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State of World Population 2012 - Country Page List - UNFPA

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Social Affairs, 2009). Data from 15 industrialized<br />

countries between 2006 and 2008 suggest the<br />

average duration <strong>of</strong> marriage ranges from 10 to<br />

17 years. Additionally, approximately one in four<br />

registered marriages in countries belonging to the<br />

Organisation for Economic Co-operation and<br />

Development is a remarriage.<br />

Adults are entering, staying, and ending<br />

partnerships very differently from previous<br />

generations, and their needs for family<br />

planning education and services have taken<br />

on new characteristics. Family planning policies<br />

and programmes have an opportunity to<br />

rethink their focus so as not to exclude unmarried<br />

people, whether they are never-married,<br />

divorced, separated—temporarily or permanently—or<br />

widowed.<br />

In both developed and developing countries,<br />

social norms—to varying degrees—promote<br />

abstaining from sexual activity until marriage.<br />

Despite broader support for comprehensive<br />

sex education in many settings, the abstinenceuntil-marriage<br />

approach to family planning can<br />

compromise the effectiveness <strong>of</strong> in-school sexuality<br />

education programmes and neglects the sexual<br />

health needs <strong>of</strong> single, sexually active adolescents<br />

and young adults. Evidence shows that the<br />

abstinence-only-until-marriage style <strong>of</strong> sexuality<br />

education is not effective (Kirby, 2008).<br />

“Family planning” usually focuses on the<br />

needs <strong>of</strong> younger married persons, generally the<br />

most fertile. Yet a growing number <strong>of</strong> older<br />

women and men have to negotiate contraceptive<br />

use and protect themselves from sexually transmitted<br />

infections later in life, <strong>of</strong>ten after marriage<br />

(Organisation for Economic Co-operation and<br />

Development, 2010). The desire for sexual<br />

relationships among older people (over age 49)<br />

is largely overlooked in policy and programme<br />

design. This omission compromises the rights<br />

<strong>of</strong> sexually active elders who wish to protect<br />

themselves from harmful sexual and reproductive<br />

health outcomes, including higher-risk unintended<br />

pregnancies and protection from sexually<br />

transmitted infections, including HIV. Meeting<br />

their family planning needs requires challenging<br />

the pervasive assumption that older people are<br />

not sexually active and do not need to exercise<br />

the right to family planning.<br />

Greater numbers <strong>of</strong> older women and men<br />

are entering their late reproductive years as<br />

single, divorced, or widowed, creating a large<br />

population <strong>of</strong> people who are “post-marriage.”<br />

Research in Thailand has described the vulnerability<br />

<strong>of</strong> older men to HIV (Van Landingham<br />

and Knodel, 2007), but family planning research<br />

has not touched on this area. The sexual health<br />

needs <strong>of</strong> older women and men are <strong>of</strong>ten<br />

neglected because, like adolescence, sex outside<br />

marriage for pleasure and intimacy challenges<br />

social norms about who should have sex and<br />

t<br />

Contraceptives at<br />

the Egyptian Family<br />

Planning Association in<br />

Abo Attwa town, near<br />

Ismailiyah.<br />

©<strong>UNFPA</strong>/Matthew Cassel<br />

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

53

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