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Aim: To investigate the predictors of early sexual initiation (SI) among Thai adolescents. Methods: A cross sectional design was used to assess parental and child factors that may affect early sexual initiation in 430 Thai adolescents. Results: The prevalence of early sexual initiation (SI) was higher in Thai boys and was started at an earlier age. Early SI was associated with adolescents’ self-esteem, academic performance and spirituality, family structure, parents’ education, and parental monitoring. However, logistic regression noted that parental monitoring was the best predictor of early sexual initiation, followed by family structure, academic performance, and spirituality. Correspondence to: Lina Kurdahi Badr RN, Professor of School of Nursing, Azusa Pacific University and Professor Emerita, UCLA, 701 E foothill Ave, Azusa Ca 91702, USA, Tel: +310 341-3143; Fax: 626-815-6000; E-mail: lbadr@apu.edu

What vartaibles including spirituality determine early sexual initiation among thai adolescents?