Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015
Author:
Peltzer Karl12ORCID, Pengpid Supa34ORCID
Affiliation:
1. Department for Management of Science and Technology Development , Ton Duc Thang University , Ho Chi Minh City , Vietnam 2. Faculty of Pharmacy , Ton Duc Thang University , Ho Chi Minh City , Vietnam 3. ASEAN Institute for Health Development , Mahidol University , Salaya , Phutthamonthon , Nakhon pathom , Thailand 4. Department of Research Administration and Development , University of Limpopo , Polokwane , South Africa
Abstract
Abstract
Objectives
The study aimed to assess the prevalence and correlates of sexual risk behaviours among adolescents in four Southeast Asian countries.
Methods
In the cross-sectional “Global School-Based Student Health Survey (GSHS)”, 24,423 adolescents (mean age 14.1 years, SD=1.7) from Indonesia, Laos, Thailand and Timor-Leste responded to a questionnaire in 2015.
Results
Overall, 8.5% of the students (11.0% males and 6.3% females) ever had sex, ranging from 5.3% in Indonesia to 26.4% in Timor-Leste. Among the sexually active, 49.3% (55.9% males and 36.8% females) had their first sexual intercourse before the age 14 years, ranging from 16.1% in Laos to 73.9% in Indonesia, 59.7% (62.6% males and 53.5% females) had multiple sexual partners, ranging from 55.5% in Timor-Leste to 63.4% in Indonesia, 46.9% (46.8% males and 46.5% females) did not use a condom at last sex, ranging from 37.0% in Thailand to 65.3% in Indonesia, 49.8% (53.7% males and 43.7% females) had not used or did not know of the use of birth control at last sex, ranging from 40.6% in Thailand to 61.5% in Timor-Leste, and 54.2% (54.9% males and 47.0% females) engaged in multiple sexual risk behaviour, ranging from 45.9% in Laos to 78.0% in Indonesia. In adjusted logistic regression analysis, male sex, older age, food insecurity, tobacco use, alcohol use, ever cannabis and/or amphetamine use, psychological distress, and school truancy were associated with two or more and/or multiple sexual risk behaviours.
Conclusions
A high proportion of students engaged in various sexual risk behaviours calling for a scale up comprehensive sexuality education and integration of substance use and mental health into such intervention programmes in this adolescent school population.
Publisher
Walter de Gruyter GmbH
Subject
Public Health, Environmental and Occupational Health,Pediatrics, Perinatology and Child Health
Reference28 articles.
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