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Fulltext A case of missed thoracic fracture masquerading as intra-abdominal injury

Amin,O., Nik Azlan, N.M., Afliza, A.B.

Medicine & Health, 2017;12(1):127-130.
MyJurnal

Altered mental status in the setting of polytrauma poses a challenge to the emergency team managing the patient. The tendency to miss positive findings in these circumstances increases several folds due to multiple factors such as depressed mental status/intoxication, presence of distracting injuries and concurrent life-threatening injuries that require more urgent attention. In view of this, NEXUS (National Emergency X-Radiography Utilization Study) criteria of clearing the cervical spine was adopted and used worldwide. Consensus on clearance of the other parts of spine is still lacking. This case reports highlights the findings in a 18-yrs-old male who presented with altered mental status, facial pain and abrasion, following a motor vehicle accident. Facial bone fracture was diagnosed and he was discharged. Three days later, he came with severe epigastric pain. Tenderness on palpation was noted at the spine and Computed Tomography (CT) scan was done. Multiple thoracic vertebra fractures were seen. As a conclusion, thorough primary and secondary survey should be done in patients who have regained full consciousness prior to discharge in order to avoid overlooking other serious injuries.
Keywords: altered, CT scan, fracture, mental status, thoracic vertebra

Matched MeSH terms: Adolescent
Fulltext A review of acute rheumatic fever and rheumatic heart disease research in Malaysia

Hung LC, Nadia R

Med J Malaysia, 2016 06;71(Suppl 1):79-86.
PMID: 27801390 MyJurnal

A total of 39 titles related to rheumatic fever or rheumatic heart disease in Malaysia were found with online literature search dating back to their inceptions and through 2014. Additional publications from conference journals were included. Nine papers were selected based on clinical relevance and future research implications. There were no population-based studies on the incidence or prevalence of ARF or RHD. In the 1980s, the incidence of admission due to ARF ranged from 2 to 21.1 per 100 000 paediatric admission per year. The burden of disease was significant in the adult population; 74.5% of patients with RHD were female, of which 77.1% were in the reproductive age group of 15-45 years old. Rheumatic mitral valve disease constituted almost half (46.7%) of all mitral valve repairs, ranging from 44.8 - 55.8 patients per year from 1997 - 2003. From 2010-2012, mitral valve interventions increased to 184 per year, of which 85.7% were mitral valve repair. In children with ARF, 25.4% - 41.7% had past history of rheumatic fever or RHD. In patients with rheumatic mitral valve disease undergoing surgical or medical interventions, only 6% reported history of ARF, none had history of GABHS pharyngitis or antibiotic prophylaxis. Only 44.7% of patients with RHD on follow-up were on intramuscular benzathine penicillin prophylaxis. Overall, there is scarcity of publications on ARF and RHD in Malaysia. Priority areas for research include determination of the incidence and prevalence of ARF and RHD, identification of high-risk populations, evaluation on the implementation and adherence of secondary preventive measures, identification of subclinical RHD especially amongst the high-risk population, and a surveillance system to monitor and evaluate preventive measures, disease progression and outcomes.

Matched MeSH terms: Adolescent
Fulltext Kimura Disease: A differential diagnosis in a nephrotic child

Aziz A, Mohamad I, Zawawi N

Malays Fam Physician, 2018;13(2):32-35.
PMID: 30302182

Kimura disease presents as benign lesion and is commonly present among the Asian population. It is a disease with a favourable prognosis and a peak age of onset in the third decade. It is a chronic inflammatory disorder of unknown etiology that involves the lymph nodes and subcutaneous tissues of the head and neck region. We report a case of a 15-year-old boy with multiple Kimura lymphadenopathies involving the left posterior auricular region as well as the anterior and posterior triangles of the neck.

Matched MeSH terms: Adolescent
Fulltext Validity and reliability of Vicon™ motion capture camera over the traditional anthropometric method

Muhammad Fikri, Z., Ruzy Haryati, H., Seri Rahayu, K.

