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Sexual and Reproductive <strong>Health</strong> of Adolescents and Youths in Malaysia<br />
The place for first sexual intercourse was<br />
“the bedroom” in about half of the<br />
responses, and male respondents<br />
reported “a hotel” as a close second<br />
choice. The survey also reported that, in<br />
most cases, the partner for the first sexual<br />
intercourse was a “date” or “steady<br />
girlfriend/boyfriend.” About 15% of inschool<br />
males and almost 27% of outof-school<br />
males reported that their first<br />
sexual encounter was with a “prostitute.”<br />
For out-of-school females, 10 out of<br />
22 reported that their first experience<br />
was coerced, with a “stepfather,”<br />
“conman” or “others.”<br />
Besides the above surveys, the National<br />
<strong>Health</strong> and Morbidity Survey 1996 also<br />
asked<br />
30 000 school-going respondents about<br />
their sexual behaviour, and 1.8% said<br />
they had had sexual intercourse, with<br />
male students twice as likely to be<br />
sexually involved than female<br />
(2.5% versus 1.2%). Of that number,<br />
63.2% were heterosexual, 19.9% were<br />
homosexual, and 9.4% had sex with<br />
prostitutes.<br />
A comparative study of students and<br />
drug rehabilitation centre inmates found<br />
that 6% of students and 54% of inmates<br />
had had intercourse before the age of<br />
20. A study of attendees at one clinic<br />
reported that 22.5% of males and<br />
30.9% of females had had intercourse<br />
before the age of 20. Another study of<br />
100 students aged 15-17 years found that<br />
the incidence was only 2%. The mode<br />
age of sexual debut, 17-18 years, is<br />
probably not different from other similar<br />
countries. Whether or not this has<br />
changed over the years is not clear, since<br />
not many studies on sexual activity have<br />
been conducted on a longitudinal basis.<br />
The common assumption that “most, if<br />
not all births occur within marriage” may<br />
not be true. Evidence shows that the<br />
mean age at first childbirth is 21 years;<br />
while the mean age at first marriage for<br />
females is 23.5 years (1980) and 25 years<br />
(1998). There are also data on births that<br />
record the ages of mothers as<br />
“unknown”. From anecdotal and media<br />
reports on the incidence of abandoned<br />
babies, it is reasonable to postulate that<br />
many of those mothers of “unknown”<br />
age are unmarried young women who<br />
have no recourse to family and other<br />
institutional support, and therefore<br />
abandon their babies hoping that<br />
someone will take better care of them.<br />
Inherent in this phenomenon is the deep<br />
sense of shame related to the societal<br />
sanction placed upon illegitimate births.<br />
As, in almost all cases, the identity of a<br />
woman who has given birth and<br />
abandoned her baby is not known, such<br />
events take place under clandestine<br />
circumstances.<br />
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