Sex, lies, and videos in rural China: A qualitative study of women's sexual debut and risky sexual behavior

We studied 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 was based on 40 in-depth interviews with young women who had undergone induced abortion, as well as information from focus group discussions. Study participants identified pornographic videos, parents' tacit approval, and even encouragement as factors instigating their sexual debut. Reasons for unprotected intercourse included 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.