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Impact of household composition and satisfaction with family life on self-reported sexual health outcomes of high-school students in Hong Kong
  1. William Chi Wai Wong1,
  2. Edmond P H Choi2,
  3. Eleanor Holroyd3,
  4. Patrick Ip4,
  5. Susan Fan5,
  6. Paul S F Yip6
  1. 1 Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong, Hong Kong
  2. 2 School of Nursing, University of Hong Kong, Hong Kong, Hong Kong
  3. 3 School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
  4. 4 Department of Paediatrics and Adolescent Medicine, University of Hong Kong, Hong Kong, Hong Kong
  5. 5 The Family Planning Association of Hong Kong, Hong Kong, Hong Kong
  6. 6 Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong
  1. Correspondence to Dr Edmond P H Choi, Hong Kong, Hong Kong; h0714919{at}


Background The study aimed to examine the impact of household composition and satisfaction with family life on sexual behaviours among high school male and female students (aged 11–22 years) in Hong Kong.

Method High schools were randomly selected, and the final sample comprised 25 schools. Students were divided into two groups ('living with both biological parents' vs 'not living with both biological parents'). Students were asked to rate their satisfaction with family life on a five-point Likert scale in a self-administered questionnaire. Dependent variables were sexual experience, sexual harassment, sexting and nude chats. Multiple logistic regression was used to analyse the results.

Results 3907 students were included in the analysis. 202 students (5.2%) were sexually active. 505 students had ever (13.0%) sexually harassed others and 303 students (7.8%) had ever been sexually harassed by others. 58 students (1.5%) had ever had nude chats. 1005 students (25.8%) had sexted in the last 12 months. Students who lived with both biological parents were less like to be sexually active, to sext and to have nude chats than those who did not. Students who had higher family life satisfaction were less likely to be sexually active, to sexually harass others, to be sexually harassed by others, to sext and to have nude chats than students who had lower satisfaction with their family life.

Conclusions Sexual health programmes and interventions should consider family functioning. Students who have low family satisfaction and those who do not live with both their biological parents should be targeted for sexual health interventions.

  • epidemiology
  • needs assessment
  • sex education
  • teenagers

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  • Contributors WCWW, PI, SF and PSFY conceived the study and contributed to the study design. EPHC conducted the data analysis and all the authors contributed to data interpretation. EPHC drafted the article and it was critically revised for important intellectual content by WCWW, EH, PI, SF and PSFY. All the authors contributed to the final approval of the version to be published. All the authors had full access to all the data (including statistical reports and tables) in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.