B. Age at
marriage and age at first sexual intercourse
Age at first sexual intercourse is
identified as one of the intermediate variables of exposure to the
risk of childbearing, while marriage signifies the beginning of
socially sanctioned sexual relations in most societies in the Asian
and Pacific region. Although social customs discourage sexual
relations before marriage, the incidence of premarital sex has been
revealed by surveys in developing countries. Studies reviewed by
Bongaarts and Cohen (1998) suggest that in sub-Saharan Africa, the
incidence of premarital sex among women aged 20-24 ranged from 5 per
cent in the Niger to 81 per cent in Botswana. In Latin America,
this percentage ranged from 10 per cent in the Dominican Republic to
40 per cent in Brazil. Premarital sexual activity is found to be
relatively rare in the Asian region. Nonetheless, the prevalence
of premarital sexual activity is on the rise in Asian societies (Blanc
and Way, 1998).
There are two distinct issues
concerning the trends of age at marriage in Asia and the Pacific that
have implications for the sexual and reproductive health of
adolescents. The first concerns the trend towards an increase in the
age at marriage in many countries or areas in the region. As
table 3 shows, less than one quarter of women aged 20-24 were ever
married in Australia; Cook Islands; Hong Kong, China; Japan; Macao,
China; New Caledonia; New Zealand; the Republic of Korea; and
Singapore. This trend has resulted in an extended period of
adolescence before marriage in these countries and areas.
At the same time, a number of
studies have documented the trend of a fall in age at menarche, which
implies an earlier onset of adolescence, sexual maturity and the
ability to reproduce. This
trend is commonly attributed to a variety of environmental, genetic
and socio-economic factors, including improved nutrition and exposure
to modern social life. The current average age range for
the attainment of puberty is 9-14 for boys and 8-13 for girls.
As a result, young girls are biologically mature enough to engage in
sex and become pregnant at an earlier age, although they may not be
emotionally and psychologically mature enough to understand the
implications. A substantial variation in the median age at
menarche has been documented among populations, with a range from 12.5
years in contemporary Western countries to more than 15 years in poor
developing countries (Bongaarts and Cohen, 1998). It can
be reasonably assumed that age at menarche will decline in developing
countries where nutritional levels are improving.
The widening gap between age at
menarche and age at marriage increases the possibility that young
people will engage in premarital sexual activity. Moreover,
because of the sexual inequality that prevails in many Asian and
Pacific societies, adolescent girls are particularly vulnerable to the
risks associated with misinformed and unprotected sexual
relationships, as well as the adverse consequences of adolescent
pregnancy.
The second issue relates to the
high incidence of marriage during adolescence in some countries in the
region. Table 3 shows that the mean age at marriage for females
is fairly high in the majority of countries in the Asian and Pacific
region. However, in some countries in South and South-West Asia,
such as Bangladesh, India, Maldives and Nepal, the mean age at
marriage for females is less than 20 years. This table also
shows that over half of the females aged 15-19 in Bangladesh were ever
married and over one third of females aged 15-19 in India, Maldives
and Nepal were ever married. It should also be noted that in
Bangladesh, India, Maldives and Nepal over 80 per cent of women aged
20-24 were ever married.
|
|
Table
3. Mean age at marriage by sex and percentage
ever married among women aged 15-19 and 20-24
|
|
Country or area
|
Year of census
or survey
|
Mean age at
marriage
|
|
Percentage ever
married among women aged
|
|
|
Men
|
Women
|
|
15-19
|
20-24
|
|
East and North-East Asia
|
|
China
|
1990
|
23.8
|
22.1
|
|
4.7
|
58.6
|
|
Hong
Kong, China
|
1996
|
30.7
|
28.6
|
|
1.7
|
14.7
|
|
Japan
|
1990
|
30.3
|
26.9
|
|
0.7
|
14.0
|
|
Macao,
China
|
1991
|
28.1
|
26.4
|
|
2.3
|
22.3
|
|
Republic
of Korea
|
1995
|
29.3
|
26.1
|
|
0.8
|
16.7
|
|
South-East Asia
|
|
Brunei Darussalam
|
1991
|
27.3
|
25.1
|
|
8.0
|
38.2
|
|
Indonesia
|
1990
|
25.2
|
21.6
|
|
18.2
|
64.3
|
|
Lao
People's
Democratic Republic
|
1995
|
..
