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.
At exactly the same time, we re-installing the latest multivariate logistic regression design limited to new elderly teens (Table 4) and discovered comparable results to those people demonstrated into the dining table step three.
Lab tests were accomplished to evaluate the adequacy of your logistic regression patterns presented within the dining table step three and you may dining table 4. Brand new Hosmer-Lemeshow god of match try in the basically required quantity of organizations showed no evidence of insufficient fit in the fresh patterns (P > 0.05). More over, zero analytical communications (impact modification) is seen.
Discussion
This study indicates one to condom explore among adolescents about five districts within the Tanzania, specifically Kigoma, Kilombero, Rufiji and you will Ulanga is not regarding the several intimate partners. We discovered evidence of relationship out-of condom explore by generation and also by section out-of home.
The truth although not is that a great number of adolescents take part into the intimate points stealthily plus in fear of condemnation and you will distrust
The actual fact that best and you may consistent condom have fun with inhibits STIs efficiently [ten, 11], a significant ratio of the kids regarding study area remains at risk of contracting STIs and unintended pregnancies. This might be evident on the expose investigation and this suggests that among new sexually active adolescents, 61% did not have fun with condoms at history sexual activity and you can about 42% of these stated with got intercourse that have numerous people on the last 1 year. At the same time, more than three-5th of these reporting numerous people did not have fun with condoms in the their history sexual intercourse.
The probability of condom fool around with is large certainly old kids (fifteen – 19 seasons-olds) compared to the younger of these (ten – 14 seasons-olds), maybe because of studies differentials in the indication and you can protection regarding STIs as the former have had stretched experience of sensitization messages. That it observation was in keeping with someone else off their studies [twenty eight, 29]. But not, the brand new prevalence from several intimate couples was comparable among the many younger and also the old teenagers. This really is most likely linked to the undeniable fact that both are towards the a change into adulthood, therefore feeling much of bodily, emotional and you can psychological alter and also being dependent on peer habits .
The reduced amount of condom explore included in Rufiji compared to most other areas could be partly attributable to the reality that rural homes (Rufiji being the extremely) usually are correlated having low levels out-of condom fool around with and also inequality from inside the condom the means to access . It can also be associated with variations in cultural norms and you may differentials inside the accessibility recommendations, correspondence and you may training .
Whether or not parents or guardians could possibly be the best access point in order to grizzly come to adolescents, the reality that intercourse-associated issues are sensitive and painful pose a great difficulty to revealing him or her yourself. A number of groups, premarital sex is culturally otherwise consistently forbidden and children involved with it are thought become misbehaving. For this reason, not merely this new unfriendly environment getting accessing condoms or any other reproductive health services that matters, and in addition teenagers are scared to purchase condoms, particularly in discover retailers . This involves teenage-friendly gender and you can reproductive wellness interventions hence completely address such contextual limits.