OUTLINE. Findings from the 2013 YAFS Survey

Transcription

1 Findings from the 2013 YAFS Survey Maria Paz N. Marquez niversity of the Philippines Population Institute Demographic Research & Development Foundation OTLINE The 2013 YAFS survey Profile of Filipino youth Sexual behavior Knowledge and attitudes towards condom use Knowledge of HIV-AIDS Summary and conclusions Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 1

2 The 2013 Young Adult Fertility & Sexuality Survey Background 4 th in a series of nationally-representative surveys on Filipino youth years old Jointly implemented by the Demographic Research & Development Foundation (DRDF) niversity of the Philippines Population Institute (PPI) Funded by The Australian Government, NFPA, Department of Health and PCHRD Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 2

3 Predecessor surveys 1982 YAFS (5,240 female respondents) 2002 YAFS (19,728 male and female respondents) 1994 YAFS (10,879 male and female respondents) Demographic Research & Development Foundation niversity of the Philippines Population Institute General objective of YAFS4 To provide updated information on a broad framework of adolescent sexuality and reproductive health issues, their antecedents, and manifestations that will be useful in the design of interventions to safeguard the health and welfare of Filipino youth Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 3

4 Survey design Sampling design: Sampling domain: Sample size per region: Respondents: Multistage stratified random sampling Region About 1,000 respondents years old single and married males and females Demographic Research & Development Foundation niversity of the Philippines Population Institute Coverage of YAFS4 17 regions 681 cities and municipalities 79 provinces 1,121 barangays 18,547 households 19,178 respondents Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 4

5 Survey instruments 10 survey instruments Household Form 8 Individual Questionnaires for the youth respondents 4 Main Questionnaires (Single Female, Married Female, Single Male, Married Male) 4 Muslim Questionnaires (Single Female, Married Female, Single Male, Married Male) Community Form All questionnaires were translated to 6 major languages Demographic Research & Development Foundation niversity of the Philippines Population Institute Main questionnaire contents Block A. Individual characteristics Block B. Family characteristics and relationships Block C. Self-esteem and values Block D. School, work and community Block E. Media Block F. Friends and peers Block G. Health and lifestyle Block H. Marriage Block I. Puberty, dating and sex Block J. Fertility and contraception Block K. Knowledge and attitudes towards marriage, sex and related issues Block L. Reproductive health Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 5

6 Field implementation Fieldwork was conducted in January to May 2013 Regional network of research and academic institutions were involved in the data collection Mariano Marcos State Cagayan State P Baguio Central Luzon State PPI/DRDF P Los Baños P Iloilo Western Mindanao State Ateneo de Naga San Carlos Xavier Notre Dame of Cotabato P Tacloban P Mindanao Mindanao State FPOP-Davao Demographic Research & Development Foundation niversity of the Philippines Population Institute Background characteristics niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 6

7 What is the size of the population 15-24? In 2013, there were 19.3 M youth in the Philippines Of these 10.3 M were aged M were aged Demographic Research & Development Foundation niversity of the Philippines Population Institute Most Pinoy youth are never married but a substantial proportion are living-in PERCENTAGE DISTRIBTION OF YOTH BY MARITAL STATS Formally married 8.5 Living-in 13.8 Separated/Widowed 1.1 Never married 76.6 Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 7

8 Most Pinoy youth are either in school or working PERCENTAGE DISTRIBTION OF YOTH BY MAIN ACTIVITY Idle 8.8 npaid family work 2.8 Working 25.3 Housework 19.8 nemployed 7.0 Studying 36.3 Demographic Research & Development Foundation niversity of the Philippines Population Institute Most Pinoy youth have reached high school PERCENTAGE DISTRIBTION OF YOTH BY HIGHEST EDCATIONAL ATTAINMENT College None/Prep/Elem 13.8 Vocational 6.1 High school graduate 22.4 High school undergraduate 36.7 Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 8

9 Pinoy youth are digitally-wired Own a cellular phone 78.3 se the internet 58.9 Have a social networking account 53.1 Have an account 51.7 Have a personal blog 1.9 Demographic Research & Development Foundation niversity of the Philippines Population Institute Percent Sexual behavior niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 9

10 2 IN 5 PINOY YOTH have sexual experience PERCENT OF YOTH WHO HAVE SEXAL EXPERIENCE Male Female All youth SEX AGE Demographic Research & Development Foundation niversity of the Philippines Population Institute Younging of the sexual onset in both males and females MEAN AGE AT FIRST SEX MALES FEMALES Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 10

11 Increasing proportions of youth who have engaged in sex before age 15 PERCENT OF YOTH WHO ENGAGED IN SEX BEFORE AGE MALES FEMALES Demographic Research & Development Foundation niversity of the Philippines Population Institute Increasing proportions of youth who have engaged in sex before age 18 PERCENT OF YOTH YEARS OLD WHO ENGAGED IN SEX BEFORE AGE MALES FEMALES Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 11

