Predicting Sexual Intention to Engage in Premarital Sex Among Late Adolescent in Kuantan Government Secondary Schools: An Application of Theory of Planned Behaviour

Introduction: Based on the Theory of Planned Behaviour (TPB), sexual intention is determined by three main socio-cognitive factors which are permissive attitudes, social-norms and self-efficacy in performing premarital sexual activity. Premarital sex associated with increased risk of sexually transmitted diseases and detrimental social implications. The aim of this study was to explore the correlation of the socio-cognitive factors in predicting intention to engage in premarital sex amongst late adolescents in Kuantan government secondary schools. Method: This cross-sectional study was conducted among 466 pre-university students aged 18-19 years from nine government secondary schools in Kuantan district. A self-administered validated Youth Sexual Intention Questionnaire (YSI-Q) was used. Statistical analyses were done using IBM SPSS version 22.0. Results: Permissive attitude (r=0.579, p<0.001), perception of social-norms (r=0.513, p<0.001) and perceived self-efficacy (r=0.253, p<0.001) were positively correlated with the sexual intention towards premarital sex. The higher the permissive attitude, social-norms and perceived self-efficacy, the higher the sexual intention score. There was a significant difference in the level of sexual intention between male (35.6%) and female (64.4%) with mean (SD) score of 10.54 (3.8) and 7.3 (2.9) respectively. Students with premarital sex experience (1.5%) showed significantly higher score in sexual intention than student without premarital sex experience (t=4.54, p<0.001). Conclusion: This study confirmed permissive attitude, perception of social-norms and perceived self-efficacy were positively correlated with sexual intention towards premarital sex among the late adolescents. Therefore, it is important to consider this TPB theoretical framework in designing sexual abstinence intervention to curb the unsafe sexual behaviour.

EVALUATION OF EXTRAGENITAL INJURIES IN FEMALE CHILDREN WITH SEXUAL ABUSE

The article reports results of a study of extragenital injuries in female children.Aim. Applied forensic evaluation of extragenital injuries in female children offended by sexual abuse.Material and methods. The study sample contained 517 observations, with 245 representing children suffered from physical sexual abuse and 272 — from physical violence without the sexual intention. Only injuries localised outside the genitals were considered. Particularly, we analysed the occurrence frequency of injuries confined to preselected parts of the victim’ body. Statistical significance was estimated with the Kolmogorov — Smirnov test, Mann — Whitney U-test and Сhi-squared test. After estimating the test statistical power, a resulting set of diagnostic coefficients was constructed to assess the practical value of the data.Conclusion. The estimated diagnostic coefficients provide a forensic medical expert with a probabilistic tool to qualify specific circumstances of extragenital injuries in offended female children in communication with legal authorities.

Association between Social-Cognitive Factors and Sexual Intention towards Pre-Marital Sex Activity among School-Going Late Adolescents in Kuantan, Pahang

Introduction: The Theory of Planned Behavior (TPB) is determined by four main domains of social-cognitive factors; attitudes, social-norms, self-efficacy and sexual intention. This study aim to identify the socio-demographic and socio-cognitive factors associated with sexual intention towards premarital sex among school-going late adolescent. Materials and method: Cross-sectional study was conducted in nine government secondary schools in Kuantan district between January-July 2018. A total of 466 self-administered validated Youth Sexual Intention Questionnaires(YSIQ) data are collected among unmarried students aged 18-19-year-old. Statistical analyses were done using IBM SPSS version 22.0. Results: Out of 466 participants, 67.4%, 68.2%, 64.4% are Malays, Females and Muslims. Simple logistic regression showed for every one unit increase in permissive attitude, social-norms and selfefficacy scores, there were 1.424, 1.303 and 1.215 times increase risk of having sexual intention, with p -value of 0.001 each and 95% CI of odds ratio(OR) 1.2681.600, 1.191-1.425 and 1.066-1.386 respectively. Multivariate logistic regression showed that female had lower risk of having sexual intention( p=0.001, OR=0.163, CI=0.058-0.462). Non-Malays and ever-smoker students had higher risk compared to Malay and non-smoker towards having sexual intention with p=0.001 (OR=5.110,CI=1.881-13.886) and p =0.019 (OR=3.288, CI=1.218-8.875) respectively. For every unit increase in permissive attitude score, there was 1.236 times increase risk of having sexual intention with p=0.002 (95%CI, OR=1.084-1.410). Conclusion: The study showed the risk of having sexual intention was higher among males, nonMalay, ever-smoker students; and those with higher permissive attitude scores. Peer education intervention programs are necessity for school-going students to improve the permissive attitude in averting risk behavior that may lead to sexual intention towards pre-marital sex activity. The study should be expanded to adolescent who are no longer in school or in suburban areas.

Predicting Sexual Intention to Engage In Premarital Sex among Late Adolescent in Kuantan Government Secondary Schools: An Application Of The Theory Of Planned Behavior

Introduction: The Theory of Planned Behavior (TPB) states that behaviour is determined by four main domains of social-cognitive factors; attitudes, social norms, self-efficacy and sexual intention. The aim of this study was to explore the correlation of the socio-cognitive factors predicting sexual intention to engage in premarital sex amongst late adolescent in Kuantan government secondary schools. Materials and Methods: This cross-sectional study was conducted among 466 single students aged 18 to 19 years in nine government secondary schools in Kuantan district. A self-administered validated Youth Sexual Intention Questionnaire (YSI-Q) that measured permissive attitude, perception of social norms, perceived selfefficacy and sexual intention towards premarital sex activity has been used. Statistical analyses were done using IBM SPSS version 22.0. Results: There was a significant difference of sexual intention between male (35.6%) and female (64.4%) students with a mean(SD) of 10.54(3.8) and 7.3(2.9) respectively. Permissive attitude, perception of social norms (peer pressure) and perceived self-efficacy have significant positive correlation on sexual intention towards premarital sex with the value of (r=0.579, p<0.001), (r=0.513, p<0.001) and (r=0.253, p<0.001) respectively. Thus, the higher permissive attitude, social norms and perceived self-efficacy led to higher sexual intention. In addition, a student with premarital sex experience (1.5%) has significant higher sexual intention than student without premarital sex experience given by mean(SD); 14.43(2.5) vs. 8.25(3.6). Conclusion: The Theory of Planned Behavior has a positive correlation towards premarital sex among late adolescent. It might successfully guide the development of sexual abstinence intervention-based theory to reduce unsafe sexual behavior among adolescents.

The Application of the IMB Model as Primary Prevention on Adolescent’s Premarital Sexual Intention

Previous studies showed the information, motivation, and behavioral skills (IMB) model could be used to predict and prevent reducing sexual risk behaviors. This paper examines the effectiveness of IMB interventions in reducing adolescent’s premarital sexual intentions. A quasy experimental nonequivalent pretest-posttest control group design was conducted among 250 students in 20 secondary schools in Pontianak with intervention IMB models and 100 students in the control group. There was a significant differences of information (delta mean = 3.008; 95% CI = 2.329 to 3.687; p value = 0.0001), motivation (delta mean = 1.532; 95% CI = 0.846 to 2.218; p value = 0, 0001), and skills to refuse or delay premarital sexual behavior (delta mean = 1.604; 95% CI = 0.629 to 2.579; p value = 0.001) on adolescents between before and after the application of the IMB model in secondary students in pontianak, Indonesia. In addition, there were significant differences intention adolescents in the control group and the experimental between before and after the IMB intervention (p value &lt; 0.05). IMB model could be applied as primary prevention on adolescent’s premarital sexual intention through integration in school subjects. It is needed a support and debriefing skills in teachers.