|
21.2
|
|
19.7
|
67.4
|
|
Malaysia
|
1991
|
27.9
|
24.6
|
|
7.6
|
39.9
|
|
Myanmar
|
1997
|
27.5
|
26.4
|
|
6.6
|
34.8
|
|
Philippines
|
1990
|
26.3
|
23.8
|
|
10.5
|
44.3
|
|
Singapore
|
1990
|
29.8
|
27.0
|
|
1.2
|
21.2
|
|
Thailand
|
1990
|
25.8
|
23.5
|
|
15.2
|
52.0
|
|
Viet
Nam
|
1989
|
24.5
|
23.2
|
|
11.1
|
56.9
|
|
South and South-West Asia
|
|
Bangladesh
|
1991
|
24.9
|
18.1
|
|
51.3
|
89.5
|
|
India
|
1991
|
23.9
|
19.3
|
|
35.7
|
83.0
|
|
Iran
(Islamic Republic of)
|
1991
|
24.4
|
21.0
|
|
25.9
|
68.6
|
|
Maldives
|
1990
|
23.2
|
19.1
|
|
36.5
|
85.2
|
|
Nepal
|
1996
|
22.0
|
18.8
|
|
41.6
|
85.9
|
|
Pakistan
|
1991
|
26.3
|
21.6
|
|
21.9
|
60.6
|
|
Turkey
|
1990
|
25.0
|
22.0
|
|
15.5
|
61.8
|
|
North and Central Asia
|
|
Armenia
|
1989
|
25.2
|
22.4
|
|
23.1
|
71.2
|
|
Azerbaijan
|
1989
|
25.5
|
23.5
|
|
12.0
|
52.9
|
|
Georgia
|
1989
|
26.0
|
22.3
|
|
18.5
|
59.3
|
|
Kazakhstan
|
1989
|
24.6
|
22.2
|
|
11.8
|
63.3
|
|
Kyrgyzstan
|
1989
|
23.9
|
21.4
|
|
14.5
|
70.9
|
|
Russian
Federation
|
1989
|
24.3
|
21.6
|
|
14.1
|
66.5
|
|
Tajikistan
|
1989
|
23.1
|
20.7
|
|
15.5
|
77.3
|
|
Turkmenistan
|
1989
|
23.8
|
22.5
|
|
7.1
|
53.9
|
|
Uzbekistan
|
1989
|
23.3
|
21.0
|
|
15.4
|
74.1
|
| Pacific |
|
American Samoa |
1990
|
28.3
|
25.7
|
|
4.7
|
35.0
|
|
Australia |
1994
|
29.2
|
27.0
|
|
1.6
|
21.6
|
|
Cook Islands |
1996
|
30.9
|
29.6
|
|
2.2
|
17.4
|
|
Kiribati |
1995
|
24.8
|
21.7
|
|
18.0
|
65.0
|
|
Marshall Islands |
1988
|
23.7
|
21.0
|
|
23.7
|
70.9
|
|
New Caledonia |
1989
|
30.9
|
28.4
|
|
1.3
|
17.2
|
|
New Zealand |
1991
|
28.8
|
26.8
|
|
1.1
|
22.4
|
Papua New
Guinea |
1996
|
..
|
20.8
|
|
20.8
|
75.1
|
|
Tonga |
1996
|
27.9
|
25.5
|
|
5.0
|
33.4
|
|
Vanuatu |
1989
|
25.1
|
22.5
|
|
12.8
|
58.0
|
| |
| Source:
United Nations (2000). World Marriage Patterns
2000 (United Nations publication, Sales No.
