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The aim of this study was to estimate the prevalence and correlates of having had sexual intercourse among adolescents in Brunei Darussalam. Sexual behaviour with a range of other health behaviours and protective factors were assessed based on a self-report. The relationship between socio-demographic, substance use, psychosocial, protective factors and ever had sexual intercourse were assessed using logistic regression analyses.
indicate that ificant sexual risk behaviour was found and several risk factors identified for incorporation in comprehensive sex education. Brunei Darussalam situated in the northwest of the island Borneo in Southeast Asia, has a total population of , life expectancy is 77 years, secondary school enrolment ratio is 96 and per capita GDP was 31, USD in [ 1 ]. In Brunei Darussalam, sexually transmitted infections STIs are becoming a public health issue, with the highest of STIs being among 20—29 year olds, followed by 10—19 year olds [ 2 ].
There has also been an upward trend in HIV cases [ 3 ]. Sexual activity may begin during the adolescent period and may be associated with sexual risk behaviour such as unprotected sex and lack of use of contraceptives [ 4 ]. In other Southeast Asian countries, among females aged 15—19 years, Among in-school adolescents in Malaysia, 8.
Among school students in South Korea 6. Correlates of adolescent sexual intercourse onset have been identified, as reviewed in Ahmad et al. There are limited data on young people and sexual behaviour in Brunei Darussalam [ 15 ]. Therefore, the aim of this study was to estimate the prevalence and correlates of having had sexual intercourse among in-school adolescents, using data from the Brunei Darussalam Global School-Based Health Survey GSHS At the first stage, schools were selected with probability proportional to enrollment size.
At the second stage, classes were randomly selected and all students in selected classes were eligible to participate. Students completed the self-administered questionnaire under the supervision of trained research assistants [ 17 ]. The World Medical Association Declaration of Helsinki regarding ethical conduct of research involving human subjects was followed.
Informed consents were obtained from all the participants and their parents. Associations between sexual behaviour and socio-demographic, substance use, psychosocial distress variables, and protective factors were evaluated calculating odds ratios ORs. Unconditional logistic regression was used for evaluation of the impact of explanatory variables on ever had sexual intercourse binary-dependent variable.
The final sample included school-going adolescents, Table 2 provides the sample characteristics. A minority 6. Regarding psychosocial distress, Among all students, Male students were more likely than female students to ever had sexual intercourse, use tobacco, consume alcohol and had been in a physical fight, while female students were more often lonely and had attempted suicide than male students. of the bivariate and multivariable logistic regression analyses are presented in Table 3. The study found among a national sample of in-school adolescents in Brunei Darussalam an overall prevalence of ever having had sexual intercourse in the past 12 months of This rate seems comparable with studies in Cambodia and the Philippines [ 5 ], but seems to be higher than in Malaysia [ 6 ] and South Korea [ 8 ] and much lower than in Thailand, Australia, Europe and Canada [ 7 ], [ 9 ], [ 10 ].
While among school-going adolescents in Australia and Europe much higher rates of condom and contraceptive use at last sex were observed [ 9 ], [ 10 ]. The unsafe sexual behaviour found in this study may be related to a lack of information about disease transmission or ignoring preventive behaviours [ 13 ]. Lim et al. Although most students in secondary school received information about STIs from their teachers, they may not have been taught about the needed details [ 18 ].
Boys were more likely to have reported sexual intercourse and substance use tobacco, alcohol, illicit drugs than females. This predominance of boys in health risk behaviours has also been found in various other studies [ 6 ], [ 13 ], [ 19 ], [ 20 ]. Older adolescents in this study were more likely to have sexual intercourse than younger students, which conforms to other studies [ 11 ], [ 13 ], [ 21 ]. This finding is expected as it reflects the gradual sexual development among adolescents [ 13 ].
The study further showed that adolescents who engaged in sexual intercourse were also more likely to have used alcohol, tobacco and in bivariate analysis, drugs.
These associations between substance use and ever having had sex have also been found in a of studies in adolescents [ 12 ], [ 19 ], [ 22 ], [ 23 ], [ 24 ]. The study found that psychosocial distress have made a suicide attempt in the past 12 month, bullying victimisation and in bivariate analysis having been in a physical fight was associated with ever had sexual intercourse. Crookston et al. Peltzer and Pengpid [ 12 ] found that mental distress suicide plans, anxiety and loneliness were associated with ever having had sex among adolescents in Pacific Island countries.
research among adolescents [ 12 ], [ 19 ], [ 24 ] has shown the interconnectedness between sexual behaviour, externalising factors such as alcohol and tobacco use and internalising factors such as having made a suicide attempt.
Sexual and reproductive health strategies should incorporate substance use and psychosocial distress in their programmes [ 12 ], [ 19 ]. While studies [ 6 ], [ 11 ], [ 12 ], [ 22 ] found an association between a lack of positive peer relations, having no close friends and lack of parental support behaviour and adolescent sexual behaviour, this study only found in bivariate analysis that parental bonding was protective of having had sexual intercourse.
School attendance was found to be protective from having had sexual intercourse in studies [ 26 ], while in this study was only found in bivariate analysis. The study only included adolescents who were attending school, which is not representative of adolescents in the whole country. The questionnaire was self-completed, and biased responses may have been possible, e. As the data were based on a cross-sectional survey, no causality inferences can be made. The study estimated the prevalence sexual behaviour among adolescents in Brunei Darussalam. We suggest that efforts to control adolescent alcohol and tobacco use and psychosocial distress may have an impact on adolescent sexuality.
The government of Brunei Darussalam and the World Health Organisation did not influence the analysis nor did they have an influence on the decision to publish these findings. Country profile, Brunei Darussalam, [cited Jan 10]. Search in Google Scholar. Sexually transmitted diseases. Science Council Workshop Brunei Darussalam: Ministry of Health, Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Reprod Health.
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Your documents are now available to view. Confirm Cancel. Supa Pengpid and Karl Peltzer. Cite this. Abstract The aim of this study was to estimate the prevalence and correlates of having had sexual intercourse among adolescents in Brunei Darussalam. Keywords: adolescents ; Brunei Darussalam ; health risk behaviour ; sexual behaviour. Table 1: Variable description. Table 2: Sample characteristics among adolescents in Brunei Darussalam, Table 3: Associations with ever had sex. Received: Accepted: Published Online: Pengpid, S.
Sexual behaviour and its correlates among adolescents in Brunei Darussalam. International Journal of Adolescent Medicine and Health33 1 Pengpid, Supa and Peltzer, Karl. Pengpid S, Peltzer K. International Journal of Adolescent Medicine and Health. Copy to clipboard. Log in Register. Download article PDF. Volume 33 Issue 1. This issue. All issues. Articles in the same Issue Prenatal and early life origins of adolescence sleep problems: evidence from a birth cohort.
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