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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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