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      Risk and Protective Factors Affecting Sexual Risk Behavior Among School-Aged Adolescents in Fiji, Kiribati, Samoa, and Vanuatu.

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          Abstract

          There are limited studies on the prevalence and correlates of sexual risk behavior among adolescents in Pacific Island countries. In order to inform public sexual and reproductive health interventions, the aim of this study was to assess the prevalence and correlates of various sexual risk behaviors among in-school adolescents in 4 Pacific Island countries using data from the Global School-Based Health Survey. In a cross-sectional study, 6792 school-going adolescents (49.7% boys and 50.3% girls; 13-16 years old) from Fiji, Kiribati, Samoa, and Vanuatu were surveyed with a self-administered questionnaire. Overall, 18.9% of students reported to ever had sex (ranging from 12.9% in Vanuatu to 57.5% in Samoa), and of those sexually active, 38.0% had an early sexual debut (<14 years), 38.1% had 2 or more sexual partners during their lifetime, 39.5% had not used a condom at last sex, 50.9% had not used birth control at last sex, and 77.8% engaged in sexually risky behavior using a composite measure. Multivariate logistic regression found that male sex, older age, tobacco use, alcohol use, mental distress, having no close friends, and truancy were associated with several of 5 or all 5 sexual risk behaviors. Sexual and reproductive health promotion programs are indicated to address the high risk of sexually transmitted infection, HIV, and pregnancy in this adolescent population.

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          Author and article information

          Journal
          Asia Pac J Public Health
          Asia-Pacific journal of public health
          SAGE Publications
          1941-2479
          1010-5395
          July 2016
          : 28
          : 5
          Affiliations
          [1 ] ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand Department of Research & Innovation, University of Limpopo, Turfloop, South Africa HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria, South Africa karl.pel@mahidol.ac.th.
          [2 ] ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand Department of Research & Innovation, University of Limpopo, Turfloop, South Africa.
          Article
          1010539516650725
          10.1177/1010539516650725
          27242369
          f501f710-86e6-4847-a409-0114e55ace2d
          History

          Samoa,Vanuatu,mental distress,Global School-Based Health Survey,protective factors,substance use,sexual behavior,Kiribati,Fiji

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