Factors Associated with Sexual Intercourse, Condom-Use, and Perceived Peer Behaviors Among Adolescents in Malaysia: A School-Based Cross-Sectional Study
High-risk sexual behavior among young adults is concerning to clinicians, public health practitioners and policy makers because it is associated with unintended health outcomes including transmission of sexually transmitted infections (STIs) and unintended pregnancy.This paper analyzes how knowledge of HIV, experience with dating behavior, and perception of peer behavior factors are associated with having sexual intercourse and use of condoms among adolescent students in Malaysia. National data from school-age adolescents who completed the Malaysian HIV/AIDS Knowledge, Attitude and Practice survey were used. Chi-square analysis and multivariate logistic regression analyses were performed. Having sexual intercourse was associated with urbaneness (p<0.001); correctly answered all UNGASS indicator (p=0.011); and perception of peer behavior having had sex (p=0.001). Condom use among those who had sexual experience was associated with males (p=0.013), believing condoms prevent HIV and STIs (p<0.002), and having friends who report having had sex (p=0.034).Equitable and effective sexual education program must be developed to promote the health of adolescents. Practical education about how condoms may prevent the transmission of STIs and HIV should be promoted.