Abstract:
This study aimed to determine adolescent perceptions of sexual intimacy, teen pregnancy and pre-termination of pregnancy.   The respondents were 400 males and females,  categorized as "college students" (CS) and "out-of-school youth" (OSY), aged 15-24 years old from Metro Manila (urban) and selected rural areas in the Philippines.  The study used the explanatory sequential mixed method consisting of a survey followed by in depth interviews with selected informants.
Chi Square test for Independence and Fisher’s Exact Test were used to determine  significant  differences  between the  groups  of  respondents.   Pearson Product  Moment Correlation indicated significant associations between the study and outcome variables.  Taking all variables together, a regression analysis was done.  For the qualitative part, content analysis identified themes, quotes, and patterns of responses.   The results showed ambivalent perceptions of adolescent engagement in sexual intimacy in all groups.  Although not  statistically significant,  majority of the respondents (OSY and CS) in both rural and urban settings were willing to take the risk of pregnancy based on their non-use of preventive measures during their last sexual intercourse.
Generally,  respondents were not in favor of pretermination of pregnancy.  In terms of their actual experience of sexual intimacy and teen pregnancy, significant differences were  found  between  urban  and  rural  respondents.   Significantly  more  OSY  reported  to  have  these experiences compared to the CS groups.   When all  variables were taken together,  the regression analysis showed that political views,  quality of family relationships, experience of bullying, having a family member with early parenthood experience,  experience of actual pregnancy and willingness to take risk of  pregnancy were statistically associated with perceptions of adolescent sexual intimacy.   Age at first sex, experience of actual  pregnancy,  age at  first  pregnancy and agreeableness of sexual  intimacy were the significant  factors associated with willingness to take risk of pregnancy.  Age as a predictor of agreeableness to pre-terminated pregnancy remained statistically significant, although significant trends were found for having experience of verbal  abuse  and  bullying.   Recommendations  were  made  to further  strengthen  adolescent  reproductive health  programs,  especially  for  out-of-school  youth,  focusing  on  sex  education,  family  relationships, counteracting childhood adverse experiences and right  use of media to avoid unwanted situations such as early parenthood.