Malaysian Journal of Public Health Medicine, 2018;18(102):142-151.
MyJurnal

Anthropometric study is one of the oldest branches of study in ergonomics where it serves a purpose in study of
proportion and size for human body. One of the common methods used in anthropometric measurement is traditional
measurement or direct measurement. However, Malaysia is still left behind other countries in development of national
anthropometric database. Researchers in Malaysia are still relying on the traditional anthropometric (TA)
measurement. There are several important factors that contribute to problems in TA such as accuracy, time, posture,
identification of landmarks, instrument positions and orientations, and pressure exerted due to measuring equipment. In
view of the fact that the difficulties of obtaining human anthropometry, it becomes necessary to propose a method which
has less contact executed to respondent. This study aims to propose a new anthropometric measurement method using
motion capture camera (MCC) method, later to develop the database for youth male population. A pilot test was done
in order to confirm the measuring procedure as well as the flow of the study. Next, the Minitab statistical software used
to check the validity and reliability of data using the tests of a) Accuracy-Pearson/Spearman Correlation b) BiasPaired
T-Test c) Test-Retest Reliability-Pearson/Spearman Correlation d) Precision-Mean Absolute Difference and
Relative Error Measurement. Results showed that the validity and reliability of this motion camera has successfully
obtained and the anthropometric data for youth male respondents has successfully constructed. These findings can be
used and expended to the national anthropometric database to be utilised in ergonomics design.

Matched MeSH terms: Adolescent
Fulltext Effect of circuit training on fighting performance of young silat athletes - a case study

Mohamad Nizam Mohamed Shapie, Oliver, Jon, O’Donoghue, Peter, Tong, Richard

Movement Health & Exercise, 2018;7(1):27-41.
MyJurnal

Background & Study Aim: The purpose of the current case study was to
describe the activity pattern of individual exponents during competitive fights
completed before and after six weeks circuit training programme. Material
& Methods: Thirteen and 16-year-old experimental (E13 and E16) and
control (C13 and C16) participants were paired and videoed with fighting
before and after 6-week training. Exponents were chosen based on their age,
maturation, weight, competitive standard (none had participated in an official
silat match), and initial fitness performance. All matches were converted into
.mpg files and analysed using the same procedure. The distribution of
outcomes was analysed and used as an index of performance for more
detailed analysis. Results: The E13 increased the frequency of kicking during
competition post-training, which is suggested to reflect transference of
improved fitness to competition. Both E13 and C13 improved the ability to
dodge their opponent attacks, likely reflecting a response to technical
coaching. The frequency of actions during competition generally decreased
for both older participants, suggesting limited fitness transference to
competition. All individuals demonstrated some meaningful improvements
in fitness following the intervention period. However, these responses did not
necessarily reflect the group finding. Conclusions: This was the first case
study to examine the changes in competitive fighting performance of four
young performers from experimental and control groups following a silatspecific
circuit training programme. Therefore, fitness gains together with
technical coaching may transfer to competition in younger exponents, while
alterations in strategy may have been more decisive in the older group. The
research has provided further insight of fitness development and trainability,
and also transference fitness into competitive performance in youth silat which may help to facilitate coaches of the demands and requirements of the
combat sport.

Matched MeSH terms: Adolescent
The global three: A Malaysian lens on the challenges and opportunities facing restorative justice planning and implementation

Mohammad T, Azman A, Anderstone B

Eval Program Plann, 2019 02;72:1-7.
PMID: 30245370 DOI: 10.1016/j.evalprogplan.2018.09.007

From the rise of restorative justice to evidence-based approaches to reducing recidivism, the intellectual landscape of criminal justice has seen considerable change in recent decades. The result is that an increasing number of countries have tackled the task of shifting preexisting political institutions to confirm with these new understandings. This is, of course, no easy feat. A great number of challenges confront willing policymakers, a reality that often puts philosophy at loggerheads with practicality. Moreover, the political process of change is subject to the influence of cultural and institutional norms. In this paper, we look at one particular case study - that of Malaysia's juvenile justice system - to understand the challenges faced in changing criminal justice policy. We identify three primary categories of challenges and elucidate their shape and impact through the Malaysian example. We also briefly analyze potential opportunities to mitigate and overcome these challenges. Furthermore, we also conclude with several implications for future research that we deem are important to be taken place. In sum, we argue that criminal justice reform must be undertaken with an eye toward important societal and institutional norms, each requiring thoughtful analysis of complex local cases.

