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

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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.
Keywords
Adolescents, Contraception, Latin America, Nicaragua, Sexual behaviour, Pregnancy in adolescence, REPRODUCTIVE HEALTH, AMERICAN COUNTRIES, LATIN-AMERICA, RISK, CHILDBEARING, BEHAVIOR, CONTEXT, PREGNANCY, PERSONNEL, ABORTION

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Chicago
Decat, Peter, Sara De Meyer, Lina Jaruseviciene, Miguel Orozco, Marcia Ibarra, Zoyla Segura, Joel Medina, et al. 2015. “Sexual Onset and Contraceptive Use Among Adolescents from Poor Neighbourhoods in Managua, Nicaragua.” European Journal of Contraception and Reproductive Health Care 20 (2): 88–100.
APA
Decat, P., De Meyer, S., Jaruseviciene, L., Orozco, M., Ibarra, M., Segura, Z., Medina, J., et al. (2015). Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 20(2), 88–100.
Vancouver
1.
Decat P, De Meyer S, Jaruseviciene L, Orozco M, Ibarra M, Segura Z, et al. Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE. 2015;20(2):88–100.
MLA
Decat, Peter, Sara De Meyer, Lina Jaruseviciene, et al. “Sexual Onset and Contraceptive Use Among Adolescents from Poor Neighbourhoods in Managua, Nicaragua.” EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE 20.2 (2015): 88–100. Print.
@article{5783255,
  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.},
  author       = {Decat, Peter and De Meyer, Sara and Jaruseviciene, Lina and Orozco, Miguel and Ibarra, Marcia and Segura, Zoyla and Medina, Joel and Vega, Bernardo and Michielsen, Kristien and Temmerman, Marleen and Degomme, Olivier},
  issn         = {1362-5187},
  journal      = {EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE},
  language     = {eng},
  number       = {2},
  pages        = {88--100},
  title        = {Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua},
  url          = {http://dx.doi.org/10.3109/13625187.2014.955846},
  volume       = {20},
  year         = {2015},
}

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