Sexual knowledge based on Islamic values and sexual risk behaviors of HIV/STIs among Thai Muslim army conscripts: A cross-sectional study


HIV infection
Military personnel
sexual risk behavior
sexually transmitted diseases

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Singkun, A., Kallawicha, K., & Yamarat, K. (2022). Sexual knowledge based on Islamic values and sexual risk behaviors of HIV/STIs among Thai Muslim army conscripts: A cross-sectional study. Belitung Nursing Journal, 8(5), 431–437.
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  • Chulalongkorn University
    Grant numbers The Three Southern Border Provinces Scholarship Under the 10th Anniversary, College of Public Health Sciences, Chulalongkorn University
Accepted for publication: 2022-09-23
Peer reviewed: Yes

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Background: Sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), are commonly associated with conflict areas. In Thailand, conflict situations have occurred from 2004 until the present in three Muslim-majority southernmost provinces, including Yala, Pattani, and Narathiwat. However, Islam provides strict guidelines on sexuality. Therefore, those who strictly practice Islam will have lower sexual risk behavior.

Objective: This study aimed to examine the relationship between Islamic values-based sexual knowledge, sociodemographic factors, and risk for HIV/STIs among Thai Muslim army conscripts in the unrest situation area.

Methods: A cross-sectional study was conducted between May and July 2020. Data were collected using a validated questionnaire among 421 participants. Descriptive statistics and Chi-square were used to examine the association among variables.

Results: 57.5% of Muslim army conscripts had poor sexual knowledge based on Islamic aspects, and the participants showed high-risk profiles for HIV/STIs (32.5%). Marital status, hometown, smoking and drinking status, and Islamic values-based sexual knowledge were significantly associated with the risk of HIV/STIs (p <0.05).

Conclusion: Participants with poor sexual knowledge according to Islamic values, smokers, single-status, alcoholic drinkers, and non-three southernmost provinces’ hometowns had higher risks of HIV/STIs. Thus, it is suggested that nurses and public health professionals implement sexual health promotion and prevention for HIV/STIs. In addition, misperceptions of Islamic aspects toward sexual behavior should receive immediate adjustments.

Supporting Agencies

This study was partially supported by The Three Southern Border Provinces Scholarship Under the 10th Anniversary, College of Public Health Sciences, Chulalongkorn University Fund 2017, received by Singkun A.


Copyright (c) 2022 Awirut Singkun, Kraiwuth Kallawicha, Khemika Yamarat

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Declaration of Conflicting Interest

The authors declared no conflicts of interest in relation to this work.


Authors appreciate Imams, Muslim health academicians, and the commander in chief of each military unit in the research area. Their kindness and helpfulness made the study an achievement. Thanks to Muslim army conscripts providing all essential information.

Authors’ Contributions

All authors contributed equally to this study.

Data Availability

Not Applicable.


Abdi, B., Okal, J., Serour, G., & Temmerman, M. (2021). “Children are a blessing from God”–a qualitative study exploring the socio-cultural factors influencing contraceptive use in two Muslim communities in Kenya. Reproductive Health, 17(1), 1-11.

Ahmed, S., Abu-Ras, W., & Arfken, C. L. (2014). Prevalence of risk behaviors among US Muslim college students. Journal of Muslim Mental Health, 8(1).

Albobali, Y., & Madi, M. Y. (2021). Masturbatory guilt leading to severe depression. Cureus, 13(3), e13626.

Åling, M., Lindgren, A., Löfall, H., & Okenwa-Emegwa, L. (2021). A scoping review to identify barriers and enabling factors for nurse–patient discussions on sexuality and sexual health. Nursing Reports, 11(2), 253-266.

Alomair, N., Alageel, S., Davies, N., & Bailey, J. V. (2020a). Factors influencing sexual and reproductive health of Muslim women: A systematic review. Reproductive Health, 17(1), 1-15.

Alomair, N., Alageel, S., Davies, N., & Bailey, J. V. (2020b). Sexually transmitted infection knowledge and attitudes among Muslim women worldwide: A systematic review. Sexual and Reproductive Health Matters, 28(1), 1731296.

