Adolescent Sexual Risk Behavior in Hong Kong: Prevalence, Protective Factors, and Sex Education Programs

Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article provided a brief overview on the prevalence of sexual behaviors and attitudes among adolescents in Hong Kong. Compared with the West, Hong Kong a...

Full description

Saved in:
Bibliographic Details
Published inJournal of adolescent health Vol. 64; no. 6; pp. S52 - S58
Main Authors Leung, Hildie, Lin, Li
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2019
Elsevier BV
Subjects
Online AccessGet full text
ISSN1054-139X
1879-1972
1879-1972
DOI10.1016/j.jadohealth.2018.12.007

Cover

Abstract Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article provided a brief overview on the prevalence of sexual behaviors and attitudes among adolescents in Hong Kong. Compared with the West, Hong Kong adolescents are less sexually active; however, increasing rates and more liberal sexual attitudes have been reported over the decades. These worrying trends have caused great concern and begged the question of occurrences and the effectiveness of sex education programs. Endeavor has been made to identify protective factors for reducing adolescent risky sexual behaviors and promoting sexual health from a strength-based perspective, such as the positive youth development (PYD) approach. However, to date, there is little synthesis of empirical evidence in the literature on the relations between PYD and adolescent sexual behaviors. We attempted to fill in this gap by outlining empirical evidence on the protective roles of PYD attributes in youth sexual outcomes. We reviewed local sex education programs and outlined several observations regarding foci, implementation, and evaluation. To conclude, we provided suggestions to inform practice in the future development and implementation of sex education programs to promote sexual health among youths.
AbstractList Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article provided a brief overview on the prevalence of sexual behaviors and attitudes among adolescents in Hong Kong. Compared with the West, Hong Kong adolescents are less sexually active; however, increasing rates and more liberal sexual attitudes have been reported over the decades. These worrying trends have caused great concern and begged the question of occurrences and the effectiveness of sex education programs. Endeavor has been made to identify protective factors for reducing adolescent risky sexual behaviors and promoting sexual health from a strength-based perspective, such as the positive youth development (PYD) approach. However, to date, there is little synthesis of empirical evidence in the literature on the relations between PYD and adolescent sexual behaviors. We attempted to fill in this gap by outlining empirical evidence on the protective roles of PYD attributes in youth sexual outcomes. We reviewed local sex education programs and outlined several observations regarding foci, implementation, and evaluation. To conclude, we provided suggestions to inform practice in the future development and implementation of sex education programs to promote sexual health among youths.
Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article provided a brief overview on the prevalence of sexual behaviors and attitudes among adolescents in Hong Kong. Compared with the West, Hong Kong adolescents are less sexually active; however, increasing rates and more liberal sexual attitudes have been reported over the decades. These worrying trends have caused great concern and begged the question of occurrences and the effectiveness of sex education programs. Endeavor has been made to identify protective factors for reducing adolescent risky sexual behaviors and promoting sexual health from a strength-based perspective, such as the positive youth development (PYD) approach. However, to date, there is little synthesis of empirical evidence in the literature on the relations between PYD and adolescent sexual behaviors. We attempted to fill in this gap by outlining empirical evidence on the protective roles of PYD attributes in youth sexual outcomes. We reviewed local sex education programs and outlined several observations regarding foci, implementation, and evaluation. To conclude, we provided suggestions to inform practice in the future development and implementation of sex education programs to promote sexual health among youths.Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article provided a brief overview on the prevalence of sexual behaviors and attitudes among adolescents in Hong Kong. Compared with the West, Hong Kong adolescents are less sexually active; however, increasing rates and more liberal sexual attitudes have been reported over the decades. These worrying trends have caused great concern and begged the question of occurrences and the effectiveness of sex education programs. Endeavor has been made to identify protective factors for reducing adolescent risky sexual behaviors and promoting sexual health from a strength-based perspective, such as the positive youth development (PYD) approach. However, to date, there is little synthesis of empirical evidence in the literature on the relations between PYD and adolescent sexual behaviors. We attempted to fill in this gap by outlining empirical evidence on the protective roles of PYD attributes in youth sexual outcomes. We reviewed local sex education programs and outlined several observations regarding foci, implementation, and evaluation. To conclude, we provided suggestions to inform practice in the future development and implementation of sex education programs to promote sexual health among youths.
