They may also be more likely to change sexual partners, increasing their risk of exposure to STDs. Average age of first intercourse for unmarried, sexually active youth is well below the age of marriage. After becoming sexually active, unmarried youth delay use of contraceptives about a year. Few married youth use contraceptives before birth of first child. Psychological and social consequences include limited educational and job options, economic burden and negative effects on children of young parents.
High risk is primarily due to behaviors such as multiple partners and non-use of condoms.
Each year at least 2 million young women worldwide have unsafe abortions. Three out of five entering hospitals with abortion complications in Africa, Asia and Latin America are under age 20. Providers need to be aware of how their own beliefs can affect the services they provide. Family members can also be good sources of information. Open discussions of sexuality by providers can lead to more responsible sexual behavior.