E.00.XIII.7). |
|
|
Table 4 presents a
different perspective on marriage trends, by using the proportions who
are married by ages 15, 18 and 20 and comparing women aged 40-44
with women aged 20-24 at the time of survey. This table reveals
that in several countries in Asia there is a clear tendency towards a
decline in the proportions married by ages 15, 18 and 20 between
the older cohort of women aged 40-44 and the younger cohort of women
aged 20-24. It is only in Kazakhstan and Kyrgyzstan that there has
been a notable increase in the proportions married by ages 15, 18 and 20
between the older and younger cohort of women. In the Lao People's
Democratic Republic, Uzbekistan and Viet Nam, the proportions married
have remained almost unchanged.
It is, however, to be noted
that despite the decline in the proportions married by ages 15, 18
and 20 over time, some countries currently exhibit a high incidence of
marriage during adolescence. In Bangladesh, for instance, 47 per
cent of women aged 20-24 were married by age 15, and 69 per cent and 77
per cent of these women were married by ages 18 and 20,
respectively. A similar high rate of adolescent marriage is
observed in India and Nepal. Among women aged 20-24, over 70 per
cent of women in these countries were married by age 20, and over half
the women were married by age 18. Similarly, 26 per cent of women
in India and 19 per cent of women in Nepal in the age group 20-24 were
already married by age 15.
The above data available from Asia tend to suggest that the proportion
married by age 18 has clearly declined between women in the older cohort
and women in the younger cohort. The pattern across cohorts in the
proportion who first had sex by age 18 is somewhat different from the
marriage pattern. Studies from developing countries demonstrate that in
about half of the 17 countries in sub-Saharan Africa and 5 out of 8
countries in Latin America and the Caribbean, the proportion of women
who reported having sex by age 18 either increased or remained the same
among 20 to 24-year-old women by comparison with 40 to 44-year-old women
(Blanc and Way, 1998). These data tend to suggest that
in sub-Saharan Africa and Latin America and the Caribbean, the
proportion of women who had sex during adolescence has not decreased to
the same extent as the proportion of women who were married during
adolescence, supporting the hypothesis that the fall in age in menarche
and the rise in age at marriage would result in an increase in
premarital sex.
|
|
Table
4. Percentage of women aged 20-24 and 40-44 who
married by ages 15, 18 and 20, by country and year of survey
|
| |
Year of survey
|
20-24
|
|
40-44
|
|
Country
|
Percentage
married by age
|
|
Percentage
married by age
|
| |
15
|
18
|
20
|
|
15
|
18
|
20
|
| Bangladesh |
1996/97
|
46.8
|
68.5
|
77.1
|
|
73.5
|
93.6
|
96.7
|
| India |
1992/93
|
26.1
|
54.2
|
71.4
|
|
40.8
|
72.4
|
85.3
|
| Indonesia |
1997
|
5.8
|
29.6
|
47.0
|
|
18.2
|
49.1
|
67.2
|
| Kazakhstan |
1999
|
0.3
|
14.7
|
54.6
|
|
0.1
|
7.8
|
37.1
|
| Kyrgyzstan |
1997
|
0.1
|
21.2
|
58.4
|
|
0.0
|
15.7
|
46.7
|
| Lao
People's Democratic Republic |
2000
|
7.3
|
26.0*
|
49.5**
|
|
6.0
|
23.3*
|
48.8**
|
| Mongolia |
1998
|
0.2
|
10.4
|
36.7
|
|
0.4
|
17.7
|
44.8
|
| Nepal |
1996
|
19.1
|
60.3
|
75.7
|
|
36.5
|
75.0
|
87.1
|
| Pakistan |
1990/91
|
11.4
|
31.6
|
48.9
|
|
18.0
|
44.8
|
60.9
|
| Philippines |
1998
|
2.0
|
14.6
|
27.5
|
|
3.3
|
20.2
|
36.8
|
| Sri
Lanka |
1987
|
1.1
|
13.7
|
27.8
|
|
8.0
|
26.3
|
40.5
|
| Thailand |
1987
|
2.4
|
20.5
|
37.0
|
|
3.1
|
24.4
|
47.4
|
| Turkey |
1998
|
4.2
|
23.0
|
42.8
|
|
10.8
|
43.0
|
66.2
|
| Uzbekistan |
1996
|
0.4
|
15.3
|
55.7
|
|
0.2
|
18.0
|
56.2
|
| Viet
Nam |
1997
|
0.9
|
12.4
|
35.9
|
|
1.3
|
13.2
|
34.6
|
| |
| Sources:
Various demographic and health surveys. |
|
* By age 17. |
|
|
** By age 19. |
|
|
In sub-Saharan Africa, the incidence of premarital sex is clearly
evident from figure 3, which shows that sexual experience precedes
marriage in nearly every country surveyed. In those countries, the
proportion of young women who first had sexual intercourse by age 18 is
much higher than those women who were married by this age (Population
Reference Bureau, 2001). By contrast, available data suggest that
premarital sex is less common in the Asian and Pacific region.