Matched MeSH terms: Adolescent
Fulltext A review of knowledge, belief and practice regarding osteoporosis among adolescents and young adults

Chan CY, Mohamed N, Ima-Nirwana S, Chin KY

Int J Environ Res Public Health, 2018 08 12;15(8).
PMID: 30103534 DOI: 10.3390/ijerph15081727

Osteoporosis is a major public health problem affecting millions of people worldwide. Increasing knowledge, correcting health belief and promoting osteoprotective practices are effective measures for building and maintaining strong bone throughout ones' life-span. This review aims to summarize the contemporary evidence on the knowledge, beliefs and practice of adolescents and young adults on bone health. We performed literature searches using the PubMed and Scopus databases to identify original studies from 2008 to May 2018 using the search terms "(knowledge OR beliefs OR attitude OR practice OR behaviours OR physical activity OR exercise OR diet OR nutrition) AND (young OR youth OR adolescents OR children OR young adults OR students OR teenager) AND (osteoporosis OR bone health)". Of the 3206 articles found, 34 met the inclusion criteria. Studies showed that most adolescents and young adults had poor knowledge and expressed disinterest in osteoporosis. They believed that other diseases were more serious than osteoporosis, contributing to low perceived susceptibility and seriousness towards this disease. Popular media emerged as a platform to obtain information regarding osteoporosis. The lack of knowledge and misconceptions about osteoporosis led to poor osteoprotective practices. As a conclusion, the current evidence revealed a lack of awareness about osteoporosis among adolescents and young adults. Educational interventions may be useful to improve the awareness of osteoporosis among this population.

Matched MeSH terms: Adolescent
Fulltext Second branchial arch fistula masqueraded as recurrent parotid abscess: a case report

Nurul Hana Mokhtar, Khairuddin Abdullah, Fairuz Mohd Ibrahim, Irfan Mohamad

Archives of Orofacial Sciences, 2018;13(1):50-53.
MyJurnal

Branchial apparatus anomalies usually manifest in teenage or early adult life. Infection complicates
second branchial pouch anomalies usually presented as a neck lump or discharging sinus. It is the most common
form of anomalies compared to another branchial pouch aberrant. However, it is extremely rare to find a
complete branchial fistula with both internal and external openings. Misdiagnosis usually occurs leading to
inappropriate and suboptimal treatment. Here, we report of a case of complete second branchial pouch fistula
and discuss the clinical presentation and surgical management of such lesion.

Matched MeSH terms: Adolescent
Dental development in children with supernumerary teeth in the anterior region of maxilla

Mallineni SK, Jayaraman J, Wong HM, King NM

Clin Oral Investig, 2019 Jul;23(7):2987-2994.
PMID: 30374829 DOI: 10.1007/s00784-018-2709-2

OBJECTIVE: Development of human dentition has been used as a predictor for evaluating the growth and maturity of an individual. It is fairly identical in a specific population, but the effect of development on subjects with dental anomalies had not been fully explored, particularly on subjects with supernumerary teeth (ST). This study hence aims to evaluate the dental development of children with and without ST.
MATERIALS AND METHODS: Sample size calculation was conducted and 320 radiographs of subjects with and without supernumerary teeth (ST) were obtained from the archives of a teaching hospital. The subjects in both groups were age and sex matched. All the subjects belong to southern Chinese ethnicity aged 2 to 14 years. The left-side dentition was scored, and dental age (DA) was estimated by obtaining scores from the southern Chinese dental reference dataset. Paired t test was used to calculate the difference between chronological age and dental age (CA-DA) for boys and girls with and without ST and further based on the number and position of ST.
RESULTS: The difference between chronological age and dental age (CA-DA) was 0.10 years for boys and 0.19 years for girls with ST whilst 0.01 and 0.05 years for boys and girls without ST (p > 0.05). The boys with bilateral ST showed significant delay in dental development of 0.23 years (p

Matched MeSH terms: Adolescent
Fulltext APSS-ASJ Best Clinical Research Award: Is There a Difference between Patients' and Parents' Perception of Physical Appearance in Adolescent Idiopathic Scoliosis?