Author Leung, Hildie
Lin, Li
Author_xml – sequence: 1
  givenname: Hildie
  surname: Leung
  fullname: Leung, Hildie
  email: hildie.leung@polyu.edu.hk
– sequence: 2
  givenname: Li
  orcidid: 0000-0003-4265-9789
  surname: Lin
  fullname: Lin, Li
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31122550$$D View this record in MEDLINE/PubMed
BookMark eNqNkUtv3CAUhVGVqnm0f6FC6qaL2AH8wO6iykN5VI3UKsmiO4TxdQaHgRTwqPn3wZlElWY1EoK7OOe73Hv20Y51FhDClOSU0PpozEfZuwVIExc5I7TJKcsJ4e_QHm14m9GWs51Uk6rMaNH-2UX7IYwkWWtKPqDdglLGqorsocVJ7wwEBTbiW_g3SYNvdHjAp7CQK-081hZfOXuPf6brG_7tYSUNWAWHqXYRVNQrwBdSRefDIZa2nzH4vJ-UjNrZWXXv5TJ8RO8HaQJ8en0P0N3F-d3ZVXb96_LH2cl1pipWxaxvW96VtVQt5Z0qec27Pj1N26Uxy6aV1VAwlg4thprXxSBBFSCbrhkYK4viAH1dYx-9-ztBiGKp03TGSAtuCmL2UkYIKZP0y4Z0dJO36XOCVakBr9Mak-rzq2rqltCLR6-X0j-JtxUmwfe1QHkXgodBKB1fZo9eaiMoEXNmYhT_MxNzZoIykTJLgGYD8NZjC-vp2gppoysNXgSl53R67VM0ond6G8jxBkQZbbWS5gGetkM8A9biy74
CitedBy_id crossref_primary_10_1080_14681811_2023_2257605
crossref_primary_10_1007_s10508_024_02905_6
crossref_primary_10_3390_children8100885
crossref_primary_10_1007_s10803_024_06622_w
crossref_primary_10_1111_jar_13025
crossref_primary_10_1080_14681811_2023_2266829
crossref_primary_10_1186_s13027_022_00461_z
crossref_primary_10_3389_fpsyg_2021_709699
crossref_primary_10_1016_j_chbr_2024_100574
crossref_primary_10_1002_jad_12142
crossref_primary_10_1080_19496591_2021_1997757
crossref_primary_10_1080_14681811_2022_2134103
crossref_primary_10_2196_22564
crossref_primary_10_2196_45054
crossref_primary_10_1080_2331186X_2023_2167330
crossref_primary_10_1080_14681811_2022_2128101
crossref_primary_10_1136_bmjsrh_2020_200766
crossref_primary_10_2196_50020
crossref_primary_10_1007_s10508_022_02504_3
crossref_primary_10_1016_j_jadohealth_2019_03_017
crossref_primary_10_3389_fpubh_2022_947932
crossref_primary_10_1007_s11195_022_09733_3
crossref_primary_10_1007_s11195_024_09839_w
crossref_primary_10_1186_s12889_021_10253_6
Cites_doi 10.1080/14681810220133622
10.1080/09540121.2012.749330
10.1016/j.jadohealth.2010.02.008
10.1111/josh.12199
10.1023/B:ASEB.0000037429.79394.c6
10.1089/g4h.2014.0059
10.1016/S1054-139X(01)00301-9
10.1016/S0033-3506(03)00174-4
10.18848/2327-7939/CGP/v20i02/48414
10.1177/0002716203260102
10.1080/08870449808407433
10.1016/j.jadohealth.2009.11.218
10.1100/2011/896835
10.1136/jech-2015-205952
10.1016/j.jadohealth.2009.11.216
10.1177/1745691614535934
10.1002/cad.20057
10.1093/heapro/dap011
10.1080/14681810500171458
10.1016/j.jadohealth.2009.12.026
10.4018/ijgbl.2015010102
10.1177/019394590102300208
10.1111/jocn.12267
10.1016/j.jpag.2015.10.004
10.1016/j.jadohealth.2009.12.003
10.1080/14681811.2017.1362633
10.9745/GHSP-D-15-00126
10.1016/j.jadohealth.2009.11.214
10.1016/j.jpag.2013.03.013
10.1080/14681811.2012.697440
10.1080/14681810500278436
10.1080/21650993.2009.9756053
10.1016/j.jadohealth.2009.11.215
10.1016/j.jpag.2015.10.008
ContentType Journal Article
Copyright 2018 Society for Adolescent Health and Medicine
Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Copyright Elsevier BV Jun 2019
Copyright_xml – notice: 2018 Society for Adolescent Health and Medicine
– notice: Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
– notice: Copyright Elsevier BV Jun 2019
DBID AAYXX
CITATION
NPM
7QJ
7TS
7X8
DOI 10.1016/j.jadohealth.2018.12.007
DatabaseName CrossRef
PubMed
Applied Social Sciences Index & Abstracts (ASSIA)
Physical Education Index
MEDLINE - Academic
DatabaseTitle CrossRef
PubMed
Applied Social Sciences Index and Abstracts (ASSIA)
Physical Education Index
MEDLINE - Academic
DatabaseTitleList PubMed
Applied Social Sciences Index and Abstracts (ASSIA)
MEDLINE - Academic


Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
Social Welfare & Social Work
EISSN 1879-1972
EndPage S58
ExternalDocumentID 31122550
10_1016_j_jadohealth_2018_12_007
S1054139X18308334
Genre Research Support, Non-U.S. Gov't
Journal Article
Review
GeographicLocations Hong Kong
GeographicLocations_xml – name: Hong Kong
GroupedDBID ---
--K
--M
..I
.1-
.FO
.GJ
.~1
0R~
1B1
1CY
1P~
1RT
1~.
1~5
29J
4.4
457
4G.
53G
5GY
5RE
5VS
7-5
71M
8P~
9JM
9JO
AABNK
AAEDT
AAEDW
AAFJI
AAIKJ
AAKOC
AALRI
AAOAW
AAQFI
AAQXK
AATTM
AAWTL
AAXKI
AAXUO
AAYWO
ABBQC
ABFNM
ABFRF
ABIVO
ABJNI
ABMAC
ABMMH
ABMZM
ABPPZ
ABWVN
ABXDB
ACDAQ
ACGFO
ACGFS
ACHQT
ACIEU
ACIUM
ACRLP
ACRPL
ACVFH
ADBBV
ADCNI
ADEZE
ADMUD
ADNMO
ADVLN
ADXHL
AEBSH
AEFWE
AEIPS
AEKER
AENEX
AEUPX
AEVXI
AFFNX
AFJKZ
AFPUW
AFRHN
AFTJW
AFXIZ
AGCQF
AGHFR
AGQPQ
AGUBO
AGYEJ
AHHHB
AIEXJ
AIGII
AIIUN
AIKHN
AITUG
AJRQY
AJUYK
AKBMS
AKRWK
AKYEP
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
ANKPU
ANZVX
AOMHK
APXCP
ASPBG
AVARZ
AVWKF
AXJTR
AZFZN
BKOJK
BLXMC
BNPGV
CS3
EBS
EFJIC
EFKBS
EJD
EO8
EO9
EP2
EP3
F5P
FDB
FEDTE
FGOYB
FIRID
FNPLU
FYGXN
G-2
G-Q
GBLVA
HEH
HMK
HMO
HVGLF
HZ~
H~9
IHE
J1W
KOM
M27
M3W
M41
MO0
MVM
N4W
N9A
O-L
O9-
OAUVE
OH-
OHT
OT-
OZT
P-8
P-9
P2P
PC.
