title: Sex, lies, and videos in rural China: a qualitative study of women's sexual debut and risky sexual behavior.
abstract: This paper attempts to understand the sexual behaviors of young, unmarried women living in rural China with a special focus on sexual debut, sexual risk-taking behaviors, and reproductive health consequences. The analysis is based on forty in-depth interviews with young women who had undergone induced abortion as well as information from focus group discussions. Study participants identified pornographic videos and parents' tacit approval and even encouragement as factors instigating their sexual debut. Reasons for unprotected intercourse include spontaneous sexual activity, misconceptions about fertility and the effective use of contraceptives, and the lack of negotiation skills. The results indicate the importance of making reproductive health education more accessible to rural populations in China, a group usually considered to be more traditional and less likely to engage in premarital sex.
authors.affiliation: Prevention Research Center, The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI 48201, USA. bwang@med.wayne.edu
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.forename: Pamela
authors.initials: P
authors.lastname: Davidson
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003268:Contraception Behavior / Q000706:statistics & numerical data; D008192:Deception; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012309:Risk-Taking; D012424:Rural Population / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012847:Single Person / Q000523:psychology / Q000706:statistics & numerical data*; D012922:Social Change; D012945:Social Values; D047568:Unsafe Sex / Q000706:statistics & numerical data; D016387:Women's Health