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.
Additionally, i lso are-installing brand new multivariate logistic regression design simply for new old adolescents (Table 4) and discovered similar leads to men and women displayed when you look at the dining table 3.
Tests was carried out to evaluate the fresh new adequacy of your own logistic regression activities displayed from inside the desk 3 and you may table 4. The brand new Hosmer-Lemeshow god regarding match take to at the fundamentally necessary number of groups exhibited zero evidence of diminished easily fit into new designs (P > 0.05). Moreover, zero mathematical communication (effect amendment) are observed.
Conversation
This research has revealed that condom use certainly adolescents on four districts during the Tanzania, namely Kigoma, Kilombero, Rufiji and Ulanga isn’t from the multiple intimate lovers. We receive evidence of association away from condom have fun with by the age bracket and also by district of household.
The outcome however is the fact a good number of kids participate for the intimate situations stealthily plus concern about condemnation and you can mistrust
While correct and you may uniform condom play with inhibits STIs successfully [10, 11], a life threatening proportion of one’s teenagers about investigation area remains at risk of contracting STIs and you will unintended pregnancies. This really is obvious throughout the establish research and therefore implies that one of new sexually effective teens, 61% failed to have fun with condoms during the past sexual activity and you may throughout the 42% of those claimed that have had intercourse that have numerous people throughout the past one year. At the same time, more around three-5th of those revealing several people did not fool around with condoms within the last intercourse.
The chances of condom fool around with are high among older kids (15 – 19 year-olds) compared to young of them (ten – fourteen season-olds), maybe because of knowledge differentials about indication and you will prevention regarding STIs as the former possess got extended contact with sensitization texts. This observation try in line with others from other education [twenty-eight, 29]. Although not, the new prevalence of numerous sexual couples was similar one of many younger and also the more mature teenagers. This will be most likely connected to the simple fact that both are into a change up, for this reason experience much of real, emotional and you can psychological alter in addition to being dependent on peer behaviours .
The lower quantity of condom explore included in Rufiji compared to other districts is generally partially owing to the reality that outlying homes (Rufiji as the really) are coordinated that have lower levels away from condom have fun with while having inequality inside condom usage of . It may also feel about variations in cultural norms and you can differentials during the access to pointers, correspondence and you can education .
Even though moms and dads or guardians can be the top entry point to help you visited kids, the fact sex-relevant things are particularly sensitive angle an excellent complications so you’re able to discussing her or him in the home. In lot of organizations, premarital intercourse is https://datingranking.net/getiton-review/ actually culturally or religiously taboo and you may youths involved with it are thought become misbehaving. Ergo, besides the latest unfriendly environment to have accessing condoms and other reproductive wellness properties that counts, as well as kids are scared to purchase condoms, particularly in discover channels . This calls for teenage-friendly intercourse and reproductive health interventions and this totally respond to for example contextual restrictions.