According to the demographic and health surveys carried out in Asia, in
six out of nine countries the proportion of women aged 20-24 who had sex
by age 18 is either lower or equal to the proportion of women who were
married by this age (figure 4). In the Lao People's Democratic
Republic and Kyrgyzstan, the proportion of women aged 20-24 who had sex
by age 18 is marginally higher than those women who were married by this
age, while in Kazakhstan the proportion of women aged 20-24 who had sex
by age 18 is substantially higher than those women who were married by
this age (25.5 per cent versus 14.7 per cent).
|
|
Figure
3. Women aged 20-24 who had sexual intercourse and/or who
married by age 18, sub-Saharan Africa |
|

|
| Source:
Population Reference Bureau (2001). Youth in Sub-Saharan
Africa: A Chartbook on Sexual Experience and Reproductive Health,
figure 7, p. 13 (Washington, DC, Population Reference
Bureau, MEASURE Communication). |
|
Figure
4. Women aged 20-24 who had sexual intercourse and/or who
married by age 18, by country and year of survey
|
|

|
| Source:
Various demographic and health surveys.
Survey
data indicated that the incidence of premarital sex is less common among
women in Asia. These surveys also showed that, excepting
Kazakhstan, Kyrgyzstan and the Lao People's Democratic Republic, there
has been a decline in the proportion of women who had had sex by age 18
(table 5). For instance, in Nepal about 60 per cent of women
aged 20-24 reported having had sex by age 18 as compared with over
three quarters of women (76.5 per cent) aged 40-44. By
contrast, in Kazakhstan the percentage of women who had had sex by age
18 is markedly higher (25.5 per cent) among younger women 20-24 than
among older women aged 40-44 (9.1 per cent).
