(+ $ ($. (2544). ,&5 I$&!!$1!$*
5# !. . # .. #/ST (S(
) ST ## / ##/ ".
, D90)3# )!(2550) I$&!!$1!.-!/ / $1 !$.). !$: , :#S( S)S(
/ ##/ ".