This study explores this new sexual and you may reproductive routines regarding Nicaraguan teenage ladies, and recommends numerous methods for designing interventions

This study explores this new sexual and you may reproductive routines regarding Nicaraguan teenage ladies, and recommends numerous methods for designing interventions

We computed new average decades during the intimate first and you may age within first delivery playing with life table studies

But really in spite of the large teenage fertility rates, birth control fool around with among toddlers and you can young adults inside Nicaragua is quite high: 70 % off intimately active people old fifteen–twenty-four advertised already playing with a birth control in a single highest questionnaire. several not, most other research has receive dramatically reduced cost of strategy fool around with whenever inquiring on the personal experience, recommending contradictory birth control have fun with, and the behaviors out of teenagers (20–24) can also be obscuring that from kids (15–19). thirteen Inside the 2001, just step 3% away from Nicaraguans aged 15–49 advertised using condoms, which is such as for example relevant when it comes to adolescent health, because the kids is actually less likely to want to use almost every other, continuous forms of contraceptive and generally are expected to take part in occasional or unexpected intercourse. fourteen

In the past recognized items which were for the earlier initiation of childbearing were reduced instructional attainment, lack of the fresh physiological father from the domestic during the teens and living in an outlying town. cuatro,11 Previous work in Nicaragua’s investment area centering on terrible, metropolitan young women shown you to providing promo codes having reproductive medical care enhanced its access to contraceptives, suggesting you to supply tends to be a main point for the majority organizations. fifteen Very early marriage, diminished gender education, romanticism, machismo, intercourse double standards and religious prohibition out-of contraceptive are also advised that one can contributors to the country’s higher adolescent fertility rates. 10,sixteen,17

We held regression analyses to evaluate new has an effect on of numerous socioeconomic and you may individual activities towards the adolescents’ age from the intimate first, age at first birth and latest use of a modern-day contraceptive.


This research spends study throughout the 2001 Nicaragua Group and Wellness Survey (DHS). Testing is actually presented with an effective stratified, two-phase build, and you can houses was basically randomly chosen out-of pripling devices to create good nationally member chances attempt. Every woman in this a household was in fact questioned truly, while the full investigation put provided 13,060 females aged 15–forty two. We utilized investigation out-of step 3,142 people aged fifteen–19 just who answered questions regarding the sexual intercourse. Each interview endured everything forty-five moments, and all of coached, people Nicaraguan interviewers made use of an organized, standard questionnaire.

Interview amassed information on respondents’ years in the interview, at the sexual first as well as basic birth (but not regarding things close the past several procedures), as well as on their place of quarters (metropolitan otherwise rural), education peak (none, no. 1, second, or even more), marital reputation (single and no mate, married and you may traditions by themselves, solitary and you can cohabiting, and you may partnered) and you may attention to certain contraceptive actions therefore the ovulatory cycle. Participants was indeed as well as questioned if they had ever endured sex, whether or not they got actually ever considering birth and you may if they had ever before put a modern-day birth-control method. Their socio-monetary condition is actually based on individuals housing qualities plus the arms out of a lot of items for your home,* additionally the resulting money directory was utilized to split up the people into the riches quintiles. Finally, respondents were questioned once they planned to have a baby within this 2 years, and when they imagine they would have difficulty delivering consent to check out a doctor (a marker to own lack of medical care flexibility).

Analysis was assessed with Intercooled STATA 8.0, utilising the suitable DHS-tasked questionnaire weighting. Such methods had been up coming examined playing with emergency analysis procedure, in which we performed Cox proportional issues modeling separately with house, education and money quintile inside an excellent bivariate design, before including many of these variables in the a multivariate model that produced adjusted possibility percentages. The latest model having many years to start with delivery plus regulated to own years on intimate debut.