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Social Development Division
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Asian Population Studies Series No. 156

Adolescent Reproductive Health
in the Asian and Pacific Region

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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