Journal of Public Health Aspects

Journal of Public Health Aspects

ISSN 2055-7205
Original Research

Prevalence of sexual activity in older Malaysian adolescents and associated factors

S Maria Awaluddin1*, Noor Ani Ahmad1, Noridah Mohd. Saleh2, Tahir Aris1, Noraida Mohd Kasim1, Noor Azlin Muhammad Sapri3 and Nik Rubiah Nik Abdul Rashid2

*Correspondence: S Maria Awaluddin

1. Institute for Public Health, Ministry of Health Malaysia, Malaysia.

Author Affiliations

2. Family Health and Development Division, Ministry of Health Malaysia, Malaysia.

3. The National Population and Family Development Board, Ministry of Women, Family and Community Development, Malaysia.


Background: Unprotected sexual activity predisposes adolescents to serious consequences later in life. This study aimed to identify the risks and protective factors associated with sexual activity in Malaysian adolescents aged 18 to 19 years.

Methods: Data from a health screening program among adolescents conducted in 2010 were analyzed. A total of 21,438 unmarried adolescents responded to this topic using a self-administered non-anonymous validated questionnaire.

Results: Among the participants, 54.5% were males and 45.5% were females. Ethnicities included 66.2% Malays, 20.7% Chinese, 7.2% Indians and 5.9% other ethnicities. Most of the respondents (97.1%) reported having a secondary level of education. The overall prevalence of sexual activity in older adolescents was 6.4% (8.9% among males and 3.6% among females). In a multivariate logistic regression model, sexual activity was positively associated with pornographic viewing (adjusted odds ratio [aOR]: 2.55; 95% confidence interval [CI]: 2.01-3.22), risky behavior (aOR: 2.62; 95%CI: 2.11-3.25), anti-social behavior (aOR: 2.44; 95%CI: 2.06-2.90), female (aOR: 2.24; 95%CI: 1.76-2.85), history of abuse (aOR: 1.81; 95%CI: 1.46-2.24), low religiosity (aOR: 1.71; 95%CI: 1.30-2.26) and masturbation (aOR: 1.34; 95%CI: 1.07-1.68).

Conclusions: A comprehensive intervention program should be developed to target this at-risk group to prevent the spread of sexually transmitted diseases and criminal abortion.

Keywords: Sexual activity, risky behavior, pornographic viewing, Malaysian, adolescents

ISSN 2055-7205
Volume 2
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