Lee L K, Chen P C Y, Lee K K, Kaur J
Department of Community Medicine, International Medical University, Plaza Komanwel, Bukit Jalil, Kuala Lumpur 57000, Malaysia.
Singapore Med J. 2006 Jun;47(6):476-81.
Sexual intercourse among Malaysian adolescents is a major concern, especially with the worry of HIV/AIDS. This study was done to determine the prevalence of sexual intercourse among secondary school students aged 12 to 19 years in Negeri Sembilan, Malaysia.
This is a cross-sectional school survey conducted on 4,500 adolescent students based on a structured questionnaire. Data were collected using the self-administered questionnaire (translated version of the Youth Risk Behaviour Surveillance in Bahasa Malaysia).
The study showed that 5.4 percent of the total sample were reported to have had sexual intercourse. The proportion among male students who had had sex was higher (8.3 percent) compared with female students (2.9 percent). The mean age at first sexual intercourse was 15 years. One percent of students reported that they had been pregnant or had made someone else pregnant. Adolescent sexual intercourse was significantly associated with (1) socio-demographical factors (age, gender); (2) environmental factors (staying with parents); and (3) substance use (alcohol use, cigarette smoking, drug use), even after adjustment for demographical factors. The survey showed that 20.8 percent of respondents had taken alcohol, 14.0 percent had smoked cigarettes, 2.5 percent had tried marijuana, 1.2 percent had tried ecstasy pills, 2.6 percent had tried glue sniffing, 0.7 percent had tried heroin, and 0.7 percent had intravenous drugs.
Prevalence of sexual intercourse among Malaysian adolescents was relatively low compared to developed countries. However, certain groups of adolescents tend to be at higher risk of engaging in sexual intercourse. This problem should be addressed early by targeting these groups of high-risk adolescents.
马来西亚青少年的性行为是一个主要问题，尤其是对艾滋病毒/艾滋病的担忧。本研究旨在确定马来西亚森美兰州12至19岁中学生的性行为流行率。
这是一项基于结构化问卷对4500名青少年学生进行的横断面学校调查。数据通过自填问卷（马来西亚语版青少年风险行为监测的翻译版本）收集。
研究表明，总样本中有5.4%的人报告有过性行为。有过性行为的男学生比例（8.3%）高于女学生（2.9%）。首次性行为的平均年龄为15岁。1%的学生报告他们曾怀孕或致使他人怀孕。即使在对人口统计学因素进行调整后，青少年性行为与（1）社会人口统计学因素（年龄、性别）；（2）环境因素（与父母同住）；以及（3）物质使用（饮酒、吸烟、吸毒）显著相关。调查显示，20.8%的受访者饮酒，14.0%的人吸烟，2.5%的人尝试过大麻，1.2%的人尝试过摇头丸，2.6%的人尝试过嗅胶水，0.7%的人尝试过海洛因，0.7%的人使用过静脉注射毒品。
与发达国家相比，马来西亚青少年性行为的流行率相对较低。然而，某些青少年群体从事性行为的风险往往较高。应尽早针对这些高危青少年群体解决这一问题。
