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Sexuality, sexual behaviour and contraception in East Germany.

Abstract：

:Social factors may influence sexual health and its related behaviour. The political changes in East Germany have revealed a positive attitude towards sexuality and the use of family planning methods. A study on sexual behaviour and the use of contraceptives was undertaken recently, at the end of the old regime and the beginning of the new one. The survey was performed among 3103 male and female respondents (pupils, students and workers) of between 16 and 48 years of age. The results show a decreased number of stable partner relationships among young people, however, love and sexuality are considered to be central values. Before the age of 19 years, the majority of girls (80%) and boys (68%) had had sexual intercourse for the first time, a rate which has not changed during the last decade. There is a tendency to postpone having a first child. Modern contraception is widely accepted and used. There is a growing number of condom users, however, the pill is still the most popular method. Family planning is much more advanced than in the other countries of Eastern Europe. Sex education and counselling should sustain this situation. :In 1990, the Central Institute for Youth Research in Leipzig, Germany, conducted the Partner Study III which consisted of 3103 pupils, students, and factory workers in the former East Germany, 16-48 years old, to determine society's influence on partner relationships, sexuality, sexual behavior, and family planning use. Just 25% of 16-year-old males and 50% of 16 year-old-females had a stable partner relationship compared to 75% and 93%, respectively, for 16-year-olds in earlier studies. Almost everyone (99%) had premarital sexual intercourse. Mean age at first intercourse was 17, which usually occurred in a stable partnership (77% of males and 85% of females). 67% of 16-18 year old couples had agreed on contraception, especially oral contraceptives (OCs) and condoms (75% and 32%, respectively), before first intercourse. Most respondents considered love and sexuality to be central aspects of their lives. Respondents had sexual intercourse 8-9 days/month. Most women (91%) had had a recent orgasm. Most people wanted to marry, but later than they did previously, and to have children (87% and 99%, respectively). Yet, many East Germans were delaying childbearing. 99% favored contraception. Most people considered contraception to be the responsibility of both men and women. Acceptance of contraception did not include acceptance of abortion as a birth control method. Yet, few wanted to make the liberal abortion law more restrictive. The most commonly used contraceptive methods were OCs (66%) and condoms (62% vs. 35% in 1980). Overall, the sample had a good knowledge of contraceptive methods. More than 90% favored OCs. More than 80% accepted the condom. They considered it to be morally sound to carry a condom due to the threat of AIDS. Yet, few used a condom for each act of coitus. Safe contraception was a prerequisite for sexual intercourse for 79% of youth. Youth in East Germany tended to have a serious attitude of responsibility towards one's partner, contraception, and sexuality.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Starke K,Visser AP

doi

10.1016/0738-3991(94)90037-x

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

217-26

issue

eissn

0738-3991

issn

1873-5134

pii

0738-3991(94)90037-X

journal_volume

pub_type

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Sexuality, sexual behaviour and contraception in East Germany.