PRBVW
Q38
R2-
ROL
RPZ
SAE
SCC
SCU
SDF
SDG
SDP
SEL
SES
SEW
SPCBC
SSB
SSH
SSO
SSZ
T5K
UNMZH
WUQ
XPP
Z5R
ZGI
ZXP
~G-
0SF
AACTN
AAIAV
ABLVK
ABYKQ
AFCTW
AFKWA
AJBFU
AJOXV
AKYCK
AMFUW
EFLBG
LCYCR
NCXOZ
RIG
ZA5
AAYXX
AGRNS
CITATION
NPM
7QJ
7TS
7X8
ID FETCH-LOGICAL-c525t-d997b46ac917bc4767bdc4789b201489a5f32232213f6763faec3ea8b8f22433
IEDL.DBID AIKHN
ISSN 1054-139X
1879-1972
IngestDate Fri Sep 05 13:40:47 EDT 2025
Fri Jul 25 03:58:03 EDT 2025
Thu Apr 03 07:02:18 EDT 2025
Tue Jul 01 01:30:03 EDT 2025
Thu Apr 24 23:10:02 EDT 2025
Fri Feb 23 02:31:01 EST 2024
Tue Aug 26 16:32:13 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 6
Keywords Sex education
Positive youth development
Sexual health
Risky sexual behavior
Chinese adolescents
Language English
License Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c525t-d997b46ac917bc4767bdc4789b201489a5f32232213f6763faec3ea8b8f22433
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ObjectType-Review-3
content type line 23
ORCID 0000-0003-4265-9789
PMID 31122550
PQID 2522176197
PQPubID 2045455
ParticipantIDs proquest_miscellaneous_2232120004
proquest_journals_2522176197
pubmed_primary_31122550
crossref_citationtrail_10_1016_j_jadohealth_2018_12_007
crossref_primary_10_1016_j_jadohealth_2018_12_007
elsevier_sciencedirect_doi_10_1016_j_jadohealth_2018_12_007
elsevier_clinicalkey_doi_10_1016_j_jadohealth_2018_12_007
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate June 2019
2019-06-00
20190601
PublicationDateYYYYMMDD 2019-06-01
PublicationDate_xml – month: 06
  year: 2019
  text: June 2019
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: New York
PublicationTitle Journal of adolescent health
PublicationTitleAlternate J Adolesc Health
PublicationYear 2019
Publisher Elsevier Inc
Elsevier BV
Publisher_xml – name: Elsevier Inc
– name: Elsevier BV
References Lee, Tsang (bib6) 2004; 118
Lam, Stewart, Ho (bib22) 2001; 29
Lee, Wong, Tsang (bib10) 2009; 24
Chung, Lee, Wong (bib7) 2009
Harden (bib42) 2014; 9
Catalano, Gavin, Markham (bib13) 2010; 46
Kippax, Stephenson (bib38) 2005; 5
Lai (bib33) 2014; 20
(bib30) 2015
Chandra-Mouli, Lane, Wong (bib47) 2015; 3
Chu, Kwan, Reynolds (bib35) 2015; 4
Kwan, Chu, Hong (bib44) 2015; 5
Shek, Ma, Sun (bib39) 2011; 11
Benson (bib12) 1997
Lau (bib32)
Ho, Tsang (bib26) 2002; 2
Markham, Lormand, Gloppen (bib17) 2010; 46
Catalano, Berglund, Ryan (bib19) 2004; 591
Gavin, Catalano, David-Ferdon (bib14) 2010; 46
House, Mueller, Reininger (bib18) 2010; 46
(bib36) 2016
Naezer, Rommes, Jansen (bib25) 2017; 17
Cameron-Lewis, Allen (bib34) 2013; 13
Wight, Wimbush, Jepson, Doi (bib48) 2016; 70
Vasilenko, Lefkowitz, Welsh (bib43) 2014; 2014
Shek (bib20) 2013; 26
Shek, Leung (bib21) 2016; 29
Ip, Chau, Chang, Lui (bib8) 2001; 23
Gloppen, David-Ferdon, Bates (bib16) 2010; 46
House, Bates, Markham, Lesesne (bib15) 2010; 46
Ong, Wong, Lee (bib9) 2013; 22
Lam, Stewart, Leung (bib1) 2004; 33
Shek, Ma (bib4) 2016; 29
(bib45) 2014
(bib41) 2002
Chan, Cheung (bib23) 1998; 13
Ng (bib27) 1998; 1
Wong (bib28) 2000
Lee, Chung (bib2) 2009; 19
Maas, Lefkowitz (bib46) 2015; 52
bib24
Yu (bib31) 2016
Lerner (bib11) 2005
Lau, Tsui, Lau (bib40) 2013; 25
(bib37) 2016
Che (bib29) 2005; 5
(bib3) 2016
Madkour, Farhat, Halpern (bib5) 2010; 47
Grossman, Tracy, Charmaraman (bib49) 2014; 84
Ip (10.1016/j.jadohealth.2018.12.007_bib8) 2001; 23
Vasilenko (10.1016/j.jadohealth.2018.12.007_bib43) 2014; 2014
Lee (10.1016/j.jadohealth.2018.12.007_bib6) 2004; 118
Lam (10.1016/j.jadohealth.2018.12.007_bib22) 2001; 29
Grossman (10.1016/j.jadohealth.2018.12.007_bib49) 2014; 84
Shek (10.1016/j.jadohealth.2018.12.007_bib4) 2016; 29
Benson (10.1016/j.jadohealth.2018.12.007_bib12) 1997
(10.1016/j.jadohealth.2018.12.007_bib45) 2014
(10.1016/j.jadohealth.2018.12.007_bib3) 2016
Kippax (10.1016/j.jadohealth.2018.12.007_bib38) 2005; 5
Shek (10.1016/j.jadohealth.2018.12.007_bib39) 2011; 11
Markham (10.1016/j.jadohealth.2018.12.007_bib17) 2010; 46
Madkour (10.1016/j.jadohealth.2018.12.007_bib5) 2010; 47
Lerner (10.1016/j.jadohealth.2018.12.007_bib11) 2005
Chung (10.1016/j.jadohealth.2018.12.007_bib7) 2009
Wight (10.1016/j.jadohealth.2018.12.007_bib48) 2016; 70
(10.1016/j.jadohealth.2018.12.007_bib37) 2016
Lee (10.1016/j.jadohealth.2018.12.007_bib10) 2009; 24
House (10.1016/j.jadohealth.2018.12.007_bib15) 2010; 46
Maas (10.1016/j.jadohealth.2018.12.007_bib46) 2015; 52
Ho (10.1016/j.jadohealth.2018.12.007_bib26) 2002; 2
Ng (10.1016/j.jadohealth.2018.12.007_bib27) 1998; 1
Lam (10.1016/j.jadohealth.2018.12.007_bib1) 2004; 33
Chan (10.1016/j.jadohealth.2018.12.007_bib23) 1998; 13
Wong (10.1016/j.jadohealth.2018.12.007_bib28) 2000
Lau (10.1016/j.jadohealth.2018.12.007_bib32)
Kwan (10.1016/j.jadohealth.2018.12.007_bib44) 2015; 5
Gavin (10.1016/j.jadohealth.2018.12.007_bib14) 2010; 46
Che (10.1016/j.jadohealth.2018.12.007_bib29) 2005; 5
Lau (10.1016/j.jadohealth.2018.12.007_bib40) 2013; 25
Harden (10.1016/j.jadohealth.2018.12.007_bib42) 2014; 9
Chandra-Mouli (10.1016/j.jadohealth.2018.12.007_bib47) 2015; 3
Shek (10.1016/j.jadohealth.2018.12.007_bib20) 2013; 26
Chu (10.1016/j.jadohealth.2018.12.007_bib35) 2015; 4
(10.1016/j.jadohealth.2018.12.007_bib36) 2016