Chan CYW, Gani SMA, Lim MY, Chiu CK, Kwan MK

Asian Spine J, 2019 Apr;13(2):216-224.
PMID: 30472823 DOI: 10.31616/asj.2018.0151

STUDY DESIGN: Prospective study.
PURPOSE: To compare patients' and parents' perceptions of physical attributes (PAs) of adolescent idiopathic scoliosis (AIS) patients and to report any correlations between their perceptions and Scoliosis Research Society-22r (SRS-22r) scores.
OVERVIEW OF LITERATURE: Few studies have looked into the differences between patients' and parents' perceptions of their appearance.
METHODS: AIS patient-parent pairs (n=170) were recruited. The patients' and parents' perceptions of six PAs were evaluated: waist asymmetry (WA), rib hump (RH), shoulder asymmetry (SA), neck tilt, breast asymmetry (BrA), and chest prominence. These PAs were ranked, and an aggregate PA (Agg-PA) score was derived from a score assigned to the attribute (6 for the most important PA and 1 for the least important). The patients also completed the SRS-22r questionnaire.
RESULTS: Ninety-nine patients (58.2%) and 71 patients (41.8%) had thoracic and lumbar major curves, respectively. WA was ranked first by 54 patients (31.8%) and 50 parents (29.4%), whereas RH was ranked first by 50 patients (29.4%) and 38 parents (22.4%). The overall Agg-PA scores were similar for patients and parents (p>0.05). However, for thoracic major curves (TMCs) >40°, a significant difference was noted between the Agg-PA scores of patients and parents for SA (3.5±1.6 vs. 4.2±1.6, p=0.041) and BrA (3.0±1.6 vs. 2.2±1.3, p=0.006). For TMCs <40°, a significant difference was found between the Agg-PA scores of patients and parents for WA (3.7±1.6 vs. 4.4±1.5, p=0.050). BrA was negatively correlated with total SRS-22r score.
CONCLUSIONS: There were no significant differences between patients and parents in their ranking of the most important PAs. For TMCs >40°, there were significant differences in the Agg-PA for SA and BrA. Pa¬tients were more concerned about BrA and parents were more concerned about SA. Patients' perception of the six PAs had weak correlation with SRS-22r scores.

Matched MeSH terms: Adolescent
A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile

Alammar A, Heshmeh O, Mounajjed R, Goodson M, Hamadah O

J Esthet Restor Dent, 2018 11;30(6):523-531.
PMID: 30412347 DOI: 10.1111/jerd.12433

AIM: The aim of this study was to evaluate and compare conventional and modified lip repositioning surgical techniques used for management of gummy smile involving hyperactive lip elevator muscles.
METHODS AND MATERIALS: A prospective study was conducted between April 2016 and May 2017. Twenty two adult patients aged 18-38 years with gummy smile ranging from 4 to 6 mm because of soft tissue disorders were included in the study. All patients were treated in the oral and maxillofacial department at Damascus University. The sample was divided into two groups of 11 patients. The first group was treated by the conventional standard technique, and the second group treated by a modified study technique. The amount of gingival display in full smile was evaluated in both groups following each intervention.
RESULTS: Both groups exhibited a statistically significant reduction in the measurement of gummy smile at month 1 and 6 postoperatively (P .05). The recent study showed a significant difference in gingival display between 3 and 6 months postoperatively in group 1, but no significant difference in group 2.
CONCLUSION: This study showed that the modified technique utilized in treating gummy smile has less relapse after surgery, shows excellent cosmesis and compared to the conventional technique, greater sustainability.
CLINICAL SIGNIFICANCE: The recent increase in demand for an esthetic smile has led to the development a modification of conventional lip repositioning for correcting gummy smile by myotomy of lip elevator muscles. This modified technique offers less relapse and greater stability post-operatively than the conventional technique.

Matched MeSH terms: Adolescent
Two fatal cases of unsuspected rupture of the spleen

Wilson F

Lancet, 1927;209:1236-7.
DOI: 10.1016/S0140-6736(00)73647-6
Matched MeSH terms: Adolescent
An exploration of the associations between facets of interoceptive awareness and body image in adolescents

Todd J, Aspell JE, Barron D, Swami V

Body Image, 2019 Dec;31:171-180.
PMID: 31654981 DOI: 10.1016/j.bodyim.2019.10.004

Previous research suggests that lower interoceptive awareness is associated with more negative body image during adolescence. However, studies have not distinguished between adaptive and maladaptive modes of attention toward interoceptive signals, and relationships between interoceptive awareness and positive body image remain unexplored. To address these issues, a sample of 265 British adolescents (140 girls, 125 boys) aged 13-16 years completed measures of interoceptive awareness, body appreciation, functionality appreciation, body pride, body shame, and body surveillance. Correlational analyses broadly indicated that greater interoceptive awareness was significantly associated with more positive body image. Multiple regressions revealed significant predictive relationships between interoceptive awareness and all facets of body image in both girls and boys, except body surveillance, which was not statistically significant for girls. At the univariate level, the interoceptive awareness facets of Attention Regulation, Body Listening, Self-Regulation, and Trusting emerged as significant predictors for at least one facet of positive body image, whilst the Noticing and Emotional Awareness facets did not. These findings broadly align with previous research with adults, which has indicated that the way interoceptive stimuli are appraised and responded to might be more closely associated with facets of body image than the tendency to notice interoceptive stimuli.