Assad, S., Shahbaz, M., & Ajam, Y. (2016). Masturbation in the light of Islam and Christianity-allowed or not. International Journal of Scientific Reports, 2(6), 136-137.

Barmania, S., & Aljunid, S. M. (2016). Navigating HIV prevention policy and Islam in Malaysia: Contention, compatibility or reconciliation? Findings from in-depth interviews among key stakeholders. BMC Public Health, 16(1), 1-8.

Bloom, B. S. (1968). Learning for mastery. Instruction and curriculum. Regional Education Laboratory for the Carolinas and Virginia, Topical Papers and Reprints, Number 1. Evaluation Comment, 1(2), n2.

Chuemchit, M., Chernkwanma, S., Somrongthong, R., & Spitzer, D. L. (2018). Thai women’s experiences of and responses to domestic violence. International Journal of Women's Health, 10, 557-565.

Cochran, W. G. (2007). Sampling techniques. Hoboken, New Jersey: John Wiley & Sons.

Crisis Group Asia Report. (2012). Thailand : The evolving conflict in the South.

Cumber, S. N., & Tsoka-Gwegweni, J. M. (2016). Knowledge and practice of condom use as well as perceived barriers among street adolescents in Cameroon. Southern African Journal of HIV Medicine, 17(1).

Deep South Watch. (2020). Summary of incidents in Deep Southern Thailand.

Deep South Watch. (2021). Summary of incidents in Southern Thailand.

Dickson-Gomez, J., Quinn, K., Broaddus, M., & Pacella, M. (2017). Gang masculinity and high-risk sexual behaviours. Culture, Health & Sexuality, 19(2), 165-178.

Dotson-Blake, K. P., Knox, D., & Zusman, M. E. (2012). Exploring social sexual scripts related to oral sex: A profile of college student perceptions. Professional Counselor, 2(1), 1-11.

Farid, N. D. N., Rus, S. C., Dahlui, M., Al-Sadat, N., & Aziz, N. A. (2014). Predictors of sexual risk behaviour among adolescents from welfare institutions in Malaysia: a cross sectional study. BMC Public Health, 14, S9.

Ghouri, N., Atcha, M., & Sheikh, A. (2006). Influence of Islam on smoking among Muslims. BMJ, 332(7536), 291-294.

Gray, P. B. (2004). HIV and Islam: Is HIV prevalence lower among Muslims? Social Science & Medicine, 58(9), 1751-1756.

Gunawan, J., Marzilli, C., & Aungsuroch, Y. (2021). Establishing appropriate sample size for developing and validating a questionnaire in nursing research. Belitung Nursing Journal, 7(5), 356-360.

Haberland, N. A. (2015). The case for addressing gender and power in sexuality and HIV education: A comprehensive review of evaluation studies. International Perspectives on Sexual and Reproductive Health, 41(1), 31-42.

Haddad, L. B., Tang, J. H., Krashin, J., Ng’ambi, W., Tweya, H., Samala, B., Chiwoko, J., Chaweza, T., Hosseinipour, M. C., & Lathrop, E. (2018). Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: A cross-sectional study. BMJ Sexual & Reproductive Health, 44(1), 1-12.

Halstead, J. M. (1997). Muslims and sex education. Journal of Moral Education, 26(3), 317-330.

Hamdi, S. (2018). The impact of teachings on sexuality in Islam on HPV vaccine acceptability in the Middle East and North Africa region. Journal of Epidemiology and Global Health, 7, S17-S22.

Hayee, F., Fongkaew, W., Chanprasit, C., Kaewthummanukul, T., & Voss, J. G. (2021). Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand. International Journal of Adolescent Medicine and Health, 33(6), 469-477.

Hinojar, B. L. (2012). The modern Thai conflict: National security issues and perspectives. Journal of the Higher School of National Defense Studies, 213-230.

Inhorn, M. C. (2007). Masturbation, semen collection and men's IVF experiences: anxieties in the Muslim world. Body & Society, 13(3), 37-53.