Gloppen (10.1016/j.jadohealth.2018.12.007_bib16) 2010; 46
Catalano (10.1016/j.jadohealth.2018.12.007_bib19) 2004; 591
House (10.1016/j.jadohealth.2018.12.007_bib18) 2010; 46
Cameron-Lewis (10.1016/j.jadohealth.2018.12.007_bib34) 2013; 13
Catalano (10.1016/j.jadohealth.2018.12.007_bib13) 2010; 46
(10.1016/j.jadohealth.2018.12.007_bib41) 2002
(10.1016/j.jadohealth.2018.12.007_bib30) 2015
Yu (10.1016/j.jadohealth.2018.12.007_bib31) 2016
Lee (10.1016/j.jadohealth.2018.12.007_bib2) 2009; 19
Naezer (10.1016/j.jadohealth.2018.12.007_bib25) 2017; 17
Shek (10.1016/j.jadohealth.2018.12.007_bib21) 2016; 29
Lai (10.1016/j.jadohealth.2018.12.007_bib33) 2014; 20
Ong (10.1016/j.jadohealth.2018.12.007_bib9) 2013; 22
References_xml – ident: bib24
  article-title: Youth and comprehensive sex education fact sheet
– year: 2016
  ident: bib37
  article-title: General love relationship education – Primary and Secondary school love relationship and sex education program: Participants' views
– volume: 46
  start-page: S59
  year: 2010
  end-page: S74
  ident: bib18
  article-title: Character as a predictor of reproductive health outcomes for youth: A systematic review
  publication-title: J Adolesc Health
– volume: 4
  start-page: 168
  year: 2015
  end-page: 174
  ident: bib35
  article-title: Promoting sex education among teenagers through an interactive game: Reasons for success and implications
  publication-title: Games Health J
– volume: 46
  start-page: S42
  year: 2010
  end-page: S58
  ident: bib16
  article-title: Confidence as a predictor of sexual and reproductive health outcomes for youth
  publication-title: J Adolesc Health
– volume: 2
  start-page: 61
  year: 2002
  end-page: 73
  ident: bib26
  article-title: The things girls shouldn't see: Relocating the penis in sex education in Hong Kong
  publication-title: Sex Educ
– year: 2002
  ident: bib41
  article-title: Defining sexual health: Report of a technical consultation on sexual health
– year: 1997
  ident: bib12
  article-title: All kids are our kids: What communities must do to raise caring and responsible children and adolescents
– volume: 11
  start-page: 2243
  year: 2011
  end-page: 2256
  ident: bib39
  article-title: A brief overview of adolescent developmental problems in Hong Kong
  publication-title: ScientificWorldJournal
– year: 2014
  ident: bib45
  article-title: Operational guidance for comprehensive sexuality education
– volume: 25
  start-page: 812
  year: 2013
  end-page: 819
  ident: bib40
  article-title: A pilot clustered randomized control trial evaluating the efficacy of a network-based HIV peer-education intervention targeting men who have sex with men in Hong Kong, China
  publication-title: AIDS Care
– volume: 47
  start-page: 389
  year: 2010
  end-page: 398
  ident: bib5
  article-title: Early adolescent sexual initiation as a problem behavior: A comparative study of five nations
  publication-title: J Adolesc Health
– year: 2016
  ident: bib3
  article-title: Youth sexuality study 2016
– volume: 19
  start-page: 50
  year: 2009
  end-page: 65
  ident: bib2
  article-title: Understanding risky sexual behavior of female youth-at-risk in Hong Kong
  publication-title: Asia Pac J Soc Work
– volume: 84
  start-page: 739
  year: 2014
  end-page: 747
  ident: bib49
  article-title: Protective effects of middle school comprehensive sex education with family involvement
  publication-title: J Sch Health
– volume: 2014
  start-page: 3
  year: 2014
  end-page: 19
  ident: bib43
  article-title: Is sexual behaviour healthy for adolescents? A conceptual framework for research on adolescent sexual behaviour and physical, mental, and social health
  publication-title: New Dir Child Adolesc Dev
– year: 2015
  ident: bib30
  article-title: Fact sheet on survey of life skills-based education on HIV/AIDS at junior level of secondary schools in Hong Kong
– year: 2005
  ident: bib11
  article-title: Promoting positive youth development: Theoretical and empirical bases
– volume: 29
  start-page: 352
  year: 2001
  end-page: 358
  ident: bib22
  article-title: Prevalence and correlates of smoking and sexual activity among Hong Kong adolescents
  publication-title: J Adolesc Health
– volume: 13
  start-page: 121
  year: 2013
  end-page: 132
  ident: bib34
  article-title: Teaching pleasure and danger in sexuality education
  publication-title: Sex Educ
– volume: 3
  start-page: 333
  year: 2015
  end-page: 340
  ident: bib47
  article-title: What does not work in adolescent sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices
  publication-title: Glob Health Sci Pract
– volume: 46
  start-page: S92
  year: 2010
  end-page: S96
  ident: bib13
  article-title: Future directions for positive youth development as a strategy to promote adolescent sexual and reproductive health
  publication-title: J Adolesc Health
– volume: 46
  start-page: S23
  year: 2010
  end-page: S41
  ident: bib17
  article-title: Connectedness as a predictor of sexual and reproductive health outcomes for youth
  publication-title: J Adolesc Health
– volume: 17
  start-page: 712
  year: 2017
  end-page: 728
  ident: bib25
  article-title: Empowerment through sex education? Rethinking paradoxical policies
