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Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua.

Decat P, De Meyer S, Jaruseviciene L, Orozco M, Ibarra M, Segura Z, Medina J, Vega B, Michielsen K, Temmerman M, Degomme O - Eur J Contracept Reprod Health Care (2014)

Bottom Line: Having a partner and feeling comfortable talking about sexuality with the partner were associated with hormonal contraception.Our data identified associates of adolescents' sexual behaviour related to personal characteristics (sex and alcohol use), to the interaction with significant others (parents, partners, peers) and to the environment (housing condition, religion).We interpreted those associates within the context of the rapidly changing society and the recently implemented health system reform in Nicaragua.

View Article: PubMed Central - PubMed

Affiliation: * International Centre for Reproductive Health (ICRH), Ghent University , Belgium.

ABSTRACT

Background and objectives: The prevalence of teenage pregnancies in Nicaragua is the highest in Latin-America. This study aimed to gain insight into factors which determine the sexual behaviours concerned.

Methods: From July until August 2011, a door-to-door survey was conducted among adolescents living in randomly selected poor neighbourhoods of Managua. Logistic regression was used to analyse factors related to sexual onset and contraceptive use.

Results: Data from 2803 adolescents were analysed. Of the 475 and 299 sexually active boys and girls, 43% and 54%, respectively, reported contraceptive use. Sexual onset was positively related to increasing age, male sex, alcohol consumption and not living with the parents. Catholic boys and boys never feeling peer pressure to have sexual intercourse were more likely to report consistent condom use. Having a partner and feeling comfortable talking about sexuality with the partner were associated with hormonal contraception.

Conclusions: Our data identified associates of adolescents' sexual behaviour related to personal characteristics (sex and alcohol use), to the interaction with significant others (parents, partners, peers) and to the environment (housing condition, religion). We interpreted those associates within the context of the rapidly changing society and the recently implemented health system reform in Nicaragua.

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Percentages of sexually active adolescent girls and boys per age group.
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Figure 0002: Percentages of sexually active adolescent girls and boys per age group.

Mentions: There were 475 (35%) boys and 299 (21%) girls who reported being sexually active (OR = 2.06; p < 0.001). This sex difference was found in all ages with the exception of the 18-year-olds for whom no difference at the 0.05 level was found. As was expected, age itself was a determinant of sexual activity: among 13-years-olds, 2% of the girls and 8% of the boys reported being sexually active compared to 57% and 66% among 18-year-olds (Figure 2).


Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua.

Decat P, De Meyer S, Jaruseviciene L, Orozco M, Ibarra M, Segura Z, Medina J, Vega B, Michielsen K, Temmerman M, Degomme O - Eur J Contracept Reprod Health Care (2014)

Percentages of sexually active adolescent girls and boys per age group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4487549&req=5

Figure 0002: Percentages of sexually active adolescent girls and boys per age group.
Mentions: There were 475 (35%) boys and 299 (21%) girls who reported being sexually active (OR = 2.06; p < 0.001). This sex difference was found in all ages with the exception of the 18-year-olds for whom no difference at the 0.05 level was found. As was expected, age itself was a determinant of sexual activity: among 13-years-olds, 2% of the girls and 8% of the boys reported being sexually active compared to 57% and 66% among 18-year-olds (Figure 2).

Bottom Line: Having a partner and feeling comfortable talking about sexuality with the partner were associated with hormonal contraception.Our data identified associates of adolescents' sexual behaviour related to personal characteristics (sex and alcohol use), to the interaction with significant others (parents, partners, peers) and to the environment (housing condition, religion).We interpreted those associates within the context of the rapidly changing society and the recently implemented health system reform in Nicaragua.

View Article: PubMed Central - PubMed

Affiliation: * International Centre for Reproductive Health (ICRH), Ghent University , Belgium.

ABSTRACT

Background and objectives: The prevalence of teenage pregnancies in Nicaragua is the highest in Latin-America. This study aimed to gain insight into factors which determine the sexual behaviours concerned.

Methods: From July until August 2011, a door-to-door survey was conducted among adolescents living in randomly selected poor neighbourhoods of Managua. Logistic regression was used to analyse factors related to sexual onset and contraceptive use.

Results: Data from 2803 adolescents were analysed. Of the 475 and 299 sexually active boys and girls, 43% and 54%, respectively, reported contraceptive use. Sexual onset was positively related to increasing age, male sex, alcohol consumption and not living with the parents. Catholic boys and boys never feeling peer pressure to have sexual intercourse were more likely to report consistent condom use. Having a partner and feeling comfortable talking about sexuality with the partner were associated with hormonal contraception.

Conclusions: Our data identified associates of adolescents' sexual behaviour related to personal characteristics (sex and alcohol use), to the interaction with significant others (parents, partners, peers) and to the environment (housing condition, religion). We interpreted those associates within the context of the rapidly changing society and the recently implemented health system reform in Nicaragua.

Show MeSH
Related in: MedlinePlus