12 1 IN 3 PINOY YOTH has engaged in premarital sex Demographic Research & Development Foundation niversity of the Philippines Population Institute Narrowing gap in levels of premarital sex between males and females PERCENT OF YOTH WHO HAVE ENGAGED IN PREMARITAL SEX 35.5 Males Both sexes 17.8 Females Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 12

13 Higher levels of premarital sex among males, older youth and those who are living-in compared to their counterparts PERCENT OF YOTH WHO HAVE ENGAGED IN PREMARITAL SEX Male Female Never married Formally married Living-in Demographic Research & Development Foundation niversity of the Philippines Population Institute PERCENT OF YOTH WHO HAVE ENGAGED IN PREMARITAL SEX Highest levels of premarital sex in NCR, Central Luzon & Davao; Lowest in ARMM Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 13

14 Pinoy youth s premarital sexual encounters are largely unprotected PERCENTAGE DISTRIBTION OF METHOD SED DRING 1 ST AND LAST PREMARITAL SEX Condom 12.9 Condom 12.8 No method 77.9 Other methods 9.2 No method 75.9 Other methods st premarital sex Demographic Research & Development Foundation niversity of the Philippines Population Institute Last premarital sex Low levels of commercial sex especially among females PERCENT OF YOTH WHO HAVE PAID FOR SEX PERCENT OF YOTH WHO HAVE RECEIVED PAYMENT FOR SEX Male Female Both sexes Male Female Both sexes Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 14

15 Most commercial sex activities are unprotected by condom PERCENTAGE DISTRIBTION OF THE FREQENCY OF CONDOM SE DRING COMMERCIAL SEX ACTIVITIES IN THE PAST 12 MONTHS Never 49.7 Every time 27.8 Never 71.6 Every time 10.9 Sometimes 14.7 Most of the time 2.8 Sometimes 19.3 Most of the time 3.2 Paying for sex Receiving payment for sex Demographic Research & Development Foundation niversity of the Philippines Population Institute Casual sex is more prevalent among males than females PERCENT OF YOTH WHO HAVE ENGAGED IN CASAL SEX Only 18% used a condom the last time they had casual sex 1.4 Male Female Both sexes Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 15

16 Pinoy youth also engage in sex with FBs PERCENT OF YOTH WHO HAVE FB EXPERIENCE Only 21.5% used a condom the last time they had sex with a FB 0.7 Male Female Both sexes Demographic Research & Development Foundation niversity of the Philippines Population Institute Extramarital sex is more common among males than females PERCENT OF EVER MARRIED YOTH WHO HAVE ENGAGED IN EXTRAMARITAL SEX Only 17.1% used a condom the last time they had extramarital sex Male Female Both sexes Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 16

17 Male youth also engage in other sexual activities that pose risk to their health PERCENT OF YOTH WHO HAVE MORE THAN ONE SEXAL PARTNER % of male youth have had sex with a fellow male (MSM) 4.2% of male youth have engaged in anal sex Male Female Both sexes Demographic Research & Development Foundation niversity of the Philippines Population Institute Pinoy youth also engage in media-related sexual activities 1 in 100 has recorded himself/herself having sex 1 in 4 has sent or received sex videos through cellphones or internet 4 in 100 had sex with someone they met online or through text messages 6 in 100 have engaged in phone sex Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 17

18 Knowledge & attitudes towards condom use More males than females are knowledgeable about condoms PERCENT OF YOTH WHO AGREE TO THE FOLLOWING STATEMENTS: Male 60.8 Female Condoms can prevent pregnancy if used correctly Condoms can prevent STIs/HIV if used properly Condoms can be used Condoms cannot be reused simultaneously with other FP methods Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 18

19 But more males have negative attitudes towards condom use PERCENT OF YOTH WHO AGREE TO THE FOLLOWING STATEMENTS: Male Female Condoms make sexual intercourse less pleasurable Condoms are too expensive to use regularly Condoms are very inconvenient to use A woman has no right to ask a man to use a condom Demographic Research & Development Foundation niversity of the Philippines Population Institute Less than half of the youth have access to condoms PERCENT WHO HAVE ACCESS TO CONDOMS Male Female None/Elem HS undergrad HS grad/voc College+ All youth SEX AGE HIGHEST EDCATIONAL ATTAINMENT Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 19

20 Drug stores are the most accessible source of condoms Drug stores 76.8 Groceries/Stores 13.6 Health centers/hospitals 12.0 Private clinics/fp clinics Medical practitioners PLACE/PERSON WHERE THE YOTH CAN BY OR ASK FOR CONDOM Others 1.1 Demographic Research & Development Foundation niversity of the Philippines Population Institute Percent Knowledge & attitudes towards HIV-AIDS niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 20

