Separate predictors out of condom fool around with within last sexual activity had been generation and you may region from home

Separate predictors out of condom fool around with within last sexual activity had been generation and you may region from home

Condom use at the last sexual intercourse was nearly 4 times higher among 15 – 19 year-olds compared to the 10 – 14 year-olds (OR = 3.69, 95% CI = 1.21 – , P = 0.022). In terms of district of residence, Rufiji was made a reference category and the rest of the districts were compared to it. The odds of condom use in Kigoma was approximately 7 times as high as that observed in Rufiji (OR = 7.45, 95% CI = 1.79 – , P = 0.006). Similarly in Kilombero, the odds of condom use was approximately 9 times as high as that observed in Rufiji (OR = 8.89, 95% CI = 2.91 – , P < 0.001). It was also about 6 more likely among adolescents in Ulanga than those in Rufiji (OR = 5.88, 95% CI = 2.00 - , P = 0.001). The likelihood of condom use among adolescents in Kigoma, Kilombero and Ulanga was statistically similar.

Concurrently, we lso are-fitted new multivariate logistic regression design restricted to the fresh more mature adolescents (Table cuatro) and discovered similar results to men and women demonstrated within the table step three.

Tests was carried out to evaluate the brand new adequacy of one’s logistic regression models exhibited into the table 3 and you may desk 4. The new Hosmer-Lemeshow goodness regarding fit take to on basically needed amount of groups showed no proof of decreased easily fit into the newest patterns (P > 0.05). Additionally, zero mathematical communications (perception modification) what is guardian soulmates was seen.

Discussion

This study has shown one condom fool around with among adolescents on four districts inside Tanzania, namely Kigoma, Kilombero, Rufiji and Ulanga isn’t for the several intimate couples. We located proof association off condom fool around with from the age bracket by section out-of residence.

The situation however would be the fact a good number of teenagers take part when you look at the sexual situations stealthily along with anxiety about condemnation and you may distrust

Despite the fact that correct and you can uniform condom fool around with suppress STIs effortlessly [ten, 11], a critical ratio of your adolescents from the study town stays susceptible to hiring STIs and you may unintended pregnancies. This is exactly obvious from the establish investigation and therefore indicates that certainly one of this new intimately productive teens, 61% failed to play with condoms at past sexual intercourse and you will throughout the 42% of those stated having had gender with numerous lovers in the past 12 months. Meanwhile, more than around three-fifth of them reporting multiple people don’t fool around with condoms at its last sexual activity.

The likelihood of condom use try large among old teenagers (fifteen – 19 season-olds) than the younger of those (ten – fourteen seasons-olds), possibly on account of knowledge differentials on the signal and you will avoidance regarding STIs due to the fact former could have had lengthened connection with sensitization texts. It observation try consistent with someone else off their training [twenty-eight, 29]. Yet not, the new prevalence of numerous sexual people is actually comparable one of several more youthful and old teens. This is probably attached to the simple fact that they are both on a change into adulthood, hence experience a lot of physical, mental and you may emotional changes in addition to being dependent on peer behaviours .

The reduced quantity of condom use included in Rufiji compared to other areas are partially owing to the fact rural houses (Rufiji as being the really) are usually synchronised with lower levels of condom have fun with and get inequality when you look at the condom use of . It can also getting regarding differences in social norms and you will differentials in the entry to guidance, communication and you can education .

Although mothers or guardians could possibly be the best entry way in order to arrived at adolescents, the fact intercourse-relevant issues are very sensitive pose good difficulties so you’re able to discussing him or her home. In a lot of teams, premarital sex try culturally otherwise religiously forbidden and youths engaged in they are considered to get misbehaving. Ergo, not just the new unfriendly ecosystem to own opening condoms or any other reproductive fitness attributes that really matters, and kids are frightened to buy condoms, especially in discover shops . This requires teenage-amicable intercourse and you can reproductive fitness interventions and this totally address such as for example contextual constraints.

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