Matched MeSH terms: Adolescent
The age question among Asiatic girls in Malayan courts of law

Worth HI

Med J Malaya, 1947;1:252-272.

European standards on height, weight, centres of ossification and date of onset of puberty are not applicable to Asiatic girls in Malaya. " Asiatics " could not be grouped together, racial groups showed differences, especially the three main groups-Chinese, Indians and Malays. Nine tables are furnished showing the average and maximum and minimum heights and weights of the four main groups examined, as well as of some of the minor groups, arranged according to ages from 5 years to 19 years. The conclusion is drawn that the European standard of height and weight is higher than that of any of the Asiatic races in Malaya; a greater difference is noted in the weight than in the height and there is a much greater range in the weight of Asiatics but a smaller range in the height. Onset of menstruation tended to be earlier in the local Asiatic groups than in Europeans. The date of eruption of permanent teeth appeared to be earlier among Asiatic races. No deciduous teeth were found at the age of 12-13 years, the lower second molar was seen in all those examined at that age and the whole lower set was present, excluding the third molar. Earlier efuption of the canine teeth was also noticeable. Details should be consulted in the original by all those interested in medico legal work in tropical countries. P. A. Clearkin.

Matched MeSH terms: Adolescent
Fulltext Reading Performance and Compensatory Head Posture in Infantile Nystagmus after Null Zone Training

Mohamad Fadzil N, Mohammed Z, Mohamad Shahimin M, Saliman NH

Int J Environ Res Public Health, 2019 11 27;16(23).
PMID: 31783492 DOI: 10.3390/ijerph16234728

This study aimed to assess the visual function, reading performance, and compensatory head posture (CHP) in schoolchildren with infantile nystagmus. A total of 18 participants aged between 13 to 18 years old were divided into spectacle (n = 9) and null zone group (n = 9) based on their visual acuity. Visual acuity (LogMAR), contrast sensitivity (Pelli-Robson), reading time and rate (Tobii TX300), and CHP were measured pre and post null zone reading training. Participants in the null zone group received 10 sessions of training (5 weeks). Visual acuity and contrast sensitivity of participants in the spectacle and null zone groups were not significantly different pre and post training. Reading performance, i.e., reading time (z = -1.36; p = 0.173) and reading rate (z = -0.06; p = 0.953), of participants in the spectacle group was not significantly different after 5 weeks. Reading time (z = -2.55; p = 0.011) and reading rate (z = -2.07; p = 0.038 of participants in the null zone group showed significant improvement post training. After 5 weeks, CHP improved in six out of the nine participants (66.7%) of the null zone group and was unchanged in all participants in the spectacle group. Null zone reading training could benefit children with infantile nystagmus in improving reading performance and compensatory head posture.

Matched MeSH terms: Adolescent
Fulltext Arthroscopic All-Inside Repair of Tear of the Anterior Horn of Discoid Lateral Meniscus

Muniandy M, Rajagopal S, Tahir SH

Surg J (N Y), 2019 Jan;5(1):e35-e37.
PMID: 31093532 DOI: 10.1055/s-0039-1688951

The anterior horn of lateral meniscus tear is usually repaired using outside-in technique. Although easy to perform, it was associated with several complications which may alter the outcome of the surgery. Here, we present a case of an adolescent girl presented with incomplete discoid lateral meniscus accompanied by tear of anterior horn. The tear was repaired using all-inside technique without any implants. We described the surgical technique and discussed the rationale.

Matched MeSH terms: Adolescent
Views of young people in Malaysia on mental health, help-seeking and unusual psychological experiences

Berry C, Michelson D, Othman E, Tan JC, Gee B, Hodgekins J, et al.

