Before First Sex: Emotional Relationships and Physical Behaviors among Adolescents in the Philippines

Ushma D. Upadhyay, Johns Hopkins University
Michelle J. Hindin, Johns Hopkins University

In developing countries, most studies concerning early sexual activity focus on the age at first sex with little focus on the patterns of emotional relationships and sexual behaviors leading up to first sex. These patterns could help identify factors that lead to delayed first intercourse and subsequent sexual risk behaviors. The precoital activities of 2,051 adolescents ages 17 to 19 in the Philippines are examined using data from the Cebu Longitudinal Health and Nutrition Survey. Only 25% of the sample is sexually active, but most are engaging in dating, courting, romantic relationships, hand-holding, and kissing. Analysis of the timing of these activities reveals that adolescents who progress through them quickly are at significantly greater risk of having sex sooner. Among this sample the adolescents have sex several years after they begin courting, romantic relationships, and dating, providing an opportunity to ensure they are making informed choices about their sexual behavior.