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 re also-installing the latest multivariate logistic regression design restricted to the newest old teenagers (Desk 4) and found comparable brings about men and women demonstrated inside the desk 3.
Tests were accomplished to evaluate the fresh adequacy of your logistic regression models presented into the table step 3 and you will desk 4. The fresh new Hosmer-Lemeshow goodness away from complement try within generally demanded amount of teams shown zero proof of diminished fit in the fresh activities (P > 0.05). Additionally, no analytical correspondence (impression modification) is actually noticed.
Discussion
This study shows one to condom play with certainly one of teens in the five areas inside Tanzania, specifically Kigoma, Kilombero, Rufiji and Ulanga isn’t regarding the numerous intimate couples. We receive evidence of association regarding condom explore from the age bracket by section regarding quarters.
The fact however is the fact a great number of adolescents engage within the sexual things stealthily as well as in fear of condemnation and you may mistrust
The actual fact that proper and uniform condom fool around with suppresses STIs effortlessly [10, 11], a serious ratio of your own adolescents from the studies urban area stays at risk of contracting STIs and you can unintended pregnancies. It is clear from the establish study which demonstrates that certainly one of this new intimately active teenagers, 61% did not use condoms at history sexual intercourse and you may in the 42% of them claimed having had sex with several people from the last 12 months. Meanwhile, over around three-5th of them reporting several people did not use condoms on their past sexual intercourse.
The likelihood of condom explore is actually highest among earlier adolescents (15 – 19 season-olds) as compared to younger ones (ten – 14 year-olds), perhaps on account of education differentials on sign and you will cures out of STIs since the previous could have had extended contact with sensitization texts. That it observance try consistent with other people off their training [twenty eight, 29]. However, new frequency out-of several intimate people try equivalent one of many more youthful and elderly kids. This will be most likely linked to the fact that both are to the a transition into adulthood, for this reason sense much of physical, mental and you may emotional change not only is it dependent on fellow https://datingranking.net/hongkongcupid-review/ behaviours .
The low quantity of condom explore utilized in Rufiji than the other districts could be partly due to the truth that outlying residences (Rufiji as being the extremely) are synchronised that have low levels from condom play with as well as have inequality when you look at the condom access to . it may become pertaining to differences in cultural norms and you may differentials from inside the the means to access recommendations, interaction and you will studies .
Whether or not moms and dads or guardians can be the top entry way to come to teenagers, the fact gender-associated things are sensitive and painful pose an effective challenge so you’re able to revealing them home. In lot of teams, premarital intercourse was culturally otherwise religiously forbidden and you will youths engaged in they are believed becoming misbehaving. Ergo, not only the newest unfriendly ecosystem for accessing condoms and other reproductive wellness characteristics that matters, as well as adolescents are scared buying condoms, especially in discover retailers . This calls for adolescent-friendly gender and reproductive wellness interventions hence totally answer for example contextual limits.
