Percent of adolescents who are confident that they could refuse sex if they didn’t want it Percent of adolescents who are confident that they could refuse sex if they didn’t want it Definition: The percent of adolescents reporting confidence that they could refuse sex if they did not desire it This indicator is calculated as: (# of adolescents reporting that they could refuse sex if they did not desire it / Total # of adolescents) x 100 Data Requirement(s): Responses to survey questions on whether adolescents are “confident,“ “somewhat confident,“ “unsure,“ or “not confident“ that they could resist having sex when they did not want it Evaluators may want to disaggregate by the following age ranges: 10-14, 15-19, and 20-24. Data Source(s): Surveys of program clients/participants or adolescents in the program‘s intended population Purpose: This indicator measures the level of confidence or “perceived self-efficacy“ of adolescents to refuse sexual advances when they do not want to have sexual relations. A growing consensus claims that adolescent and youth SRH education programs are most successful when they address social pressures that influence sexual behaviors. Many programs include exercises and “role-plays“ on how to resist pressure tactics and to escape situations that may lead to sex, through negotiation and other tactics. Thus, the indicator can measure the effectiveness of such skill-based educational programs in increasing adolescents‘ self-efficacy with regard to resisting unwanted sexual pressures and advances. This indicator measures perceived self-efficacy, which may or may not correspond to actual responses to real-life situations. Because responses to sexual advances are likely to be context specific, the preferred measurement approach is to solicit responses to various situations that adolescents might find themselves in. For example, the interviewer may ask respondents how confident they are in their ability to refuse sex with: A person they have known for days; A person they have known for months; A person who offers them gifts; A person whom they care about deeply; A person who has paid for their school or training fees and who demands sex; and A person who has power over them, such as a teacher, employer, or coach. Issue(s): Although one may be confident they could refuse sex if they did not want it, when put in a situation where they are being forced or asked to have sex against their desires, the reality may be quite different. Evaluators must be mindful that it is human nature to want to appear to be or believe you are more confident and in-control than what may actually be the case. Keywords: empowerment, adolescent, women’s status, attitude, family planning, HIV/AIDS Gender Implications: Surveys indicate that for girls, the first experience of sexual intercourse is often involuntary (in some but not all developing countries). Forced sex (rape) is a form of gender-based violence. Many girls are coerced into sex by older men who view younger partners as less likely to have an STI. Some men believe that sex with a virgin can cure them of HIV/AIDS. Young girls say they lack the skills and self-confidence to refuse a more powerful and older male. Economic realities for many young girls makes refusing sex difficult and increases the likelihood that they will trade sex for money or gifts. In sub-Saharan Africa and other countries, these factors have led to new HIV infections among adolescent girls that are higher than those among boys and adults of either sex. Related content Social and Behavior Change Communication Women and Girls’ Status and Empowerment Family Planning (Core) Sexually Transmitted Infections and HIV/AIDS Filed under: adolescent, attitude, empowerment, Family Planning, FP, FP/RH, HIV/AIDS, Indicators, LAPM, Reproductive Health, RH, women's status, youth