Sexual risk behaviour and its associated factors among university students in Malaysia

Introduction: Sexual risk behaviour (SRB) is a high-risk act that often led to many reproductive health psychological related issues. Such behaviour is becoming higher among university students, and this has been one of the major public health concerns worldwide. Objective: The aim of this study was...

Full description

Bibliographic Details
Main Authors: Mohamad, Fadzilah, Kamaruddin, Khairatul Nainey, Shibraumalisi, Nur Amirah, Syed Mohamad, Sharifah Najwa, Mohd Azlan, Syifa, Dahlan, Rahima, Ismail, Irmi Zarina, Kadir Shahar, Hayati, Shamsuddin, Nurainul Hana
Format: Article
Language:English
Published: Springer Nature 2025
Online Access:http://psasir.upm.edu.my/id/eprint/120418/
http://psasir.upm.edu.my/id/eprint/120418/1/120418.pdf
_version_ 1848868183435378688
author Mohamad, Fadzilah
Kamaruddin, Khairatul Nainey
Shibraumalisi, Nur Amirah
Syed Mohamad, Sharifah Najwa
Mohd Azlan, Syifa
Dahlan, Rahima
Ismail, Irmi Zarina
Kadir Shahar, Hayati
Shamsuddin, Nurainul Hana
author_facet Mohamad, Fadzilah
Kamaruddin, Khairatul Nainey
Shibraumalisi, Nur Amirah
Syed Mohamad, Sharifah Najwa
Mohd Azlan, Syifa
Dahlan, Rahima
Ismail, Irmi Zarina
Kadir Shahar, Hayati
Shamsuddin, Nurainul Hana
author_sort Mohamad, Fadzilah
building UPM Institutional Repository
collection Online Access
description Introduction: Sexual risk behaviour (SRB) is a high-risk act that often led to many reproductive health psychological related issues. Such behaviour is becoming higher among university students, and this has been one of the major public health concerns worldwide. Objective: The aim of this study was to determine the prevalence of sexual risk behaviour (SRB), and the factors associated to this behaviour among students attending universities in Malaysia. This was a nationwide research study which may serve as a baseline local data which for policy makers to strengthen the current sexual reproductive health intervention and prevention programmes. Methods: A nationwide cross-sectional survey was conducted in 28 universities in Malaysia. Stratified random sampling was applied. It was an online questionnaire that consisted of participants’ socio-demographic background, academic background, substance abuse, history of childhood abuse, religiosity, knowledge on sexuality, attitude on pre-marital sex, parents’ parenting behaviour, peer influence and SRB. Data was analysed using SPSS 29 software. Descriptive statistics were computed for all variables, whereby the association between SRB and variables above were analysed using logistic regression analysis. The level of significance was set at p < 0.05. Results: This study recruited 1172 respondents. The prevalence of SRB among the university students was found to be 7.2%. The respondents’ mean age was 20.16 ± 1.66. Smoking/vaping history (AOR 5.91 (3.49–10.01)), alcohol use (AOR 1.93 (1.10–3.40)), age (AOR: 1.88 (1.14–3.12)), peer pressure (AOR 1.10 (1.04–1.17)), father care (0.96 (0.93–0.99)) and non-organized religious activity (NORA) (AOR 0.72 (0.63–0.84)) were found to be statistically significant. Protective factors were father care and NORA. The higher the father care and NORA, the less likelihood the students would engage in SRB. Conclusion: Prevalence of SRB among university students was 7.2% and the factors associated with SRB were age, smoking status, alcohol use, peer pressure, fathercare and NORA. Preventive plans of such behaviour must be made parallel to the needs of the youth as this generation represents the future of the country.
first_indexed 2025-11-15T14:48:20Z
format Article
id upm-120418
institution Universiti Putra Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T14:48:20Z
publishDate 2025
publisher Springer Nature
recordtype eprints
repository_type Digital Repository
