
Porn addiction rising among youth, experts warn of harm
'It's no different from gambling or gaming addiction – it's compulsive, harmful and hard to stop,' said Dr Siti Aisyah Panatik, psychology professor at Universiti Teknologi Malaysia. 'Young people are turning to porn as an emotional escape, even when it starts damaging their studies, relationships and mental health.'
She added that while curiosity about sex is natural, addiction is marked by loss of control, preoccupation and continuing despite clear harm.
Although the American Psychological Association has yet to formally recognise porn addiction, the World Health Organisation's ICD-11 includes 'compulsive sexual behaviour disorder' under which many clinicians place problematic porn use.
Siti Aisyah warned that Malaysian youth are especially vulnerable, often battling guilt, anxiety, low self-esteem, depression, sexual dysfunction and difficulty forming real-life connections.
'In our society, sexual taboos add another layer of shame and silence, making it harder to seek help.'
She said repeated exposure can also rewire the brain's reward system.
'Neuroplasticity studies show chronic porn use alters dopamine pathways, leading to desensitisation and the need for ever more extreme content. This can distort expectations of intimacy and encourage objectifying partners.'
Siti Aisyah urged parents and educators to watch for the '3 Cs'– loss of control, compulsion
and consequences.
'Some might want to stop but can't, some use porn to cope with stress or boredom, or keep watching even when it clearly harms their wellbeing.'
Other warning signs include spending excessive time online, neglecting responsibilities and escalating to more graphic material.
She noted that limited sex education, strict cultural norms and a lack of open family conversations often leave the internet – and pornography – as the first source of sexual information for young people. Combined with digital convenience and everyday stress, porn can quickly become an unhealthy coping mechanism.
Rather than shame or moralising, families should respond with empathy, said Siti Aisyah.
'Start with curiosity, not accusation. Show concern instead of condemnation. Remind them that seeking help is a strength, not a weakness. Learning how addiction works and setting respectful boundaries can help reduce secrecy and stigma.'
Siti Aisyah said although therapy through trained psychologists and counsellors is available, Malaysia still lacks national treatment guidelines or a structured framework to address porn addiction.
'We need stronger policy focus to develop these frameworks. Punishment alone isn't the answer. Prevention is far more effective,' she said, adding that schools and public campaigns need to go beyond abstinence-only messages.'
She also called for age-appropriate sex education covering consent, media literacy and healthy relationships, alongside honest conversations at home.
Programmes such as Pekerti are a start, she said, but should be updated with modern psychological approaches that resonate with today's youth.
(Pekerti is a programme focused on providing education and skills training to promote healthy lifestyles, particularly related to reproductive health and responsible decision-making. It also aims to equip participants with the knowledge and skills to avoid risky sexual behaviours and make informed choices)
'As pornography becomes easier to access, ignoring the problem risks leaving the next generation to pay the price,' added Siti Aisyah.