21 Awareness of AIDS among the youth has declined in the past decade PERCENT OF YOTH WHO HAVE HEARD OF AIDS MALES FEMALES BOTH SEXES Demographic Research & Development Foundation niversity of the Philippines Population Institute Higher awareness of AIDS among females, older youth and the more educated than their counterparts PERCENT OF YOTH WHO HAVE HEARD OF AIDS Male Female None/Elem HS undergrad HS grad/voc College+ SEX AGE HIGHEST EDCATIONAL ATTAINMENT Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 21

22 PERCENT OF YOTH WHO HAVE HEARD OF AIDS Awareness of AIDS is highest in NCR, Davao and Central Luzon; Lowest in ARMM and Central Mindanao Demographic Research & Development Foundation niversity of the Philippines Population Institute Moderate level of knowledge of HIV transmission prevention methods PERCENT OF YOTH WHO BELIEVE THAT THE RISK OF HIV TRANSMISSION CAN BE REDCED BY: Male Female Having sex with only one uninfected partner who has no other sexual partners Demographic Research & Development Foundation niversity of the Philippines Population Institute sing a condom every time they have sex niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 22

23 Substantial proportions of the youth have misconceptions about HIV transmission PERCENT OF YOTH WHO AGREE TO THE FOLLOWING STATEMENTS: Male Female A healthy-looking person can have HIV A person cannot get HIV from mosquito bites A person cannot get HIV by sharing food with someone who is infected Demographic Research & Development Foundation niversity of the Philippines Population Institute Low level of comprehensive correct knowledge of HIV-AIDS PERCENT OF YOTH WHO HAVE COMPREHENSIVE CORRECT KNOWLEDGE OF HIV-AIDS Male Female None/Elem HS undergrad HS grad/voc College+ All youth SEX AGE HIGHEST EDCATIONAL ATTAINMENT Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 23

24 PERCENT OF YOTH WHO HAVE COMPREHENSIVE CORRECT KNOWLEDGE OF HIV-AIDS Comprehensive correct knowledge of HIV-AIDS is highest in CAR, NCR, and Central Luzon; Lowest in ARMM and Northern Mindanao Demographic Research & Development Foundation niversity of the Philippines Population Institute 3 in 10 Pinoy youth have discussed HIV-AIDS with other people PERCENT OF YOTH WHO DISCSS HIV-AIDS WITH OTHER PEOPLE Male Female None/Elem HS undergrad HS grad/voc College+ All youth SEX AGE HIGHEST EDCATIONAL ATTAINMENT Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 24

25 Discussion of HIV-AIDS is highest in CAR, NCR and MIMAROPA; Lowest in W. Mindanao, ARMM and N. Mindanao PERCENT OF YOTH WHO DISCSS HIV-AIDS WITH OTHER PEOPLE Philippines CAR NCR IV-B V VIII CARAGA II XII III I VII IV-A VI XI IX ARMM X Demographic Research & Development Foundation niversity of the Philippines Population Institute Most discussions of HIV-AIDS are between friends of the same sex Spouse/Partner/BF/GF Male friends Female friends Mother Father Relatives Neighbors Health practitioners Teachers Demographic Research & Development Foundation niversity of the Philippines Population Institute Percent Males Females 67.6 PERSONS WITH WHOM THE YOTH DISCSSED HIV-AIDS 75.5 niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 25

26 More males think that AIDS is curable; More females believe that they will not get HIV PERCENT OF YOTH WHO THINK THAT: Male Female Both sexes AIDS is curable There is no chance of them getting HIV Demographic Research & Development Foundation niversity of the Philippines Population Institute Summary & Conclusions niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 26

27 SMMARY & CONCLSIONS There is a heightened, bolder and wider range of sexual behavior among our young The increased prevalence of sexual activity in various forms may indicate new normative standards regarding sex Males are more sexually adventurous but the females are fast catching up Demographic Research & Development Foundation niversity of the Philippines Population Institute SMMARY & CONCLSIONS Most sexual activities are unprotected against the risk of STIs (and unplanned pregnancy) Most youth are knowledgeable about condom use but many have negative attitudes towards condom use especially among males Less than half of the youth have access to condoms Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 27

28 SMMARY & CONCLSIONS Awareness of HIV-AIDS is still high but the level has declined in the past decade Poor knowledge of HIV-AIDS as misconceptions about HIV transmission are still common among the youth Majority of the youth think they have immunity from HIV Demographic Research & Development Foundation niversity of the Philippines Population Institute niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 28

29 YAFS4 Young Adult Fertility & Sexuality Study niversity of the Philippines Population Institute (PPI) Demographic Research and Development Foundation (DRDF) 29