Bridging the gap between adolescent sexuality and HIV risk: the urban Malaysian perspective

Ng CJ, Kamal SF
Correspondence: Dr Chirk-Jenn Ng, ngcj@um.edu.my

ABSTRACT
Introduction This study aimed to qualitatively explore adolescents' sexuality and their relation to human immunodeficiency virus (HIV) risk in Malaysia.
Methods This study was conducted in 2002 among 16 male and female private college students aged between 18 and 22 years old, all of whom were sexually active. Semi-structured individual interviews were carried out.
Results There were definite differences in gender roles in terms of how adolescents perceived sex, selection of sex partners and communication with their partners. Definitions of stable and casual relationships differed between males and females. Most participants were concerned about pregnancy rather than sexually transmitted diseases or HIV infection when they interpreted safe sex. Reasons for not practising safe sex include trust between sex partners, complacency, low perception of risk, and negative attitudes towards condom use.
Conclusion These findings were closer to those observed in the developed countries. The findings from this study will serve as a guide to plan for local adolescent health education. It can also serve as a basis for more in-depth quantitative and qualitative research on adolescent sexuality.

Keywords: adolescent sexuality, human immunodeficiency virus, qualitative research, sex education, sexuality
Singapore Med J 2006; 47(6): 482-490