  publication-title: Sex Educ
– volume: 5
  start-page: 359
  year: 2005
  end-page: 373
  ident: bib38
  article-title: Meaningful evaluation of sex and relationship education
  publication-title: Sex Educ
– volume: 33
  start-page: 487
  year: 2004
  end-page: 496
  ident: bib1
  article-title: Depressive symptoms among Hong Kong adolescents: Relation to atypical sexual feelings and behaviors, gender dissatisfaction, pubertal timing, and family and peer relationships
  publication-title: Arch Sex Behav
– volume: 23
  start-page: 211
  year: 2001
  end-page: 223
  ident: bib8
  article-title: Knowledge of and attitudes toward sex among Chinese adolescents
  publication-title: West J Nurs Res
– volume: 46
  start-page: S7
  year: 2010
  end-page: S22
  ident: bib15
  article-title: Competence as a predictor of sexual and reproductive health outcomes for youth: A systematic review
  publication-title: J Adolesc Health
– volume: 70
  start-page: 520
  year: 2016
  end-page: 525
  ident: bib48
  article-title: Six steps in quality intervention development
  publication-title: J Epidemiol Community Health
– volume: 29
  start-page: S49
  year: 2016
  end-page: S60
  ident: bib21
  article-title: Do adolescent sexual behavior and intention to engage in sexual behavior change in high school years in Hong Kong?
  publication-title: J Pediatr Adolesc Gynecol
– volume: 24
  start-page: 156
  year: 2009
  end-page: 165
  ident: bib10
  article-title: Understanding suicidality and correlates among Chinese secondary school students in Hong Kong
  publication-title: Health Promot Int
– volume: 1
  start-page: 32
  year: 1998
  end-page: 35
  ident: bib27
  article-title: School and public sexuality education in Hong Kong
  publication-title: J Asian Sexology
– volume: 46
  start-page: S75
  year: 2010
  end-page: S91
  ident: bib14
  article-title: A review of positive youth development programs that promote adolescent sexual and reproductive health
  publication-title: J Adolesc Health
– volume: 591
  start-page: 98
  year: 2004
  end-page: 124
  ident: bib19
  article-title: Positive youth development in the United States: Research findings on evaluations of positive youth development programs
  publication-title: Ann Am Acad Pol Soc Sci
– volume: 29
  start-page: S12
  year: 2016
  end-page: S21
  ident: bib4
  article-title: A six-year longitudinal study of consumption of pornographic materials in Chinese adolescents in Hong Kong
  publication-title: J Pediatr Adolesc Gynecol
– volume: 118
  start-page: 88
  year: 2004
  end-page: 95
  ident: bib6
  article-title: Youth risk behaviour in a Chinese population: A territory-wide youth risk behavioural surveillance in Hong Kong
  publication-title: Public Health
– volume: 5
  start-page: 281
  year: 2005
  end-page: 294
  ident: bib29
  article-title: A study of the implementation of sex education in Hong Kong secondary schools
  publication-title: Sex Educ
– volume: 20
  start-page: 1
  year: 2014
  end-page: 9
  ident: bib33
  article-title: An exploratory description of Hong Kong parents' approach to sex education for preschool children
  publication-title: Int J Early Child Learn
– volume: 9
  start-page: 455
  year: 2014
  end-page: 469
  ident: bib42
  article-title: A sex-positive framework for research on adolescent sexuality
  publication-title: Perspect Psychol Sci
– year: 2000
  ident: bib28
  article-title: A never-ending obsession with breasts
  publication-title: From Lives to Critique
– ident: bib32
  article-title: Let's talk about it - Sexuality education in Hong Kong
– volume: 22
  start-page: 3270
  year: 2013
  end-page: 3279
  ident: bib9
  article-title: Sexual activity and adolescent health risk behaviours amongst high school students in three ethnic Chinese urban populations
  publication-title: J Clin Nurs
– volume: 26
  start-page: S33
  year: 2013
  end-page: S41
  ident: bib20
  article-title: Sexual behavior and intention to engage in sexual behavior in junior secondary school students in Hong Kong
  publication-title: J Pediatr Adolesc Gynecol
– year: 2016
  ident: bib36
  article-title: End Child Sexual Abuse Foundation 2015-2016 annual report
– volume: 52
  start-page: 795
  year: 2015
  end-page: 806
  ident: bib46
  article-title: Sexual esteem in emerging adulthood: Associations with sexual behavior, contraception use, and romantic relationships
  publication-title: J Sex Res
– volume: 5
  start-page: 18
  year: 2015
  end-page: 30
  ident: bib44
  article-title: Making smart choices: A serious game for sex education for young adolescents
  publication-title: Int J Game Base Learn
– volume: 13
  start-page: 805
  year: 1998
  end-page: 821
  ident: bib23
  article-title: An examination of premarital sexual behavior among college students in Hong Kong
  publication-title: Psychol Health
– year: 2016
  ident: bib31
  article-title: Hong Kong's sex education crisis: Why people turn to sex workers for knowledge
– year: 2009
  ident: bib7
  article-title: A study on adolescents' access to online pornographic materials and its impacts
– year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib31
– volume: 1
