The Internet as a Sex Education Tool: A Case Study of an Online Thai Discussion Board

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.