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State of World Population 2012 - Country Page List - UNFPA

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instances <strong>of</strong> early sexual initiation: more than<br />

a third <strong>of</strong> girls in some countries report that<br />

coercion was involved in their early sexual experiences<br />

(<strong>World</strong> Health Organization, <strong>2012</strong>a).<br />

Recent analyses <strong>of</strong> data on sexual behaviour<br />

among young people in 59 countries found no<br />

universal trend towards sex at younger ages;<br />

trends are complex and vary significantly by<br />

region and marital status (Lloyd, 2005). At the<br />

same time, global trends towards later marriage<br />

have contributed to a diminishing proportion <strong>of</strong><br />

young women who report having had sex before<br />

the age <strong>of</strong> 15 (Lloyd, 2005; Greene and Merrick,<br />

n.d.). Notwithstanding, where child marriage is<br />

especially prevalent—South Asia, and Central,<br />

West, and East Africa—the median age at first<br />

intercourse for women is lower than in Latin<br />

America and the Caribbean, for example. For<br />

young men, age at first intercourse is not linked<br />

to their marital status. These differences between<br />

young peoples’ experiences are most pronounced<br />

in developing countries.<br />

Comparative assessments <strong>of</strong> adolescent sexual<br />

health between the United <strong>State</strong>s and Europe<br />

find that young people begin to have sex at<br />

similar times, though with rather divergent outcomes.<br />

In the United <strong>State</strong>s, 46 per cent <strong>of</strong> all<br />

high school age students have had sex (Centers<br />

for Disease Control and Prevention, 2010).<br />

Despite similar levels <strong>of</strong> adolescent sexual<br />

activity in several European countries, such as<br />

France, Germany and the Netherlands, sexually<br />

active adolescents are significantly less likely<br />

to experience pregnancy, birth, or abortion.<br />

Pregnancy, birth, and abortion rates among teenage<br />

girls in the United <strong>State</strong>s are approximately<br />

three, eight, and two times as high as their<br />

European peers (Advocates for Youth, 2011).<br />

The differences are attributable to European<br />

policies that facilitate easier access to sexual<br />

health information and services for school-aged<br />

girls and boys and that respect young peoples’<br />

rights and support their health: young people<br />

in Europe have greater access to comprehensive<br />

sexuality education and sexual health services,<br />

including family planning; there also tends to<br />

be more open discussion <strong>of</strong> sexual activity with<br />

parents and in the society more broadly.<br />

Globally, marriage patterns are changing.<br />

Young women and men are marrying later, and<br />

the number <strong>of</strong> countries where first sexual intercourse<br />

and marriage coincide for those under<br />

t<br />

Just-married<br />

couple, Paris.<br />

©Panos/Martin Roemers<br />

THE STATE OF WORLD POPULATION <strong>2012</strong><br />

49

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