Early intervention in psychiatry, 2020 02;14(1):115-123.
PMID: 31111672 DOI: 10.1111/eip.12832

AIM: Mental health problems are prevalent among young people in Malaysia yet access to specialist mental health care is extremely limited. More context-specific research is needed to understand the factors affecting help-seeking in youth, when mental health problems typically have first onset. We aimed to explore the attitudes of vulnerable young Malaysians regarding mental health problems including unusual psychological experiences, help-seeking and mental health treatment.
METHODS: In the present study, nine young people (aged 16-23 years) from low-income backgrounds participated in a semi-structured interview about their perspectives on mental health problems, unusual psychological experiences and help-seeking.
RESULTS: Four themes were developed using thematic analysis. "Is it that they [have] family problems?" reflected participants' explanatory models of mental health problems. "Maybe in Malaysia" was concerned with perceptions of Malaysian culture as both encouraging of open sharing of problems and experiences, but also potentially stigmatizing. "You have to ask for help" emphasized the importance of mental health help-seeking despite potential stigma. "It depends on the person" addressed the challenges of engaging with psychological therapy.
CONCLUSIONS: We conclude that young people in Malaysia may hold compassionate, non-stigmatizing views towards people experiencing mental health problems and a desire to increase their knowledge and understandings. Yet societal stigma is a perceived reputational risk that may affect mental health problem disclosure and help-seeking. We suggest that efforts to improve mental health literacy would be valued by young Malaysians and could support reduced stigma and earlier help-seeking.

Matched MeSH terms: Adolescent
The Association of Rumination and Perfectionism to Social Anxiety

Abdollahi A

Psychiatry, 2019;82(4):345-353.
PMID: 31112491 DOI: 10.1080/00332747.2019.1608783

Objective: Evaluative concerns perfectionism is related to both rumination and social anxiety. However, the mediating role of rumination between two types of perfectionism-namely, evaluative concerns perfectionism and personal standards perfectionism-and social anxiety has yet to be studied. Therefore, the objective of this study was to examine the mediating role of rumination on the association between perfectionism and social anxiety. Methods: A cross-sectional study was conducted among 450 Malaysian undergraduate students using self-report questionnaires. Results: Structural equation modeling (SEM) revealed that evaluative concerns perfectionism and rumination were significant positive predictors of social anxiety. Multimodel analysis revealed that rumination partially mediated the association between evaluative concerns perfectionism and social anxiety. Conclusions: The results suggested that evaluative concerns perfectionists were more likely to engage in rumination and were consequently more likely to experience social anxiety.

Matched MeSH terms: Adolescent
Fulltext The correlates of conflict and behavioural difficulties on the negative affect in at-risk youth in Malaysia

Nor Ba’yah Abdul K, Suzana Mohd H, Siti Marziah Z, Hilwa Abdullah@Mohd N, Noordeyana T, Mimi Hanida Abdul M

Jurnal Psikologi Malaysia, 2018;32:1-11.

Parent-youth conflict and behavioural difficulties are common issues in the field of developmental psychology. This study examines the correlations of conflict and behavioural difficulties, to see if these factors predicted a negative affect on a sample of at-risk youth. A sample of 335 at-risk youth aged 13-24 years old from Public Housing Projects in Kuala Lumpur was selected. Conflict with the father was significantly associated with negative affect. Further analysis showed that three factors were required to produce negative affect. The results support claims that father conflict, emotional problems and conduct problems are an integral part of the close relationships of at-risk youth, and discourage positive youth development among at-risk youth.

Matched MeSH terms: Adolescent
Fulltext Perkahwinan remaja: satu kajian di Kuching, Sarawak

Nor Jana S, Suini L, Fatimah A, Noremy Md A

Jurnal Psikologi Malaysia, 2018;32:47-61.

Commonly, teenage marriage affects schooling and being gainfully employed to support the family in later life. Most studies focused on the effects of marriage at the young age. However, less research is focusing on the experience of marriage from the perspective of the teenagers who get married at the teen age. This article aims to answer the following questions: (1) what are the experiences of teenage marriages, and (2) what are their views on teenage marriage. The article is based on semi-structured interviews with seven girls recruited by snowball technique, aged 15 to 23 years, married and living in Kuching, Sarawak. Data were analyzed by thematic analysis. Seven themes emerged on marriage experiences: being independent, nourishing patience, maintaining social boundaries, developing responsible behaviour, being inspired, staying positive and doubting their ability as a husband or wife. Moreover, four main themes described informants' views on teenage marriage: to avoid immorality, immaturity, making decisions wisely and accountability. It can be concluded that a person who gets married at the teen age is in need of help from various parties, especially parents and friends as well as community not to be stigmatized for being married at the teen age.

Matched MeSH terms: Adolescent

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