Although
national-level surveys tend to suggest that premarital sex is less
common in Asia, more focused in depth studies on adolescent sexual and
reproductive health undertaken in some countries of Asia have revealed
that it is clearly on the rise. In India, although
traditional norms oppose premarital sex, some studies indicate a growing
trend towards premarital sexual activities among adolescents (Sharma,
2000). Limited information from Bangladesh revealed a very high
incidence of premarital sex: 61 per cent of males as compared with 24
per cent of females had had premarital sexual activity among
adolescents, and this percentage was much higher in urban than in rural
areas (Uddin, 1999). Results from a 1991 study conducted in nine
districts of Nepal also found that 20 per cent of young people were
engaged in premarital sex (Rai, 2001). |
|
Table
5. Percentage of women who first had sexual
intercourse by age 18* by current age, by country and year of
survey
|
|
Country
|
Year of survey
|
Current age in
5-year categories
|
| |
20-24
|
|
25-29
|
|
30-34
|
|
35-39
|
|
40-44
|
|
45-49
|
| India |
1992/93
|
50.6
|
|
58.3
|
|
61.3
|
|
64.7
|
|
66.8
|
|
68.7
|
| Indonesia |
1997
|
29.7
|
|
36.0
|
|
47.8
|
|
52.9
|
|
53.2
|
|
59.5
|
| Kazakhstan |
1999
|
25.5
|
|
15.2
|
|
10.1
|
|
8.5
|
|
9.1
|
|
11.2
|
| Kyrgyzstan |
1997
|
22.1
|
|
12.5
|
|
12.2
|
|
11.6
|
|
16.8
|
|
19.7
|
| Lao
People's Democratic Republic |
2000
|
27.0
|
|
29.7
|
|
28.1
|
|
27.1
|
|
23.4
|
|
22.4
|
| Nepal |
1996
|
59.9
|
|
68.3
|
|
70.2
|
|
73.1
|
|
76.5
|
|
79.1
|
| Philippines |
1998
|
15.0
|
|
16.4
|
|
23.4
|
|
23.5
|
|
27.2
|
|
25.5
|
| Thailand |
1987
|
19.9
|
|
24.2
|
|
28.1
|
|
30.5
|
|
27.4
|
|
32.2
|
| Uzbekistan |
1996
|
16.0
|
|
16.1
|
|
14.3
|
|
18.5
|
|
19.5
|
|
22.4
|
| |
| Sources:
Various demographic and health surveys. |
|
* By age 17 in the Lao People's Democratic Republic. |
|
|
In the case of Myanmar,
it has been traditionally believed that unmarried people are not
sexually active; however, many people acknowledged that unmarried people
are engaged in premarital sex (Htay and others, 2000). In the Lao
People's Democratic Republic, a study among community members revealed
that sex and pregnancy before marriage are common and more or less
accepted because of the common belief that pregnancy outside marriage
leads to marriage (Sananikhom and others, 2000). Similar findings
were revealed by the series of country case studies on sexual and
reproductive health carried out by the UNESCO Regional Clearing House on
Population Education and Communication, Bangkok (see box 1).
|
|
Box 1.
Premarital sexual behaviour among adolescents
Cambodia: A study
of garment workers revealed that only 2 per cent of unmarried
female garment workers had had any form of sexual experience and
that these sexual encounters had been with their
boyfriends. These young women were on the average 18 years
of age at the time of their first sexual experience.
However, male garment workers were less likely to have had their
first sexual experience with their marriage partners. Some
40 per cent had had their first sexual experience with their
girlfriends or sweethearts and another 40 per cent with
commercial sex workers (Ampornsuwanna and others, 2000: 6).
Thailand:
Sexual activity is found to be much more common among male than
female adolescents. In a study conducted in 21 private and
government secondary schools, it was found that nearly one third
of male students in grade 12 were sexually active. In
another study from schools, community centres and organizations
in provincial cities, two thirds of single males aged 15-24
reported having had sexual intercourse. Surveys have also
indicated that between 36 and 45 per cent of males had their
first sexual experience with a commercial sex worker. In
comparison with males, fewer female adolescents were engaged in
premarital sex, ranging from only 1 per cent of single females
in the school-based study to about 10 per cent of young females
drawn from the broad catchment area (Soonthorndhada, 1996:
1-2). Yet another study conducted among final-year
secondary school students in Suphanburi province found that 40.6
per cent of male and 6.6 per cent of female respondents had
experienced sexual intercourse (Gray and Sartsara, 1999:
7). The above studies also found that the average age at
first sexual intercourse was around 16 years for boys and 18
years for girls.
Viet Nam: The
percentage of unmarried youth engaged in sexual activities
varies from 0.7 to 72 per cent, depending upon the study site
(rural, urban) and age group of respondents. Most studies
have shown that the average age at first intercourse is around
19 years for both men and women. While the average age at
first sexual intercourse among Vietnamese youth is relatively
higher as compared with their peers in many other countries, it
is predicted to decrease in the coming years (Nga, 2000:
8). |
|
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next
page |
|