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 dating hookupdate 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.
Simultaneously, we lso are-suitable the new multivariate logistic regression model restricted to the fresh older teenagers (Table 4) and found comparable brings about men and women displayed inside desk 3.
Tests was indeed carried out to assess this new adequacy of logistic regression activities showed in desk 3 and you will table 4. The newest Hosmer-Lemeshow god away from match try during the basically necessary amount of teams shown zero proof of decreased easily fit into brand new patterns (P > 0.05). Additionally, no analytical telecommunications (impression modification) is actually noticed.
Conversation
This study shows one condom explore certainly one of teens regarding five areas during the Tanzania, specifically Kigoma, Kilombero, Rufiji and you can Ulanga isn’t for the numerous sexual people. I discover proof connection out of condom have fun with by age bracket and by section of house.
The situation yet not is the fact a large amount of kids participate for the intimate items stealthily plus fear of condemnation and you will distrust
Even though right and you will uniform condom fool around with suppress STIs effectively [10, 11], a serious proportion of teenagers regarding the research town remains susceptible to hiring STIs and you will unintended pregnancies. That is obvious throughout the introduce study and that demonstrates certainly the newest sexually productive kids, 61% didn’t fool around with condoms at history sexual intercourse and you will in the 42% ones stated which have had intercourse having multiple partners regarding the past 1 year. At the same time, more about three-fifth of these revealing multiple couples don’t use condoms in the their history sexual intercourse.
The possibilities of condom explore was high certainly older teenagers (fifteen – 19 12 months-olds) compared to the more youthful ones (10 – fourteen year-olds), maybe because of studies differentials regarding signal and you may cures off STIs while the former have got stretched connection with sensitization texts. So it observance are consistent with other people from other knowledge [28, 29]. However, the brand new incidence out of several intimate couples try similar one of several younger additionally the old teenagers. This might be most likely attached to the undeniable fact that they are both with the a changeover into adulthood, therefore sense a lot of physical, emotional and emotional alter and also being influenced by fellow behaviours .
The lower level of condom play with found in Rufiji compared to the most other districts is partially due to the reality that outlying residences (Rufiji as being the most) usually are correlated with low levels regarding condom fool around with as well as have inequality from inside the condom usage of . Additionally be linked to differences in cultural norms and you can differentials into the use of advice, communication and degree .
Though mothers or guardians could be the finest entry point in order to started to kids, the reality that gender-related things are extremely sensitive and painful twist an effective complications in order to revealing her or him home. In a lot of organizations, premarital gender is culturally or religiously forbidden and you may children involved with it are thought as misbehaving. Ergo, not merely the newest unfriendly ecosystem for opening condoms and other reproductive wellness properties that really matters, plus teens are afraid to acquire condoms, particularly in open outlets . This requires adolescent-amicable intercourse and you can reproductive fitness interventions which fully respond to including contextual limitations.