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.
While doing so, we re-installing new multivariate logistic regression design restricted to new elderly kids (Table cuatro) and discovered equivalent brings about people presented when you look at the table step three.
Diagnostic tests was indeed achieved to assess the latest adequacy of your own logistic regression models presented in table step three and you will dining table cuatro. This new Hosmer-Lemeshow god regarding complement take to within fundamentally required level of organizations demonstrated zero proof of insufficient easily fit in the fresh models (P > 0.05). Additionally, zero statistical communication (effect amendment) is actually observed.
This study shows you to condom have fun with one of adolescents regarding the four districts in Tanzania, namely Kigoma, Kilombero, Rufiji and you may Ulanga isn’t of this multiple sexual lovers. I discovered proof connection from condom play with because of the generation and also by region of quarters.
Although right and you will consistent condom explore prevents STIs effectively [10, 11], a life threatening proportion of the kids regarding data town remains vulnerable to hiring STIs and you can unintended pregnancies. This will be clear throughout the expose study and therefore demonstrates certainly one of the brand new intimately energetic teens, 61% don’t explore condoms on past sexual intercourse and you can on the 42% of these reported which have got sex having numerous couples in the history 12 months. Meanwhile, more than three-fifth of these revealing multiple couples don’t play with condoms from the its past sexual activity.
The possibilities of condom use are high among earlier teenagers (fifteen – 19 season-olds) as compared to young of these (10 – fourteen seasons-olds), possibly due to education differentials regarding indication and you may cures out of STIs because the former may have got offered contact with sensitization messages. This observance is actually in keeping with anybody else off their education [twenty eight, 29]. However, the new prevalence off multiple sexual partners was comparable one of many younger plus the more mature teenagers. This is certainly probably attached to the undeniable fact that both are into a changeover into adulthood, hence experiencing most of actual, mental and emotional changes not only is it dependent on peer behaviors .
The low number of condom explore included in Rufiji as compared to most other areas may be partly attributable to the reality that outlying houses (Rufiji being the most) are usually synchronised that have low levels of condom play with and also have inequality when you look at the condom the means to access . It can also become related to variations in social norms and you will differentials in access to advice, communications and education .
Even in the event moms and dads otherwise guardians could be the most useful access point to help you come to adolescents, the reality that gender-related things are very sensitive angle a beneficial difficulties to sharing her or him yourself. In a lot of organizations, premarital Green Singles search sex is actually culturally otherwise consistently taboo and you may youths involved with they are believed getting misbehaving. Hence, not just the fresh unfriendly environment to own opening condoms and other reproductive health functions that matters, and in addition kids are frightened to buy condoms, particularly in unlock retailers . This calls for teenage-friendly intercourse and reproductive wellness treatments and this totally address such as for instance contextual restrictions.