Jitpiromsri, S., Waitoolkiat, N., & Chambers, P. (2018). Quagmire of violence in Thailand’s southern borderlands chapter 1: Introduction. Asian Affairs: An American Review, 45(2), 43-55.

Kapila, A., Chaudhary, S., Sharma, R. B., Vashist, H., Sisodia, S. S., & Gupta, A. (2016). A review on: HIV AIDS. Indian Journal of Pharmaceutical and Biological Research, 4(3), 69-73.

Kerwin, J. T., Thornton, R. L., & Foley, S. M. (2014). Prevalence of and factors associated with oral sex among rural and urban Malawian men. International Journal of Sexual Health, 26(1), 66-77.

Korzeniewski, K., Juszczak, D., & Paul, P. (2020). Sexually transmitted infections in the military environment. International Maritime Health, 71(3), 207-212.

Muccini, C., Crowell, T. A., Kroon, E., Sacdalan, C., Ramautarsing, R., Seekaew, P., Phanuphak, P., Ananworanich, J., Colby, D. J., & Phanuphak, N. (2019). Leveraging early HIV diagnosis and treatment in Thailand to conduct HIV cure research. AIDS Research and Therapy, 16(1), 1-8.

Myers, M. G., Doran, N. M., & Brown, S. A. (2007). Is cigarette smoking related to alcohol use during the 8 years following treatment for adolescent alcohol and other drug abuse? Alcohol and Alcoholism, 42(3), 226-233.

Najimudeen, M. (2020). Islamic perspective on family planning. Scholars International Journal of Obstetrics and Gynecology, 3(3), 90-93.

Pathan, D. (2012). Conflict management and resolution in Asia: The role of civil societies in Thailand’s deep south The 25th Asia-Pacific Roundtable program, Kuala Lumpur.

Pattanasin, S., van Griensven, F., Mock, P. A., Sukwicha, W., Winaitham, S., Satumay, K., O’Connor, S., Hickey, A. C., Siraprapasiri, T., & Woodring, J. V. (2020). Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018. International Journal of Infectious Diseases, 99, 131-137.

Piriyasart, J., Songwathana, P., & Kools, S. (2020). Perceptions of sexual abstinence among Muslim adolescent girls in southern Thailand. International Journal of Adolescent Medicine and Health, 32(3).

Sakboonyarat, B., Mungthin, M., Nelson, K. E., & Rangsin, R. (2021). Rising prevalence of HIV infection and associated risk factors among young Thai Men in 2018. Scientific Reports, 11(1), 1-10.

Singkun, A. (2021). Factors associated with social responsibility among university students in Yala, Thailand during the COVID-19 pandemic. Journal of Health Research, 35(3), 265-275.

Singkun, A., Kallawicha, K., & Yamarat, K. (2021). Risk of HIV/STIs among Muslim army conscripts in the three deep southern provinces of Thailand. Health Promotion Perspectives, 11(4), 444-451.

Speed, D., & Cragun, R. T. (2021). Response to “Masturbation: Scientific evidence and Islam’s view”. Journal of Religion and Health, 60(3), 1668-1671.

Surit, P., Jariya, W., Zheng, N., Yi, H., Yu, X., Srithong, W., & Mirasena, S. (2017). Risk factors affecting condom use among Royal Thai Army conscripts in Thailand. World Journal of AIDS, 7(2), 92-105.

Wannarit, L.-O. (2022). Sexual abstinence as a reproductive health-promoting behavior for women: A perspective. Belitung Nursing Journal, 8(4), 372-377.

World Health Organization. (2000). Islamic ruling on smoking. Geneva: Regional Office for the Eastern Mediterranean, WHO.

Yu, F., Nehl, E. J., Zheng, T., He, N., Berg, C. J., Lemieux, A. F., Lin, L., Tran, A., Sullivan, P. S., & Wong, F. Y. (2013). A syndemic including cigarette smoking and sexual risk behaviors among a sample of MSM in Shanghai, China. Drug and Alcohol Dependence, 132(1-2), 265-270.

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