Sex
taboos vanishing
Sexual activity more common as
the gap between puberty and marriage widens
By Feizal Samath
Lack of knowledge about sexuality and reproductive health is driving
many Sri Lankan adolescents towards unsafe sex, illusions and suicidal
tendencies. Planners say while Sri Lanka's achievement in the health
sector is impressive, little attention has been paid towards the
health of adolescents, particularly in sexual and reproductive health.
"This has led to many problems in the past decade due to early
puberty and late marriage. The risk taking period before marriage
has increased," noted Prof. Indralal de Silva, who led a Sri
Lankan study on adolescence and youth reproductive health.
De
Silva, Professor of Demography at the University of Colombo, told
a seminar called to discuss the report, that the gap between puberty
and marriage had widened in the last century, prolonging sexual
activity and sexual behaviour before marriage. In 1901, the age
of puberty was 14 years while the age of marriage was 18. In 2000
this was 12 years (age of puberty) and 26 years (age of marriage).
The four-year gap had increased to 12 years.
He
said while the risk-taking period has expanded, the safety net provided
by families/relatives who protect young girls has broken down. Socio-economic
changes in a conservative culture has resulted in sex being more
acceptable; opposition to sexual activity from all sectors including
the family/authorities was diminishing.
Consequences
of sexual behaviour without proper awareness about reproductive
health are unwanted pregnancies, induced abortions, repeat abortions
leading to infertility, a rise in school dropouts, an increase in
HIV/AIDS cases, social stigmatisation, suicides, depression and
psychotic behaviour.
Dr.
Hiranthi Wijemanne, a veteran child rights worker and former UNICEF
specialist, said unlike the problems of early childhood where families
are constantly present as guides, adolescent children were more
vulnerable as they were dependent on peers or others in society
who had little knowledge of sex or reproductive health.
"This
is a serious situation because society is destroying adolescence.
Teen pregnancies are on the rise; so is abortion, HIV/AIDS and the
consumption of tobacco, alcohol and dangerous drugs," added
Dr. Wijemanne who chaired the session organised by the Institute
of Policy Studies. She said youth desperately needed to be taught
life skills to handle such situations.
IPS
was responsible for the Sri Lanka component of a 13-country study
on adolescence and youth reproductive health commissioned by USAID.
The Sri Lanka part of the study was released last week.
The
Sri Lanka study showed that adolescents are vulnerable to many health
risks in addition to emotional and behavioural problems. Though
abortions in Sri Lanka are only permitted if the mother's life is
at risk, some 175,000 (often unsafe) abortions are performed annually.
The
13-country study said that throughout the region young people began
sexual activity with inadequate information to protect their reproductive
and sexual health. "While knowledge of family planning is high,
social conservatism makes discussion of sex inhibited, affecting
family communication and formal reproductive health education,"
it said.
The
IPS report said that while contraceptive use was relatively high
among married adolescents, contraceptive use among unmarried adolescents
was far less widespread because of difficulties in obtaining contraception.
Factory workers at the country's Export Promotion Zones don't insist
on their partners using condoms because their partners are unwilling
to wear a condom.
Parents,
teachers and community leaders don't openly discuss these issues
for cultural reasons. This hampers campaigns to promote the use
of contraceptives. The Sri Lanka study called for a bigger political
commitment to solve the problems of adolescents, a holistic approach
to adolescent health, provision of more information and awareness
programmes, to improve pre-marital counselling and to conduct research
on sexual behaviour.
The
study also showed that while a large number of young people have
sex sans contraceptives, they don't get pregnant either. "There
is no evidence to show that they get abortions," Prof. de Silva
said. Dr. Marlene Abeywardene, President of the Sri Lanka College
of the Obstetricians and Gynaecologists, said there was an explanation
as to why fewer young people resorted to abortions. Studies conducted
by the Sri Lanka Medical Association show that unmarried mothers
have a good support system via families or relatives, have their
babies and don't seek abortions. |