  start-page: 32
  year: 1998
  ident: 10.1016/j.jadohealth.2018.12.007_bib27
  article-title: School and public sexuality education in Hong Kong
  publication-title: J Asian Sexology
– volume: 2
  start-page: 61
  year: 2002
  ident: 10.1016/j.jadohealth.2018.12.007_bib26
  article-title: The things girls shouldn't see: Relocating the penis in sex education in Hong Kong
  publication-title: Sex Educ
  doi: 10.1080/14681810220133622
– volume: 25
  start-page: 812
  year: 2013
  ident: 10.1016/j.jadohealth.2018.12.007_bib40
  article-title: A pilot clustered randomized control trial evaluating the efficacy of a network-based HIV peer-education intervention targeting men who have sex with men in Hong Kong, China
  publication-title: AIDS Care
  doi: 10.1080/09540121.2012.749330
– volume: 47
  start-page: 389
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib5
  article-title: Early adolescent sexual initiation as a problem behavior: A comparative study of five nations
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2010.02.008
– volume: 84
  start-page: 739
  year: 2014
  ident: 10.1016/j.jadohealth.2018.12.007_bib49
  article-title: Protective effects of middle school comprehensive sex education with family involvement
  publication-title: J Sch Health
  doi: 10.1111/josh.12199
– volume: 33
  start-page: 487
  year: 2004
  ident: 10.1016/j.jadohealth.2018.12.007_bib1
  article-title: Depressive symptoms among Hong Kong adolescents: Relation to atypical sexual feelings and behaviors, gender dissatisfaction, pubertal timing, and family and peer relationships
  publication-title: Arch Sex Behav
  doi: 10.1023/B:ASEB.0000037429.79394.c6
– year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib36
– volume: 4
  start-page: 168
  year: 2015
  ident: 10.1016/j.jadohealth.2018.12.007_bib35
  article-title: Promoting sex education among teenagers through an interactive game: Reasons for success and implications
  publication-title: Games Health J
  doi: 10.1089/g4h.2014.0059
– volume: 29
  start-page: 352
  year: 2001
  ident: 10.1016/j.jadohealth.2018.12.007_bib22
  article-title: Prevalence and correlates of smoking and sexual activity among Hong Kong adolescents
  publication-title: J Adolesc Health
  doi: 10.1016/S1054-139X(01)00301-9
– volume: 118
  start-page: 88
  year: 2004
  ident: 10.1016/j.jadohealth.2018.12.007_bib6
  article-title: Youth risk behaviour in a Chinese population: A territory-wide youth risk behavioural surveillance in Hong Kong
  publication-title: Public Health
  doi: 10.1016/S0033-3506(03)00174-4
– volume: 20
  start-page: 1
  year: 2014
  ident: 10.1016/j.jadohealth.2018.12.007_bib33
  article-title: An exploratory description of Hong Kong parents' approach to sex education for preschool children
  publication-title: Int J Early Child Learn
  doi: 10.18848/2327-7939/CGP/v20i02/48414
– volume: 591
  start-page: 98
  year: 2004
  ident: 10.1016/j.jadohealth.2018.12.007_bib19
  article-title: Positive youth development in the United States: Research findings on evaluations of positive youth development programs
  publication-title: Ann Am Acad Pol Soc Sci
  doi: 10.1177/0002716203260102
– year: 1997
  ident: 10.1016/j.jadohealth.2018.12.007_bib12
– volume: 13
  start-page: 805
  year: 1998
  ident: 10.1016/j.jadohealth.2018.12.007_bib23
  article-title: An examination of premarital sexual behavior among college students in Hong Kong
  publication-title: Psychol Health
  doi: 10.1080/08870449808407433
– volume: 46
  start-page: S59
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib18
  article-title: Character as a predictor of reproductive health outcomes for youth: A systematic review
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.11.218
– volume: 11
  start-page: 2243
  year: 2011
  ident: 10.1016/j.jadohealth.2018.12.007_bib39
  article-title: A brief overview of adolescent developmental problems in Hong Kong
  publication-title: ScientificWorldJournal
  doi: 10.1100/2011/896835
– volume: 52
  start-page: 795
  year: 2015
  ident: 10.1016/j.jadohealth.2018.12.007_bib46
  article-title: Sexual esteem in emerging adulthood: Associations with sexual behavior, contraception use, and romantic relationships
  publication-title: J Sex Res
– volume: 70
  start-page: 520
  year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib48
  article-title: Six steps in quality intervention development
  publication-title: J Epidemiol Community Health
  doi: 10.1136/jech-2015-205952
– volume: 46
  start-page: S42
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib16
  article-title: Confidence as a predictor of sexual and reproductive health outcomes for youth
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.11.216
– volume: 9
  start-page: 455
  year: 2014
  ident: 10.1016/j.jadohealth.2018.12.007_bib42
  article-title: A sex-positive framework for research on adolescent sexuality
  publication-title: Perspect Psychol Sci
  doi: 10.1177/1745691614535934
– year: 2009
  ident: 10.1016/j.jadohealth.2018.12.007_bib7
– year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib3
– year: 2005
  ident: 10.1016/j.jadohealth.2018.12.007_bib11
– volume: 2014
