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Hu Z, Sun H, Liang H, Cao W, Hee JY, Yan Y, Tang K. Pornography Consumption, Sexual Attitude, and Condomless Sex in China. HEALTH COMMUNICATION 2024; 39:73-82. [PMID: 36522306 DOI: 10.1080/10410236.2022.2156738] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Studies have found that pornography consumption is associated with a higher likelihood of having condomless sex. Past research was primarily conducted with Western populations from developed countries. Consequently, less is known about sexual and reproductive health in developing countries and regions. A national sample of 11,957 university-level students was used to investigate the association between pornography consumption, sexual attitudes, and condomless sex. Our findings suggest that a higher frequency of pornography consumption is associated with an increased likelihood of having condomless sex and more positive attitudes toward premarital sex and one-night stand.
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Affiliation(s)
- Zhenchao Hu
- Vanke School of Public Health, Tsinghua University
- Faculty of Social Sciences, KU Leuven
| | - Haocan Sun
- School of Journalism and Communication, Beijing Normal University
| | | | - Wenzhen Cao
- Vanke School of Public Health, Tsinghua University
- Department of Information Management, Peking University
| | - Jia Yi Hee
- Vanke School of Public Health, Tsinghua University
| | | | - Kun Tang
- Vanke School of Public Health, Tsinghua University
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Das U, Rout S. Are delay ages at marriage increasing? Pre-marital sexual relation among youth people in the place of residence in India. BMC Womens Health 2023; 23:16. [PMID: 36631806 PMCID: PMC9835306 DOI: 10.1186/s12905-022-02149-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 12/26/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Adolescent sexual and reproductive health is a major public health issue throughout the world. At the same time shifting of marriage are undergoing discernible changes in country like India. This paper attempts to examine the effect of delay age at marriage on the risks of pre-marital sexual intercourse for the youth people in the place of residence. METHODS Data used in the present study is from various annual publications of Sample Registration System (SRS) and four round of National Family Health Survey, which was conducted in 2015-2016. The Kaplan-Meier life table technique and multivariate regression models are used to examine the premarital sex by the place of residence and marriage cohort. RESULTS Findings of the study indicate that the reasons underlying delayed marriage differs between blow 21 years age group and 22-30 years age group. Multinomial analysis clearly shows education, wealth quintile and mass media are major controlling factors of delayed age at marriage. Residing in urban adolescent women who belonged to better economic family background and exposed to mass media had a higher probability to experience premarital sexual intercourse than the rural adolescent in delay age group. CONCLUSION The study concludes that the restorative the empowerment of youth especially for women and health care provider should consider a multidimensional approach for higher education among youth people and safe sexual behaviour in pre-marital sexual intercourse.
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Affiliation(s)
- Ujjwal Das
- grid.444315.30000 0000 9013 5080P.G. Department of Geography, Fakir Mohan University, Balasore, Odisha India
| | - Sasmita Rout
- grid.444315.30000 0000 9013 5080P.G. Department of Geography, Fakir Mohan University, Balasore, Odisha India
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Internet pornography exposures amongst young people in Malaysia: A cross-sectional study looking into the role of gender and perceived realism versus the actual sexual activities. Addict Behav Rep 2021; 14:100350. [PMID: 34041356 PMCID: PMC8144352 DOI: 10.1016/j.abrep.2021.100350] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/20/2021] [Accepted: 04/23/2021] [Indexed: 11/21/2022] Open
Abstract
High prevalence of pornography exposure among participants and mostly through internet. Easy accessibility to free internet especially at home facilitate pornography use among young people. Further evidence is needed on perceived realism as a protective factor of pornography exposure. Male participants had earlier exposure on pornography during early adolescence.
Despite the wide accessibility to internet, pornography activities among youths are not well described in conservative countries like Malaysia. This study aimed to determine the prevalence, elicit gender differences and identify associated factors of pornographic exposure including perceived realism among college students. This cross-sectional study was conducted among students aged 18 to 25 years from seven colleges in Penang, Malaysia. A self-administered questionnaire was used to obtain data on socio-demographic characteristics, pornography exposure, pattern of use, sexual exposure and perceived realism. Among 986 participants, the prevalence of lifetime pornography exposure was 74.5%. More males (71.7%) were exposed to pornography, had started at earlier age, were frequent users and using the internet alone at home (p < 0.001). Males had higher odds of having exposure (Adjusted odds ratio, AOR = 20.44, 95% CI: 12.50 – 33.42, p < 0.001), whilst those who perceived pornography as real had lower odds of having pornographic exposure (AOR = 0.64, 95% CI: 0.43–0.94, p = 0.02). There is a high prevalence of pornography exposure among Malaysian college students, especially involving males. Easy access to pornographic materials at home facilitates this activity. Gender and perceived realism determined their pornographic exposure. Thus, parental monitoring of online access and planning structured activities to occupy free time are recommended at an early age.
