Defense Date


Document Type


Degree Name

Doctor of Philosophy


Family Practice

First Advisor

Dr. Martha W. Moon


The major purposes of this study were to determine the relationships among resilience, risk-taking behavior and personal characteristics of Thai adolescents living in Bangkok and to examine the differences in risk-taking behavior by school grades or gender. To accomplish these, a cross-sectional correlational research design was conducted. Resilience was measured by using the State-Trait Resilience Inventory developed by Hiew, Mori, Shirnizu and Torninaga.Risk-taking behavior was measured by the Risk-taking Behavior Questionnaire for Thai Adolescents which is a modified version of the 2003 Youth Risk Behavior Survey (YRBS) originally developed by the U.S. Centers for Disease Control and Prevention. In order to make it more applicable to the Thai setting, the author modified the 2003 YRBS. The modified instrument was then translated and back translated; equivalence testing was performed; a pilot study was conducted; and test-retest reliability was measured. Overall, these procedures indicated that the modified version of YRBS had evidence of equivalence (semantic, content, and conceptual), feasibility and acceptability as well as good reliability for use among Thai adolescents to measure risk behavior. Risk-taking behavior in this study includes six categories of behavior: (1) behavior that contributes to unintentional injuries and violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behavior contributing to unintended pregnancy and sexually transmitted diseases, including HIV infection; (5) unhealthy dietary behavior; and (6) inadequate physical activity.In all, 1409 students, grades 7 to 12 from six secondary schools in Bangkok, Thailand, participated in the study. Their mean age was 14.9 ± 1.8 years, and 54% were female. Data sets were analyzed using the SPSS for Windows, version 14.0 statistical software program. Resilience scores ranged from 72 to 161 with a mean of 125.55 and standard deviation of 11.44. There were significant positive and negative relationships between resilience and various risk-taking behavior (p Overall findings from this study provided more understanding of risk-taking behavior and its relationship with resilience among Thai adolescents. The recommendations for implementation and further studies were discussed.


© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

June 2008