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Sinar Daily
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According to the World Health Organisation (WHO), Malaysia has one of the highest childhood obesity rates in Southeast Asia. Childhood obesity in Malaysia has been on a steady rise over the past 15 years, with over 30 percent of children aged five to 17 classified as overweight or obese in 2022. (Under the United Nations Convention on the Rights of the Child and Malaysia's Child Act 2001, a child is defined as anyone under the age of 18.) Meanwhile, a study titled 'Prevalence of Childhood Overweight and Obesity in Malaysia: A Systematic Review and Meta-analysis' published in November 2024, found that the prevalence of childhood overweight, obesity and excess weight in Malaysia almost doubled over a 26-year period from 1996 to 2022. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. Overweight is a condition of excessive fat deposits in the body, while obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity can lead to increased risk of type 2 diabetes and heart disease. It can also affect bone health and reproduction, and increase the risk of certain cancers. Obesity influences the quality of living, such as sleeping or moving. The diagnosis of overweight and obesity is made by measuring people's weight and height and by calculating the body mass index (BMI): weight (kg)/height² (m²). The body mass index is a surrogate marker of fatness and additional measurements, such as waist circumference, can help the diagnosis of obesity. The BMI categories for defining obesity vary by age and gender in infants, children and adolescents. STRUGGLES OF A TEENAGER In 2021, when Mikhael was 11 years old and weighed 70 kg, he was offered the opportunity to participate in a study conducted by paediatric specialists at Universiti Malaya Medical Centre (UMMC) to address his obesity issue. His parents were informed that as part of the study, Mikhael had a 50 percent chance of receiving either an actual weight loss medication or a placebo. Wanting to help their only child shed his excess weight, Mikhael's parents agreed to let him join the study. Over the course of the four-year programme, Mikhael received injection-based treatment. But by the time the programme ended, his weight did not decrease. Instead, it continued to rise, reaching 103 kg by early Ramadan (March) this year. (It was later confirmed that Mikhael had been placed in the placebo group, meaning he did not receive the actual medication throughout the study period. This explained why there was no significant change in his weight despite the structured programme). This concerned his parents, prompting them to refer Mikhael back to the Paediatric Obesity Clinic at UMMC, which has been operating since 2006, for further treatment in hopes that he could eventually reach a healthy weight of around 65 to 70 kg. Starting in April, Mikhael has been advised to take an oral medication, Metformin 500 mg, once daily, and after two weeks, two pills per day to help improve insulin efficiency. He is also required to meet with a doctor every three months for follow-up treatments. Meanwhile, his father Mohd Yuzaini Abu Bakar, 48, who resides with his family in Taman Medan in Petaling Jaya, Selangor, said Mikhael had been cute and chubby since infancy. He said Mikhael loved milk and could finish eight big bottles of formula milk per day until the age of three. Mohd Yuzaini, a medical laboratory technologist at UMMC, said he and his wife began consulting a paediatrician when their son was four years old due to concerns about his rapid weight gain. Since both parents work at UMMC, they were more exposed to health issues and found it easier to access medical support. On Mikhael's eating habits, Mohd Yuzaini said he loves to eat and is not picky about food. "Whether it's home-cooked or food bought outside, he's fine with it, even trendy or viral food and drinks. There was a time when, every time we went out, he insisted on getting a drink from a popular coffee chain, even though we knew it was high in sugar. As parents, sometimes we just couldn't say no to him,' he said. Mohd Yuzaini said on their way to work every morning, they would drop Mikhael off at the babysitter's house before he went to school. "At the babysitter's, he would usually buy nasi lemak or fried noodles from a nearby shop for breakfast… his favourite. "At school, during recess, he would eat nasi lemak or fried noodles again. After school, he would return to the babysitter's house and get ready to go to the religious school (tahfiz school) in the afternoon. His mother would usually pack lunch for him with extra portions, just in case he got hungry later. "At the tahfiz school, food is also provided, and it's common for people to donate meals there. After school ends at around 7 pm, we would all have dinner together,' he said, adding snacks like biscuits and chocolates as well as bread, fruits and instant noodles were readily available at home in case Mikhael got hungry at night. HIDDEN GENETIC RISKS Sharing that Mikhael's obesity is likely not solely due to his diet, Mohd Yuzaini said it may be influenced by genetic factors although no medical tests have been carried out to confirm this. "Many members of my family, including me, have obesity issues,' he said, adding his weight once peaked at 165 kg (his height is 176 cm). "In the past, I used to be active in rugby. When we're