Casual sex China - Hong Kong

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Try out PMC Labs and tell us what you think. Learn More. Little is known about sex knowledge, attitudes, and high-risk sexual behaviors among unmarried youth in Hong Kong. It is of public health importance to investigate this topic to inform sex education, policymaking, and prevention and intervention programs. Based on the Youth Sexuality Survey conducted by Hong Kong Family Planning Association FPAHK inthis study explored the characteristics of sexual knowledge, attitudes, and high-risk sexual behaviors among 1, unmarried youth aged 18 to 27 years. Unmarried youth in Hong Kong had adequate sex knowledge, but contraceptive knowledge was deficient.

The majority of unmarried youth Males tended to hold more liberal attitudes toward high-risk sex behaviors than female youth. Approximately Males also reported higher amounts of premarital sex, casual sex relationships, and multiple sex partners. Females reported higher levels of sexual coercion. Logistic regressions indicated that being older, coming from a divorced family, out of school status and liberal attitudes toward risky sex behavior were more likely to engage in premarital sex or high-risk sex behaviors, and being female, being better educated and being immigrants were less likely to engage in premarital sex.

However, being immigrants was more likely to engage in casual relationship and to have multiple partners. Premarital sex is becoming more prevalent among unmarried youth in Hong Kong, and a small proportion of young adults are engaging in high-risk sexual behaviors. Sex education and HIV prevention programs should equip them with adequate knowledge on contraception and condom use. Intervention programs can start with their attitudes toward sex. Hong Kong, as an international and the most westernized city in China, has been ificantly influenced by both Western and Chinese cultures.

Due to some years of British governance, Hong Kong has integrated many Western ideas and practices, but still maintained their Chinese identity [ 1 ]. Attitudes toward sex have been changing dramatically, with premarital sex and even high-risk sexual behaviors not uncommon among young people in Hong Kong. For example, according to the Youth Sexuality Survey of the Family Planning Association of Hong Kong, the prevalence of premarital sex has increased from High-risk sexual behaviors e.

Premarital sex and high-risk sexual behaviors not only increases the possibility of negative consequences that may endanger health e. Among researchers and prevention and intervention programs, young people have always been considered most vulnerable to HIV infections. The United Nations estimated that nearly one of every two new HIV infections worldwide occurs within young adults between 15 and 24 years old [ 7 ]. Therefore, it is of great public health importance to investigate sex knowledge, attitudes, and behaviors among unmarried youth.

Doing so provides evidence for effective delivery of youth health services and guides public health policymaking. In Casual sex China - Hong Kong, adolescents aged 15 to 17 years showed a low level of sex knowledge, especially with regard to birth control, STIs, and the probability of pregnancy [ 10 ]. However, compared with their counterparts in the US, Hong Kong Chinese college students were sexually less experienced and more conservative [ 13 ].

Age is associated with sexual intercourse: older adults had ificantly higher probability of sexual intercourse [ 14 ]. Gender is also a predictor of premarital sex and high-risk sex behavior, with males more likely to participate in sexual intercourse than females [ 1516 ].

Casual sex China - Hong Kong

Out of school status is associated with increased sexual activity, unprotected sex, and pregnancy [ 1718 ]. Surprisingly, few studies have explored the influences of these factors on premarital sex and high-risk sex behaviors among unmarried youth in Hong Kong. Compared to the rich knowledge base in Western countries, little is known about the characteristics of sexual knowledge, attitudes, and behavior among unmarried youth and the associated factors for high-risk sex behaviors in Hong Kong.

The YSS is the longest-running, community-based household survey of youth sexuality in Hong Kong, which has been carried out every 5 years since A total of 9, households were successfully contacted, with If the household had youths in the required age group, the fieldworker would ask whether the youths were available or not. If the household had youths but were not present then they re-visited.

If only one youth was present, then they asked the youth to participate the interview even the household had more than one youth. If more than one youth were present, then they used the nearest birthday method to pick one.