  start-page: 3
  year: 2014
  ident: 10.1016/j.jadohealth.2018.12.007_bib43
  article-title: Is sexual behaviour healthy for adolescents? A conceptual framework for research on adolescent sexual behaviour and physical, mental, and social health
  publication-title: New Dir Child Adolesc Dev
  doi: 10.1002/cad.20057
– volume: 24
  start-page: 156
  year: 2009
  ident: 10.1016/j.jadohealth.2018.12.007_bib10
  article-title: Understanding suicidality and correlates among Chinese secondary school students in Hong Kong
  publication-title: Health Promot Int
  doi: 10.1093/heapro/dap011
– volume: 5
  start-page: 281
  year: 2005
  ident: 10.1016/j.jadohealth.2018.12.007_bib29
  article-title: A study of the implementation of sex education in Hong Kong secondary schools
  publication-title: Sex Educ
  doi: 10.1080/14681810500171458
– volume: 46
  start-page: S92
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib13
  article-title: Future directions for positive youth development as a strategy to promote adolescent sexual and reproductive health
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.12.026
– volume: 5
  start-page: 18
  year: 2015
  ident: 10.1016/j.jadohealth.2018.12.007_bib44
  article-title: Making smart choices: A serious game for sex education for young adolescents
  publication-title: Int J Game Base Learn
  doi: 10.4018/ijgbl.2015010102
– year: 2000
  ident: 10.1016/j.jadohealth.2018.12.007_bib28
  article-title: A never-ending obsession with breasts
– volume: 23
  start-page: 211
  year: 2001
  ident: 10.1016/j.jadohealth.2018.12.007_bib8
  article-title: Knowledge of and attitudes toward sex among Chinese adolescents
  publication-title: West J Nurs Res
  doi: 10.1177/019394590102300208
– volume: 22
  start-page: 3270
  year: 2013
  ident: 10.1016/j.jadohealth.2018.12.007_bib9
  article-title: Sexual activity and adolescent health risk behaviours amongst high school students in three ethnic Chinese urban populations
  publication-title: J Clin Nurs
  doi: 10.1111/jocn.12267
– volume: 29
  start-page: S12
  year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib4
  article-title: A six-year longitudinal study of consumption of pornographic materials in Chinese adolescents in Hong Kong
  publication-title: J Pediatr Adolesc Gynecol
  doi: 10.1016/j.jpag.2015.10.004
– year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib37
– ident: 10.1016/j.jadohealth.2018.12.007_bib32
– volume: 46
  start-page: S7
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib15
  article-title: Competence as a predictor of sexual and reproductive health outcomes for youth: A systematic review
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.12.003
– volume: 17
  start-page: 712
  year: 2017
  ident: 10.1016/j.jadohealth.2018.12.007_bib25
  article-title: Empowerment through sex education? Rethinking paradoxical policies
  publication-title: Sex Educ
  doi: 10.1080/14681811.2017.1362633
– year: 2002
  ident: 10.1016/j.jadohealth.2018.12.007_bib41
– year: 2015
  ident: 10.1016/j.jadohealth.2018.12.007_bib30
– year: 2014
  ident: 10.1016/j.jadohealth.2018.12.007_bib45
– volume: 3
  start-page: 333
  year: 2015
  ident: 10.1016/j.jadohealth.2018.12.007_bib47
  article-title: What does not work in adolescent sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices
  publication-title: Glob Health Sci Pract
  doi: 10.9745/GHSP-D-15-00126
– volume: 46
  start-page: S23
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib17
  article-title: Connectedness as a predictor of sexual and reproductive health outcomes for youth
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.11.214
– volume: 26
  start-page: S33
  year: 2013
  ident: 10.1016/j.jadohealth.2018.12.007_bib20
  article-title: Sexual behavior and intention to engage in sexual behavior in junior secondary school students in Hong Kong
  publication-title: J Pediatr Adolesc Gynecol
  doi: 10.1016/j.jpag.2013.03.013
– volume: 13
  start-page: 121
  year: 2013
  ident: 10.1016/j.jadohealth.2018.12.007_bib34
  article-title: Teaching pleasure and danger in sexuality education
  publication-title: Sex Educ
  doi: 10.1080/14681811.2012.697440
– volume: 5
  start-page: 359
  year: 2005
  ident: 10.1016/j.jadohealth.2018.12.007_bib38
  article-title: Meaningful evaluation of sex and relationship education
  publication-title: Sex Educ
  doi: 10.1080/14681810500278436
– volume: 19
  start-page: 50
  year: 2009
  ident: 10.1016/j.jadohealth.2018.12.007_bib2
  article-title: Understanding risky sexual behavior of female youth-at-risk in Hong Kong
  publication-title: Asia Pac J Soc Work
  doi: 10.1080/21650993.2009.9756053
– volume: 46
  start-page: S75
  year: 2010
  ident: 10.1016/j.jadohealth.2018.12.007_bib14
  article-title: A review of positive youth development programs that promote adolescent sexual and reproductive health
  publication-title: J Adolesc Health
  doi: 10.1016/j.jadohealth.2009.11.215
– volume: 29
  start-page: S49
  year: 2016
  ident: 10.1016/j.jadohealth.2018.12.007_bib21
  article-title: Do adolescent sexual behavior and intention to engage in sexual behavior change in high school years in Hong Kong?