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Efrati Y, Boniel-Nissim M. Parents' Psychopathology Promotes the Adoption of Ineffective Pornography-Related Parenting Mediation Strategies. JOURNAL OF SEX & MARITAL THERAPY 2020; 47:117-129. [PMID: 33107785 DOI: 10.1080/0092623x.2020.1835759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Approximately half of all adolescents aged 9-16 are exposed to pornography. Research has indicated that parents often try to employ various mediating strategies (negative active, restriction and co-use) in order to regulate their children's exposure to undesired content, and that most of these strategies are ineffective or have the opposite effect. In the present study, we investigated whether parental psychopathology (depression, anxiety, stress) promotes the adoption of less optimal parenting styles and an ineffective mediating strategy to regulate their child pornography exposure. The sample comprised 1,070 Jewish-Israeli parents to 10-14-year-old adolescents. Results indicated that for parents who characterized with mild anxiety and/or stress tend to adopte more authoritarian and less authoritative parenting style, which were linked with more ineffective mediating strategies with their child regarding pornography exposure - restrictive and negative active. These findings provide an opportunity for therapists as well as parents to gain a better insight into the link between psychopathology, parenting styles and the ability to regulate pornography exposure among children.
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Affiliation(s)
- Yaniv Efrati
- Faculty of Education and Society and Culture, Beit Berl College, Kfar Saba, Israel
| | - Meyran Boniel-Nissim
- School of Social Sciences and Humanities, Kinneret Academic College on the Sea of Galilee, Tzemah, Israel
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Hayee F, Fongkaew W, Chanprasit C, Kaewthummanukul T, Voss JG. Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand. Int J Adolesc Med Health 2020; 33:469-477. [PMID: 32549162 DOI: 10.1515/ijamh-2019-0221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 12/12/2019] [Indexed: 12/28/2022]
Abstract
Objectives To describe individual, interpersonal, and environmental factors and sexual risk behaviors among Thai Muslim adolescents. Methods We recruited adolescents from four schools and one vocational college on the Southern border of Thailand during October 2018 to January 2019. We used password-protected online questionnaires for each respondent to protect their privacy. Results We recruited N = 700 participants of which 9% were sexually experienced. Of those participants, many had never used a condom (41.3%) or considered taking contraceptive pills (71.4%). Moreover, 54% of them have had sexual intercourse more than once. Some had been infected with an STI (17.5%), and (14.3%) became pregnant more than once. Adolescents reported individual factors such as high religiosity (58.7%), and (47.6%) practiced Islam daily with no differences between boys and girls. Girls had significantly higher refusal of sex self-efficiency than boys (96 vs. 119.5, p < 0.05). In the interpersonal factors, boys had more uninvolved parenting style, lower parental monitoring, higher parental approval of sex, and higher perceived peer norm than girls. The environmental factors besides cultural norms impacted girls and boys equally. Conclusions We showed low rates of sexual activity, but in those adolescents who were sexually active we showed high rates of lack of knowledge and higher rates of sexual risk behaviors. Individual, interpersonal, and environmental factors all influenced sexual risk behaviors. We recommend comprehensive sexuality education that includes Islamic context for adolescents and their parents embedded in policy, religious, and community cultural practices.
