Ng C J, Kamal S F
Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
Singapore Med J. 2006 Jun;47(6):482-90.
This study aimed to qualitatively explore adolescents' sexuality and their relation to human immunodeficiency virus (HIV) risk in Malaysia.
This study was conducted in 2002 among 16 male and female private college students aged between 18 and 22 years old, all of whom were sexually active. Semi-structured individual interviews were carried out.
There were definite differences in gender roles in terms of how adolescents perceived sex, selection of sex partners and communication with their partners. Definitions of stable and casual relationships differed between males and females. Most participants were concerned about pregnancy rather than sexually transmitted diseases or HIV infection when they interpreted safe sex. Reasons for not practising safe sex include trust between sex partners, complacency, low perception of risk, and negative attitudes towards condom use.
These findings were closer to those observed in the developed countries. The findings from this study will serve as a guide to plan for local adolescent health education. It can also serve as a basis for more in-depth quantitative and qualitative research on adolescent sexuality.
本研究旨在定性探索马来西亚青少年的性行为及其与人类免疫缺陷病毒（HIV）风险的关系。
本研究于2002年对16名年龄在18至22岁之间、均有性活动的男女私立大学生进行。开展了半结构化的个人访谈。
青少年在对性的认知、性伴侣的选择以及与伴侣的沟通方面，性别角色存在明显差异。男性和女性对稳定关系和随意关系的定义不同。大多数参与者在解释安全性行为时更担心怀孕，而非性传播疾病或HIV感染。不采取安全性行为的原因包括性伴侣之间的信任、自满、对风险的低认知以及对使用避孕套的消极态度。
这些发现与在发达国家观察到的情况更为接近。本研究结果将为当地青少年健康教育计划提供指导。它还可为关于青少年性行为的更深入的定量和定性研究奠定基础。