Casual sex China - Hong Kong

After excluding those married, 1, unmarried youth males and females aged 18 to 27 years old were included in this study. Participants were identified and invited to participate in the survey by the experienced fieldworkers. The questionnaire was then revised before fieldwork adoption. If there were eligible respondents, face-to-face interviews were conducted unless the respondents requested to do the questionnaires by themselves.

Casual sex China - Hong Kong

The questionnaires were anonymous and confidentiality was emphasized. The fieldworkers recorded contact to assess response rate. If the respondents could not be contacted, a maximum of 5 revisits were attempted before being classified as unsuccessful. The fieldwork was completed in December Sex-related knowledge and high-risk sexual behaviors were also assessed.

Casual sex China - Hong Kong

This study included 12 items pertaining to sex-related knowledge e. Contraceptive use included how consistently sexually active youth practiced contraception and what methods they used. Consistency of use was indicated by a multinomial variable use every timeuse nearly every timeuse more than halfuse nearly halfuse less than halfseldom use. Methods of contraception included male and female condom, contraceptive pills, injection, rhythm, and coitus interruption. Perceived adequacy of contraceptive knowledge and reasons for not using contraception was also assessed.

The analysis was conducted in two parts using SPSS First, descriptive statistics were conducted to provide profiles of the participants, sex-related knowledge, attitudes toward premarital sex, pregnancy, compensated sex, multiple sex partners, contraceptive use, and high-risk sexual behaviors. Next, gender differences of these variables were tested using chi-square tests for categorical variables and t-tests for continuous variables.

Second, four multivariate logistic regressions were performed on the sample to identify factors associated with high-risk sexual behaviors, including premarital sex, casual sex relationships, multiple sexual partners, and pregnancy. These high-risk sexual behaviors served as the dependent variable s and the model included demographic variables e. As shown in Table 1 Only about About As shown in Table 2the youth demonstrated an adequate level of sex-related knowledge in general.

Male youth reported higher sex-related knowledge, but the gender difference was not statistically ificant. Sex-related knowledge and attitudes toward high-risk sexual behaviors among unmarried youth in Hong Kong. The majority of the young adults In addition, over half of the young adults Less than half of the young adults Although most youth held liberal attitudes toward premarital sex, any kind of mutually agreed upon sex activities, and premarital pregnancy, they were less tolerant of compensated dating with sex and multiple sex partners.

Specifically, only Compared to females, male youth reported more liberal attitudes towards premarital sex Table 3 shows that Males reported a higher prevalence of sexual intercourse than females With regard to multiple sexual partners, 6. A small percentage of the youth engaged in a casual relationship in the past six months 2. Only 2. Also, 0. Finally, 4. As presented in Table 4 Regarding the practice of contraceptive use, less than half of sexually active youth in the past six months reported they used a contraceptive method every time, Male and females did not show any differences in the frequency Casual sex China - Hong Kong contraceptive use in the past six months.

Using a male condom was the most popular method of contraception reported Other methods were used less often, such as contraceptive pills 4. The primary reason reported by youth as to why they did not use contraception was that they had not thought the relationship would become sexual Associations between various characteristics and premarital sex and high-risk sexual behaviors.

Note: Attitudes towards high-risk sexual behavior in the regression model corresponded Casual sex China - Hong Kong a particular sexual behavior. For example, attitudes toward premarital sex were used to predict premarital sex, and attitudes toward compensated dating with sex were used to predict casual sex relationships. Although the majority of youth perceived that they had adequate contraceptive knowledge, less than half had consistently used any contraceptive methods during sexual intercourse. Half of the sexually active youth who did not use contraceptive methods indicated that sexual intercourse happened unexpectedly, so they had no time to plan the contraception issues.

Although the Hong Kong Government has published guidelines on sex education, sexual matters continue to be taboo topics in formal settings, thus knowledge on contraception has not been provided through official channels [ 23 ].

Casual sex China - Hong Kong

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