Background Young people’s vulnerability to risky or unwanted sex and other unhealthy behaviors is tied to a host of individual, family, and community factors that influence young people’s behavior and that are closely related to economic and educational opportunities. Aims This study aims to identify factors determining the sexual activity, knowledge and use of contraception among college students in Malaysia. Methods A cross-sectional study was conducted among students of aged 17-24 years in 4 colleges in Malaysia in 2010. Data was collected via a self-administered multiple response questionnaire. Data analyses were performed on 552 completed questionnaires. Results The mean knowledge score for this study was 2.86/6 (± standard deviation=1.29), 47.7%. Place of education and living arrangement were significant associated with the mean knowledge score. More than one third of the total respondents have engaged in sexual intercourse. There were significantly higher proportion of respondents who engaged in sexual activity among those from age group 23-24 years, whom were male, and those who study in college with rural exposure. Among those who have engaged in sexual intercourse, more than half did not use any contraception. A significantly higher proportion of respondents who did not use contraception were found among those in the age group of 19-20 years old, whom were female and those who study in colleges with rural exposure. Students studying in colleges with urban exposure were more likely to have better contraceptive knowledge and use of contraception. Male students were more likely to engage in sexual activity and use contraception compared to females. Conclusion There is a need to impart reproductive health knowledge during the adolescent period so that young people can make informed decisions when it comes to reproductive health matters.
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