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Purpose: This study was conducted to investigate the relationship between short message service and social media use, and sexual intercourse of high school students in Cambodia. Methods: Four hundred and eighty-three high school students from three schools in rural provinces were interviewed with structured questionnaires. Results: Sexual intercourse was found significantly more frequent among male students than among female students (p=.001), among alcohol drinkers than among non-drinkers (p<.001), among those who were not taking pictures with mobile phones than among those who were (p=.045), and among those who were exchanging SMS between boyfriend and girlfriend than among those who were not (p=.006). The students who were sending SMS by mobile phones were 5.83 times as likely to have sexual intercourse as their counterparts (p=.020), who were taking pictures with mobile phone were 0.04 times as likely as those who were not (p=.045) and the odds ratio was 15.19 times as high in alcohol drinkers as in non-drinkers (p=.001). Conclusions: Efforts should be made to encourage positive and effective use of social media among adolescents to maintain their sexual health.

Impact of Short Message Service (SMS) and Social Media on Sexual Intercourse of High School Students in Cambodia