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Surprisingly, few studies have explored the influences of these factors on premarital sex and high-risk sex behaviors among unmarried youth in Hong Kong.

Unmarried youth in Hong Kong had adequate sex knowledge, but contraceptive knowledge was deficient.The majority of unmarried youth (63.8%) held liberal attitudes toward premarital sex and about half held liberal attitudes toward any form of sexual activity and premarital pregnancy.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 [].Around 60% held conservative attitudes toward causal sex relationships and multiple sex partners.

Males tended to hold more liberal attitudes toward high-risk sex behaviors than female youth.Approximately 41.5% of unmarried youth reported having engaged in premarital sex, whereas less than 10% engaged in high-risk sexual behaviors.Males also reported higher amounts of premarital sex, casual sex relationships, and multiple sex partners. 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.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.High-risk sexual behaviors (e.g., multiple partners, having casual or unknown partners, and failing to take protective actions during sexual intercourse) among unmarried young adults in Hong Kong have also been reported [].