Research Article A Qualitative Study to Explore the Determinants of Risky Sexual Behaviors and Pregnancy among Female Adolescents in Sabah, Malaysia Idayu Badilla Idris , 1 Shameer Khan Bin Sulaiman , 1 Rozita Hod, 1 Hamed Khazaei , 2 and Nik Nairan Abdullah 3 1 Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia 2 Malaysia•Japan International Institute of Technology, University Teknologi Malaysia, Kuala Lumpur, Malaysia 3 Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia Correspondence should be addressed to Idayu Badilla Idris; idayubadilla.idris@gmail.com and Shameer Khan Bin Sulaiman; shameerkhan85@gmail.com Received 11 May 2022; Revised 29 October 2022; Accepted 16 November 2022; Published 28 November 2022 Academic Editor: Manvinder Singh Copyright © 2022 Idayu Badilla Idris et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Tis investigation was performed in Kota Kinabalu, Sabah state, where the highest number of pregnancies is recorded. Te purpose of this study was to determine variables associated with hazardous sexual activity and adolescent pregnancy in Sabah, Malaysia. Te fndings indicate that familial variables, peer interactions, self•esteem, psychiatric concerns, eco• nomic considerations, and sex knowledge all play a signifcant role in hazardous sexual conduct and adolescent pregnancy in Sabah, Malaysia. Information obtained from this study will help the Malaysian government and other ofcials to design and establish proper interventions that will help alleviate the challenge of high prevalence of teenage pregnancy. It is suggested that sex education be included in the high school curriculum, along with physical and health education in Sabah, Malaysia. 1. Background of the Study Teenage pregnancy is one of the social concerns in the world as well as in Malaysia. Sabah and Sarawak are showing a high rate of total teenage births, respectively [1, 2]. According to the 2011 WHO report, 15.9 million infants were born to adolescent mothers, accounting for approximately 15% of worldwide maternal mortality (Minhatet al., 2021). Despite greater eforts to educate the entire public, and adolescents, in particular, public health concerns concerning Malaysian adolescents’ sexual habits continued [3, 4]. According to the state health ministry, the state of Sabah has recorded the highest number of teenage pregnancy cases, and its neighboring state Sarawak has recorded the second most teenage pregnancies in Malaysia [5]. It is startling to see that most teenagers at the age of 18 years are highly sexually active, resulting in high teenage pregnancies [5]. As Malaysia rapidly urbanizes and industrializes, the new generation not only overcomes developmental obstacles but also be pre• pared to deal with a plethora of environmental problems and pressures [6, 7]. Premature sexual activities among teenagers increase the risk of unprotected sex and various sex partners that may end up in sexual spread infections, such as the risk of premature rupture of membranes, acquired immuno• defciency syndrome (AIDS), postpartum infection [8, 9], and preterm labor, which may infuence their study and future. Numerous risk factors for adolescent pregnancy include poverty, a lack of parental supervision, a lack of educational opportunities, and peer pressure [10]. It is therefore important to identify the contributing factors for premarital sexual behaviors among Malaysian adolescents in Sabah. Hindawi Obstetrics and Gynecology International Volume 2022, Article ID 1866326, 10 pages https://doi.org/10.1155/2022/1866326