ArticleThe European journal of contraception & reproductive health care : the official journal of the European Society of Contraception2015
Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua.
Article in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- Trial
- Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.BMC public health · 2025Article
- Contraceptive prevalence and types used among female secondary students in public schools in Obio Akpor, Rivers State Nigeria.African health sciences · 2025Article
- Contraceptive knowledge, prevalence of contraception use, and the association between sex education and contraception knowledge among university students in Michigan, USA.Journal of family medicine and primary care · 2024Article
- Structural Interventions to Enable Adolescent Contraceptive Use in LMICs: A Mid-Range Theory to Support Intervention Development and Evaluation.International journal of environmental research and public health · 2022Review
- Which Structural Interventions for Adolescent Contraceptive Use Have Been Evaluated in Low- and Middle-Income Countries?International journal of environmental research and public health · 2022Review
- Sexual attitudes and associated factors of risky sexual behaviors among university students.Brain and behavior · 2022Article
- Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low- and middle-income countries: A systematic review.Campbell systematic reviews · 2021Review
- Applying the results based management framework to the CERCA multi-component project in adolescent sexual and reproductive health: a retrospective analysis.Reproductive health · 2018Article
- Multipartner Fertility in Nicaragua: Complex Family Formation in a Low-Income Setting.International perspectives on sexual and reproductive health · 2017Article
- Improving adolescent sexual and reproductive health in Latin America: reflections from an International Congress.Reproductive health · 2015Article
- Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe 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.
methodsFrom 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.
resultsData 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.
conclusionsOur 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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