Risky Sexual Behavior among Rural Female Adolescents in Malaysia: A Limited Role of Protective Factors

Ahmadian, Maryam; Hamsan, Hanina Halimatusaadiah; Abdullah, Haslinda; Samah, Asnarulkhadi Abu; Noor, Amna

doi:10.5539/gjhs.v6n3p165

Cited by 19 publications

(22 citation statements)

References 30 publications

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“…A non-permissive attitude towards premarital sex is common among conservative cultures like the people in Malaysia, Hong Kong and China. However, modernisation may have inadvertently changed people’s attitudes and a permissive attitude is now common among sexually active youths in these countries [ 15 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

Questionnaire development and validity to measure sexual intention among youth in Malaysia

et al. 2017

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BackgroundFrom the Theory of Planned Behaviour perspective, sexual intention is determined by a permissive attitude, perception of social norms and perceived self-efficacy in performing sexual activity. The aim of this study was to develop and validate the Youth Sexual Intention Questionnaire (YSI-Q), which was designed to measure sexual intention among youths in Malaysia.MethodsA total of 25 items were developed based on literature reviews encompassing four main constructs: sexual intention, attitude, social norms and self-efficacy. The YSI-Q then underwent a validation process that included content and face validity, exploratory factor analysis (EFA), reliability analysis, and confirmatory factor analysis (CFA). This study was conducted on unmarried youths aged 18 to 22 years who were studying in colleges around Klang Valley, Malaysia.ResultsEFA supported the four factor structure, but five items were removed due to incorrect placement or low factor loading (<0.60). Internal reliability using Cronbach’s alpha ranged between 0.89 and 0.94. The CFA further confirmed the construct, convergent and discriminant validity of the YSI-Q with χ 2 = 392.43, df = 164, p < 0.001, χ 2/df = 2.40, CFI = 0.93 and TLI = 0.92 and RMSEA = 0.08.ConclusionThe final set of YSI-Q consisted of 20 items measuring sexual intention (five items), attitude (five items), social norms (six items) and self-efficacy (four items) of practicing sexual activity. YSI-Q was shown to be a reliable and valid tool to be used among Malaysian youths.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3949-1) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Questionnaire development and validity to measure sexual intention among youth in Malaysia

et al. 2017

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“…Despite this alarming situation, only a few studies have been conducted to explore factors associated with sexual reproductive health behavior among young people in the resource-limited countries. Most recent surveys in Southeast Asian nations, including Cambodia, and anecdotal reports suggest that risky sexual behavior (RSB) among adolescents and young adults in these countries are very common [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Yi¹,

Tuot²,

Yung³

et al. 2014

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Background: Recent surveys suggest that adolescents and young adults in Southeast Asian nations are at great risks of sexual reproductive health issues. This study explored factors associated with risky sexual behavior (RSB) among unmarried most-at-risk young people in Cambodia. Methods: A two-stage cluster sampling method was used to select 1,204 boys and 1,166 girls aged 10-24 from 252 hotspots in the capital city and seven provinces. A five-item scale was constructed to measure RSB. All variables were entered simultaneously in multivariate logistic regression models if they were significantly associated with RSB in bivariate analyses. Results: Of total, 37.7% of boys and 18.5% of girls had sexual intercourse in the past three months; of them, 69.6% of boys and 52.5% of girls were involved in commercial sex. Only 43.3% of boys and 6.5% of girls reported always using condom with unpaid regular partners in the past three months. Among sexually active girls, 43.5% reported having been pregnant and of them, 42.4% reported having induced abortion as a result of their most recent pregnancy. After adjustment, boys with higher levels of RSB were significantly more likely to live in an urban area, to have completed ≥ 9 years of formal education, and to be not currently living with parents. In contrast, girls with higher levels of RSB were significantly less likely to have completed ≥ 9 years of formal education and to have both parents alive. Both boys and girls with higher levels of RSB were significantly more likely to be in the age group of 20-24, to be not currently in school, to be employed, to becurrent alcohol drinkers, to becurrent heavy alcohol drinkers, to be current illicit drug users, and to have been tested for HIV. Conclusions: Unmarried young people in this study are exposed to several sexual reproductive health problems such as HIV and sexually transmitted infections, unwanted pregnancy, and unsafe abortion. These findings suggest the need for research and prevention programs for these key populations taking into account risk factors identified in this study.

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“…Among the “first-time experiences” that occur in adolescence, the first sexual intercourse can be considered the rite of greatest repercussion in this phase 2 . There is influence of socioeconomic, cultural, and gender factors and, in the rural area, there is also a tendency to preserve more conservative behaviors in relation to gender relations and sexual behavior 3 .…”

Section: Introductionmentioning

confidence: 99%

Comportamento sexual e fatores associados em adolescentes da zona rural

et al. 2018

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OBJECTIVE:To describe the sexual behavior and to identify associated factors in adolescents from rural communities in Bahia, Brazil.METHODS:This is a cross-sectional, population-based, and household-based study, carried out in 2015 with adolescents aged 10 to 19 years. We described the variables of sexual intercourse in life and in the last 12 months, age at first intercourse, condom use and number of partners, guidance on pregnancy, AIDS, or other sexually transmitted infections, and guidance on how to get condoms. The analysis was performed for the total sample and for the quilombola and nonquilombola strata. We used Poisson regression, with robust variance, to estimate the prevalence ratios for sexual intercourse in relation to the explanatory variables.RESULTS:A total of 390 adolescents were interviewed, of them 42.8% were quilombolas, 51.3% females, and the median age was 14.8 years. Of these adolescents, 26.4% reported sexual intercourse (28.1% quilombolas and 25.1% non-quilombolas), and the median age of the first relation was 15 years; 77.7% of them mentioned condom use in the last intercourse and more than half received guidance on pregnancy, AIDS, or other sexually transmitted infections and received no guidance on how to get free condoms. Age (PR = 1.42) and alcohol use experimentation (PR = 2.41) were positively associated with sexual intercourse after adjustment. In the quilombola stratum, age (RP = 1.37), having three or more close friends (PR = 1.37), and experimentation with alcohol (PR = 2.60) were associated. In the non-quilombola stratum, age (PR = 1.43), black persons (PR = 2.06), and alcohol use experimentation (PR = 2.68) were associated.CONCLUSIONS:Lack of information and exposure to behaviors such as alcohol use experimentation are conditions that need to be addressed in health promotion strategies and in strategies for the prevention of sexual health problems in rural adolescents. Intersectoral partnerships between education and health also need to be strengthened to promote the autonomous and safe exercise of sexuality in this population.

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Risky Sexual Behavior among Rural Female Adolescents in Malaysia: A Limited Role of Protective Factors

Cited by 19 publications

References 30 publications

Questionnaire development and validity to measure sexual intention among youth in Malaysia

Questionnaire development and validity to measure sexual intention among youth in Malaysia

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Comportamento sexual e fatores associados em adolescentes da zona rural

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