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Affiliation(s)
- Fusiyah Hayee
- Faculty of Nursing, Chiang Mai University, 110 Inthawaroros Road, SriPhum, Mueang, Chiang Mai, Thailand
| | - Warunee Fongkaew
- Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH, USA
| | - Chawapornpan Chanprasit
- Faculty of Nursing, Chiang Mai University, 110 Inthawaroros Road, SriPhum, Mueang, Chiang Mai, Thailand
| | - Thanee Kaewthummanukul
- Faculty of Nursing, Chiang Mai University, 110 Inthawaroros Road, SriPhum, Mueang, Chiang Mai, Thailand
| | - Joachim G Voss
- Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH, USA
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Hazariah AHS, Fallon D, Callery P. An Overview of Adolescents Sexual and Reproductive Health Services Provision in Malaysia. Compr Child Adolesc Nurs 2020; 44:144-160. [PMID: 32442024 DOI: 10.1080/24694193.2020.1756983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Safer sex provision, including contraception information and services, should be made available to adolescents regardless of their marital status in strategies to reduce the incidence of unintended teenage pregnancies and the spread of STIs. In Malaysia, this information is still not being delivered formally to adolescents even though unintended teenage pregnancies and the practice of "baby dumping" are serious public health issues. The aims of this article are to describe the Malaysian context in terms of the need for comprehensive sexual and reproductive health information and treatment for unmarried adolescents. The article presents the key aspects of Malaysian society and the potential influence on the provision and delivery of sexual and reproductive health information and treatment to unmarried Malaysian adolescents that can be a reference for healthcare professionals especially school health nurses. The article also describes the establishment of sheltered homes, baby hatches and unregulated adoption processes as the initiatives being taken to address the issue of unintended teenage pregnancies. This article suggests that the policy and laws that require parental consent for accessing the services need to be reviewed and revised to ensure that specific services are available to adolescents in a safe environment that maintains confidentiality.
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Affiliation(s)
| | - Debbie Fallon
- Division of Nursing, Midwifery and Social Works, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Peter Callery
- Division of Nursing, Midwifery and Social Works, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
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Problematic and Non-problematic Pornography Use and Compulsive Sexual Behaviors Among Understudied Populations: Children and Adolescents. CURRENT ADDICTION REPORTS 2020. [DOI: 10.1007/s40429-020-00300-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Gender Difference in the Influence of Family Interaction and Parenting Behaviours on Youth Sexual Intention. SOCIAL SCIENCES-BASEL 2017. [DOI: 10.3390/socsci6030105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Muhammad NA, Shamsuddin K, Mohd Amin R, Omar K, Thurasamy R. Questionnaire development and validity to measure sexual intention among youth in Malaysia. BMC Public Health 2017; 17:157. [PMID: 28152993 PMCID: PMC5289019 DOI: 10.1186/s12889-016-3949-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 12/15/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND From the Theory of Planned Behaviour perspective, sexual intention is determined by a permissive attitude, perception of social norms and perceived self-efficacy in performing sexual activity. The aim of this study was to develop and validate the Youth Sexual Intention Questionnaire (YSI-Q), which was designed to measure sexual intention among youths in Malaysia. METHODS A total of 25 items were developed based on literature reviews encompassing four main constructs: sexual intention, attitude, social norms and self-efficacy. The YSI-Q then underwent a validation process that included content and face validity, exploratory factor analysis (EFA), reliability analysis, and confirmatory factor analysis (CFA). This study was conducted on unmarried youths aged 18 to 22 years who were studying in colleges around Klang Valley, Malaysia. RESULTS EFA supported the four factor structure, but five items were removed due to incorrect placement or low factor loading (<0.60). Internal reliability using Cronbach's alpha ranged between 0.89 and 0.94. The CFA further confirmed the construct, convergent and discriminant validity of the YSI-Q with χ 2 = 392.43, df = 164, p < 0.001, χ 2/df = 2.40, CFI = 0.93 and TLI = 0.92 and RMSEA = 0.08. CONCLUSION The final set of YSI-Q consisted of 20 items measuring sexual intention (five items), attitude (five items), social norms (six items) and self-efficacy (four items) of practicing sexual activity. YSI-Q was shown to be a reliable and valid tool to be used among Malaysian youths.
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Affiliation(s)
- Noor Azimah Muhammad
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia.