  publication-title: J Pediatr Adolesc Gynecol
  doi: 10.1016/j.jpag.2015.10.008
SSID ssj0016610
Score 2.4124625
SecondaryResourceType review_article
Snippet Although Hong Kong is considered to be a relatively westernized Chinese society, sex remains to be a subject that is rarely discussed openly. This article...
SourceID proquest
pubmed
crossref
elsevier
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage S52
SubjectTerms Adolescents
Chinese adolescents
Educational programs
Health behavior
Health education
Positive youth development
Protective factors
Risk behavior
Risky sexual behavior
Sex crimes
Sex education
Sexual attitudes
Sexual behavior
Sexual harassment
Sexual health
Sexual health promotion
Social development
Teenagers
Title Adolescent Sexual Risk Behavior in Hong Kong: Prevalence, Protective Factors, and Sex Education Programs
URI https://www.clinicalkey.com/#!/content/1-s2.0-S1054139X18308334
https://dx.doi.org/10.1016/j.jadohealth.2018.12.007
https://www.ncbi.nlm.nih.gov/pubmed/31122550
https://www.proquest.com/docview/2522176197
https://www.proquest.com/docview/2232120004
Volume 64
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3da9swED_aFMZextZua7YsaDD2VC-W5c_2KYSFdF3LaDuWNyHJUpu22CVJX_e372TJLoMNAgXjT52x9fG7n6S7E8AnKQ1LpZQB1SwJYhoabHNSBRFyI0XTPCxz6418epbOfsbf5sl8CyatL4w1q_TY7zC9QWt_Z-Rzc3S_WIwukBkgAhdzrJTII1i8DTsRK9KkBzvj45PZWTeZgCrIBSVI4sAKeIMeZ-Z1I8rauRxaO6-8GRu0a8v-W0v9j4U22mj6El54GknG7ktfwZauduHZqZ8o34WBc7slv_SdEUtNPpP2Rr283YPrcRfIiVw0QZfJ-WJ1S3y0xCVZVGRWV1fkBHeHxMZ5Eo130gGeN4EdECTJ1K3Vc0BEVdrXkM5axKayZl-r13A5_Xo5mQV-zYVAJVGyDsqiyGScCoXdOKniLM1kiYe8kJEdeyxEYhACcKPMpIhNRmjFtMhlbpAMMPYGelVd6X0gWamUYYgPggnsNSLAJ7k2Ib5MoNqMwz5kbRZz5eOR22Ux7nhreHbDHwuH28LhNOJYOH2gneS9i8mxgUzRliJvfU4RJTkqjg1kjzrZv-rmhtKDttJwjw8rHiHtpXYECR9_7B5jy7bTNaLS9QOmwWym1pMq7sNbV9m632VIk7EzGL570qe9h-d4VTjLtwH01ssH_QE51loOYfvLbzrEljQ5__5j6FvUH2g2J3w
linkProvider Elsevier
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwED-NIQEvaAwYhQ6MhHhaaBw7X-xpmqgKW_fAiuibZTs2dJuSqe1e97fvHDuZkECqhBQlUeyzEn_87uz87gzwQSnLMqVURA1LI05ji2NO6ShB20jTrIirwnkjT8-yyQ_-bZ7Ot-C484VxtMqA_R7TW7QOT0ahNkfXi8XoHC0DROByjp0S7QjGH8BDnrLc8fo-3fY8D4oKyIckSHnksgc6jyd5Xciq8Q6HjuVVtCuDbmfZv-uof9mgrS4a78DTYESSI_-ez2DL1LvwaBp-k-_C0Dvdkp_mysqlIR9J96BZXj6H30d9GCdy3oZcJt8Xq0sSYiUuyaImk6b-RU7w9Jm4KE-y9U06wPs2rANCJBn7nXoOiKwrVwzpuSIulyN9rV7AbPxldjyJwo4LkU6TdB1VZZkrnkmNkzileZ7lqsJLUarErTyWMrUIAHhQZjNEJiuNZkYWqrBoCjD2ErbrpjavgOSV1pYhOkgmcc6I8J4WxsZYmESlyeMB5F0VCx2ikbtNMa5ERzu7EPeNI1zjCJoIbJwB0F7y2kfk2ECm7FpRdB6niJEC1cYGsoe97B89c0PpYddpRECHlUjQ6KVu_QiT3_fJOK7dzxpZm-YG82A1U-dHxQew5ztb_7kMjWScCsav_-vV3sHjyWx6Kk6_np28gSeYUnoO3BC218sbs4_W1lq9bUfTHbUXJrI
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Adolescent+Sexual+Risk+Behavior+in+Hong+Kong%3A+Prevalence%2C+Protective+Factors%2C+and+Sex+Education+Programs&rft.jtitle=Journal+of+adolescent+health&rft.au=Leung%2C+Hildie&rft.au=Lin%2C+Li&rft.date=2019-06-01&rft.issn=1879-1972&rft.eissn=1879-1972&rft.volume=64&rft.issue=6S&rft.spage=S52&rft_id=info:doi/10.1016%2Fj.jadohealth.2018.12.007&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1054-139X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1054-139X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1054-139X&client=summon