S M Azlan, F Mohamad, A I N Mohd Nazan, R Dahlan, K N Kamaruddin, N A Shibraumalisi, S N Syed Mohamad, I Z Ismail, H Kadir Shahar, N H Shamsuddin
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引用次数: 0
Abstract
Introduction: Young adults' engagement in sexual risk behaviour (SRB) is a growing concern worldwide. Addressing this issue is crucial as it can lead to various detrimental effects on individuals, including psychological, behavioural, and, in severe cases, suicidal tendencies and mortality. This nationwide study aimed to determine the mediating roles of depressive, anxiety, and stress symptoms in the relationship between adverse childhood experiences (ACE), religiosity, knowledge on sexuality, attitude towards premarital sex, and SRB among young Malaysian adults using structural equation modelling (SEM).
Materials and methods: A quantitative, cross-sectional design was employed in this study. Respondents were recruited from June to December 2021 among students attending higher education institutions in Malaysia. Institutions were sampled using stratified random sampling and the respondents were selected via convenience sampling. Data were collected via an online survey that inquired about respondents' socio-demographic characteristics, ACE, religiosity, knowledge on sexuality, attitude towards premarital sex, mental health status (MHS), and engagement in SRB. The data were analysed using SPSS version 27 for descriptive analysis, and SPSS AMOS version 27 for structural equation modelling (SEM) analysis.
Results: A total of 1171 respondents were recruited in this study. From the SEM analysis, the proposed model indicated a good fit, and it explained 26% of the SRB variance. There was a partial mediation effect of the relationship between ACE on SRB through MHS (p<0.05), as well as religiosity on SRB through MHS (p<0.05). There was no significant mediation effect was found for the other variables.
Conclusion: This study highlighted the mediation effect of MHS between ACE on SRB, as well as between religiosity and SRB. Apart from addressing ACE and religiosity of the young adults, MHS should also need to be explored when dealing with SRB issues and vice versa. Preventive measures should be considered at younger stage to prevent high risk behaviour among young adults.
年轻人的性危险行为（SRB）在世界范围内日益受到关注。解决这一问题至关重要，因为它可能对个人造成各种有害影响，包括心理、行为，严重时还可能导致自杀倾向和死亡。这项全国性研究旨在利用结构方程模型（SEM）确定抑郁、焦虑和压力症状在马来西亚年轻人不良童年经历（ACE）、宗教信仰、性知识、对婚前性行为的态度和SRB之间的关系中的中介作用。材料与方法：本研究采用定量、横断面设计。受访者于2021年6月至12月在马来西亚高等教育机构的学生中招募。机构抽样采用分层随机抽样，被调查者采用方便抽样。通过在线调查收集数据，询问受访者的社会人口特征、ACE、宗教信仰、性知识、对婚前性行为的态度、心理健康状况（MHS）和SRB参与情况。数据分析采用SPSS version 27进行描述性分析，SPSS AMOS version 27进行结构方程建模（SEM）分析。结果：本研究共招募了1171名受访者。从扫描电镜分析，提出的模型表明一个很好的拟合，它解释了26%的SRB方差。结论：本研究突出了MHS在ACE对SRB的中介作用，以及宗教信仰对SRB的中介作用。除了处理年轻人的ACE和宗教信仰问题外，在处理SRB问题时也应探讨MHS，反之亦然。应考虑在年轻阶段采取预防措施，以防止青壮年中的高危行为。
期刊介绍：
Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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