involved in sports, we eat and stay active, so we are able to keep our weight under control. But later on, I stopped playing rugby and focused on my job… I became physically less active and started to gain weight.' Mohd Yuzaini, who has six siblings and is the eldest, said his immediate younger sibling passed away due to heart disease caused by obesity. "Another two siblings are also obese, with one of them having had a leg amputated due to diabetes,' he said, adding that in 2007, he decided to undergo bariatric surgery after his doctor warned he would eventually develop diabetes, hypertension and heart disease if he did not undergo the procedure. Mohd Yuzaini experienced weight loss after the surgery and two years later, his weight dropped to 107 kg from 165 kg. "Since then, I've been maintaining my weight and if it increases, it's only slightly. Thankfully, my previous borderline blood pressure (readings) and sugar levels have stabilised,' he said. Commenting on the treatment Mikhael is currently receiving, Mohd Yuzaini said it combines the expertise of three clinics - paediatrics, sports medicine and dietetics - and is administered by the Paediatric Obesity Clinic at UMMC. Doctors at the sports medicine clinic gave several exercise recommendations for Mikhael, such as walking up and down the stairs for 30 minutes daily and using a portable pedal exerciser that can be used anytime and anywhere. Said his father: "We tried it (exercises) during the fasting month (this year) and, thankfully, after the festive season, we saw his weight drop by three kg. "We'll continue with the suggested approach, combining (intermittent) fasting with exercise… we're aiming for Mikhael's weight to drop to 90 kg by the end of this year.' FAMILY DIET CHANGES Mohd Yuzaini said he and his wife Zaliza Mat Som, 58, have also started controlling their son's diet. "We've implemented a kind of intermittent fasting for him… he skips breakfast as advised by the doctor and he is allowed to eat during break time at school. "For his lunch and dinner, we've reduced his portions - he is allowed just a fistful of rice (low glycemic index). We've also cut down on oily and fatty foods, while adding more vegetables and fruits (to his diet),' he added, stressing that dieting is important because Mikhael's current weight puts him at risk for prediabetes. Mohd Yuzaini also said that through changes in his family's eating patterns and by exercising regularly, even his wife has experienced weight loss. "We want to support Mikhael in achieving his ideal weight, so we too have to make changes towards a healthier lifestyle,' he said. Mohd Yuzaini, meanwhile, suggested that health programmes involving nutritionists, fitness trainers and counsellors be conducted more frequently in schools for students as well as their parents, so they are better informed on how to tackle obesity while also raising awareness about obesity-related diseases. "Parents should also be informed of their children's (physical) condition, especially when their schools conduct certain tests like the 'Ujian Standard Kecergasan Fizikal Kebangsaan Untuk Murid Sekolah Malaysia' (SEGAK), which can indirectly help prevent obesity among students,' he added. SEGAK is a mandatory physical fitness test conducted twice a year in all government schools in Malaysia, designed to measure students' physical fitness levels based on health indicators. PARENTS MUST LEAD While Mikhael's family is doing their part, experts say the real change must start at home - and with consistent parental support. 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Touching on his '30-Day Health Challenge' online programme, held monthly throughout the year, Kevin said the response has been very encouraging, with many families participating to support children who struggle with excess weight and obesity. "Many parents initially wanted to enrol only their overweight children in the programme, but I encouraged them to join as a family. This is to prevent the child from feeling ashamed, stressed or having low self-esteem. "It turned out that my approach not only makes the programme more enjoyable for the whole family but they also get to lead a healthier lifestyle. With the 'fit family' concept, it becomes more meaningful as they spend quality time together and support each other,' he said, adding parents should not rely solely on doctors or schools to look into their children's health. 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His journey also reflects the harsh reality faced by many Malaysian children whose health is silently shaped by daily routines, social norms and limited physical activity. His story is not unique but rather a wake-up call. If childhood obesity continues to be overlooked or normalised, the long-term consequences on health, well-being and national productivity could be severe. Early intervention, family support and stronger public awareness are crucial to change the narrative - one child, one household at a time. Tomorrow: From type 2 diabetes to fatty liver and sleep apnoea, part two explores the risks of non-communicable diseases (NCDs) in children due to obesity, and highlights the importance of early treatment and public awareness. (This story was produced under the "Communicating Noncommunicable Diseases' Media Fellowship by Probe Media Foundation Inc [PMFI], Reporting ASEAN [RA] and World Health Organization [WHO]. 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