spelling upm-1204182025-10-01T04:17:11Z http://psasir.upm.edu.my/id/eprint/120418/ Sexual risk behaviour and its associated factors among university students in Malaysia Mohamad, Fadzilah Kamaruddin, Khairatul Nainey Shibraumalisi, Nur Amirah Syed Mohamad, Sharifah Najwa Mohd Azlan, Syifa Dahlan, Rahima Ismail, Irmi Zarina Kadir Shahar, Hayati Shamsuddin, Nurainul Hana Introduction: Sexual risk behaviour (SRB) is a high-risk act that often led to many reproductive health psychological related issues. Such behaviour is becoming higher among university students, and this has been one of the major public health concerns worldwide. Objective: The aim of this study was to determine the prevalence of sexual risk behaviour (SRB), and the factors associated to this behaviour among students attending universities in Malaysia. This was a nationwide research study which may serve as a baseline local data which for policy makers to strengthen the current sexual reproductive health intervention and prevention programmes. Methods: A nationwide cross-sectional survey was conducted in 28 universities in Malaysia. Stratified random sampling was applied. It was an online questionnaire that consisted of participants’ socio-demographic background, academic background, substance abuse, history of childhood abuse, religiosity, knowledge on sexuality, attitude on pre-marital sex, parents’ parenting behaviour, peer influence and SRB. Data was analysed using SPSS 29 software. Descriptive statistics were computed for all variables, whereby the association between SRB and variables above were analysed using logistic regression analysis. The level of significance was set at p < 0.05. Results: This study recruited 1172 respondents. The prevalence of SRB among the university students was found to be 7.2%. The respondents’ mean age was 20.16 ± 1.66. Smoking/vaping history (AOR 5.91 (3.49–10.01)), alcohol use (AOR 1.93 (1.10–3.40)), age (AOR: 1.88 (1.14–3.12)), peer pressure (AOR 1.10 (1.04–1.17)), father care (0.96 (0.93–0.99)) and non-organized religious activity (NORA) (AOR 0.72 (0.63–0.84)) were found to be statistically significant. Protective factors were father care and NORA. The higher the father care and NORA, the less likelihood the students would engage in SRB. Conclusion: Prevalence of SRB among university students was 7.2% and the factors associated with SRB were age, smoking status, alcohol use, peer pressure, fathercare and NORA. Preventive plans of such behaviour must be made parallel to the needs of the youth as this generation represents the future of the country. Springer Nature 2025-05-19 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/120418/1/120418.pdf Mohamad, Fadzilah and Kamaruddin, Khairatul Nainey and Shibraumalisi, Nur Amirah and Syed Mohamad, Sharifah Najwa and Mohd Azlan, Syifa and Dahlan, Rahima and Ismail, Irmi Zarina and Kadir Shahar, Hayati and Shamsuddin, Nurainul Hana (2025) Sexual risk behaviour and its associated factors among university students in Malaysia. Discover Social Science and Health, 5 (1). art. no. 79. pp. 1-12. ISSN 2731-0469 https://link.springer.com/article/10.1007/s44155-025-00230-4?error=cookies_not_supported&code=766bf8d8-2635-4ad2-afff-5ab589cca313 10.1007/s44155-025-00230-4
spellingShingle Mohamad, Fadzilah
Kamaruddin, Khairatul Nainey
Shibraumalisi, Nur Amirah
Syed Mohamad, Sharifah Najwa
Mohd Azlan, Syifa
Dahlan, Rahima
Ismail, Irmi Zarina
Kadir Shahar, Hayati
Shamsuddin, Nurainul Hana
Sexual risk behaviour and its associated factors among university students in Malaysia
title Sexual risk behaviour and its associated factors among university students in Malaysia
title_full Sexual risk behaviour and its associated factors among university students in Malaysia
title_fullStr Sexual risk behaviour and its associated factors among university students in Malaysia
title_full_unstemmed Sexual risk behaviour and its associated factors among university students in Malaysia
title_short Sexual risk behaviour and its associated factors among university students in Malaysia
title_sort sexual risk behaviour and its associated factors among university students in malaysia
url http://psasir.upm.edu.my/id/eprint/120418/
http://psasir.upm.edu.my/id/eprint/120418/
http://psasir.upm.edu.my/id/eprint/120418/
http://psasir.upm.edu.my/id/eprint/120418/1/120418.pdf