| | - Khadijah Shamsuddin
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Rahmah Mohd Amin
- Faculty of Medicine and Health Sciences, Universiti Sultan Zainal Abidin, Medical Campus, Jalan Sultan Mahmud, 20400, Kuala Terengganu, Terengganu, Malaysia
| | - Khairani Omar
- Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800, Nilai, Negeri Sembilan, Malaysia
| | - Ramayah Thurasamy
- School of Management, Universiti Sains Malaysia, 11800, Minden, Pulau Pinang, Malaysia
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Peter J, Valkenburg PM. Adolescents and Pornography: A Review of 20 Years of Research. JOURNAL OF SEX RESEARCH 2016; 53:509-31. [PMID: 27105446 DOI: 10.1080/00224499.2016.1143441] [Citation(s) in RCA: 175] [Impact Index Per Article: 21.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
The goal of this review was to systematize empirical research that was published in peer-reviewed English-language journals between 1995 and 2015 on the prevalence, predictors, and implications of adolescents' use of pornography. This research showed that adolescents use pornography, but prevalence rates varied greatly. Adolescents who used pornography more frequently were male, at a more advanced pubertal stage, sensation seekers, and had weak or troubled family relations. Pornography use was associated with more permissive sexual attitudes and tended to be linked with stronger gender-stereotypical sexual beliefs. It also seemed to be related to the occurrence of sexual intercourse, greater experience with casual sex behavior, and more sexual aggression, both in terms of perpetration and victimization. The findings of this review need to be seen against the background of various methodological and theoretical shortcomings, as well as several biases in the literature, which currently precludes internally valid causal conclusions about effects of pornography on adolescents.
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Affiliation(s)
- Jochen Peter
- a Amsterdam School of Communication Research , University of Amsterdam
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Abdul Samad S, Hairi NN, Ismail M. Role of Individual, Family, and Peers in Sexual Initiation Among Late Adolescents Attending Institutions of Higher Learning in Malaysia. Asia Pac J Public Health 2016; 28:313-24. [DOI: 10.1177/1010539516645158] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This cross-sectional study aimed to determine the prevalence and the factors associated with sexual initiation among the late adolescents in 6 institutions of higher learning in Malaysia. A total of 1572 students completed self-administered questionnaires between April and September 2013. Hierarchical multivariate logistic regression analyses stratified by gender were employed to identify the correlates of sexual initiation. The analyses were further adjusted by sampling weights. The overall prevalence of sexual initiation was 9.8% (95% confidence interval [CI] = 8.3-11.6), 18.1% (95% CI = 15.1-21.5) among males, and 4.1% (95% CI = 2.9-5.9) among females. The risk factors identified in this study supported the influence of the individual, family, and peer factors in the social-ecological model on adolescents’ behaviors. The findings suggest the need for risk-reduction strategies aimed at the individual, family, and peer levels as well as the importance of gender-specific focus in assuring better outcomes.
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Affiliation(s)
- Shazimah Abdul Samad
- University of Malaya, Kuala Lumpur, Malaysia
- Ministry of Health, Malaysia, Putrajaya, Malaysia
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Awaluddin SM, Ahmad NA, Mohd. Saleh N, Aris T, Mohd Kasim N, Muhammad Sapri NA, Nik Abdul Rashid NR. Prevalence of sexual activity in older Malaysian adolescents and associated factors. ACTA ACUST UNITED AC 2015. [DOI: 10.7243/2055-7205-2-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ahmad N, Awaluddin SM, Ismail H, Samad R, NikAbdRashid N. Sexual Activity Among Malaysian School-Going Adolescents. Asia Pac J Public Health 2014; 26:44S-52S. [DOI: 10.1177/1010539514544700] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study aimed to identify risk and protective factors associated with sexual activity among Malaysian adolescents. Data from the World Health Organization Global School-based Student Health Survey 2012 were analyzed. A total of 23 645 students aged 12 to 17 years responded using self-administered validated questionnaire. The overall prevalence of reported ever-had sex was 8.3%. Logistic regression analysis revealed that ever-had sex was positively significantly associated with ever-used drugs (adjusted odds ratio [aOR] = 7.71; 95% confidence interval [CI] = 6.51-9.13), and to a lesser extent, ever-smoked (aOR = 1.83; 95% CI = 1.62-2.07) and ever-consumed alcohol (aOR = 1.33; 95% CI = 1.15-2.53). Protective factors against ever-had sex were having a close friend (aOR = 0.63; 95% CI = 0.50-0.81), parental bonding (aOR = 0.72; 95% CI = 0.65-0.81), supportive peers (aOR = 0.77; 95% CI = 0.69-0.86), and parental connectedness (aOR = 0.88; 95% CI = 0.78-0.99). Although the prevalence of sexual activity among school-going adolescents in Malaysia is relatively low, identifying the risk and protective factors is crucial toward developing an integrated multiple approach to preventing sexual-related problems.
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Affiliation(s)
- NoorAni Ahmad
- Institute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - S. Maria Awaluddin
- Institute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Hasimah Ismail
- Institute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Rahama Samad
- Institute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - NikRubiah NikAbdRashid
- Family Health and Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia
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