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      Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015

      1 , 2 , 3 , 4
      International Journal of Adolescent Medicine and Health
      Walter de Gruyter GmbH

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          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.

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          Author and article information

          Contributors
          Journal
          International Journal of Adolescent Medicine and Health
          Walter de Gruyter GmbH
          2191-0278
          0334-0139
          June 09 2020
          June 09 2020
          : 0
          : 0
          Affiliations
          [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
          Article
          10.1515/ijamh-2019-0230
          2df25bc7-e07c-4212-a0bb-d11a2777e847
          © 2020
          History

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