Please use this identifier to cite or link to this item: http://dspace.ucuenca.edu.ec/handle/123456789/22006
Title: Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua
Other Titles: European Journal of Contraception and Reproductive Health Care
Authors: Decat, Peter
De Meyer, Sara
Jaruseviciene, Lina
Orozco, Miguel
Ibarra, Marcia
Segura, Zoyla
Medina, Joel
Vega, Bernardo
Michielsen, Kristien
Temmerman, Marleen
Degomme, Olivier
Keywords: ADOLESCENTS
NICARAGUA
CONTRACEPTION
PREGNANCY IN ADOLESCENCE
SEXUAL BEHAVIOUR
LATIN AMERICA
Issue Date: Apr-2015
metadata.dc.ucuenca.paginacion: pp. 88-100
metadata.dc.description.city: 
Cuenca
metadata.dc.type: Article
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.
URI: http://dspace.ucuenca.edu.ec/handle/123456789/22006
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