Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania

<p>Abstract</p> <p>Background</p> <p>The HIV/AIDS pandemic remains a leading challenge for global health. Although condoms are acknowledged for their key role on preventing HIV transmission, low and inappropriate use of condoms persists in Tanzania and elsewhere in Afri...

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Main Authors: Exavery Amon, Mubyazi Godfrey M, Rugemalila Jovitha, Mushi Adiel K, Massaga Julius J, Malebo Hamisi M, Tenu Filemon, Ikingura Joyce K, Malekia Sia, Makundi Emmanuel A, Ruta Acleus SM, Ogondiek John W, Wiketye Victor, Malecela Mwelecele N
Format: Article
Language:English
Published: BMC 2012-07-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/12/569
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author Exavery Amon
Mubyazi Godfrey M
Rugemalila Jovitha
Mushi Adiel K
Massaga Julius J
Malebo Hamisi M
Tenu Filemon
Ikingura Joyce K
Malekia Sia
Makundi Emmanuel A
Ruta Acleus SM
Ogondiek John W
Wiketye Victor
Malecela Mwelecele N
author_facet Exavery Amon
Mubyazi Godfrey M
Rugemalila Jovitha
Mushi Adiel K
Massaga Julius J
Malebo Hamisi M
Tenu Filemon
Ikingura Joyce K
Malekia Sia
Makundi Emmanuel A
Ruta Acleus SM
Ogondiek John W
Wiketye Victor
Malecela Mwelecele N
author_sort Exavery Amon
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The HIV/AIDS pandemic remains a leading challenge for global health. Although condoms are acknowledged for their key role on preventing HIV transmission, low and inappropriate use of condoms persists in Tanzania and elsewhere in Africa. This study assesses factors affecting acceptability of condom promotion and distribution among adolescents in Mpwapwa and Mbeya rural districts of Tanzania.</p> <p>Methods</p> <p>Data were collected in 2011 as part of a larger cross-sectional survey on condom use among 10–19 year-olds in Mpwapwa and Mbeya rural districts of Tanzania using a structured questionnaire. Associations between acceptability of condom promotion and distribution and each of the explanatory variables were tested using Chi Square. Multivariate logistic regression model was used to examine independent predictors of the acceptability of condom promotion and distribution using STATA (11) statistical software at 5% significance level.</p> <p>Results</p> <p>Mean age of the 1,327 adolescent participants (50.5% being males) was 13.5 years (SD = 1.4). Acceptance of condom promotion and distribution was found among 37% (35% in Mpwapwa and 39% in Mbeya rural) of the adolescents. Being sexually active and aged 15–19 was the strongest predictor of the acceptability of condom promotion and distribution (OR = 7.78, 95% CI 4.65-12.99). Others were; not agreeing that a condom is effective in preventing transmissions of STIs including HIV (OR = 0.34, 95% CI 0.20-0.56), being a resident of Mbeya rural district (OR = 1.67, 95% CI 1.28-2.19), feeling comfortable being seen by parents/guardians holding/buying condoms (OR = 2.20, 95% CI 1.40-3.46) and living with a guardian (OR = 1.48, 95% CI 1.08-2.04).</p> <p>Conclusion</p> <p>Acceptability of condom promotion and distribution among adolescents in Mpwapwa and Mbeya rural is low. Effect of sexual activity on the acceptability of condom promotion and distribution is age-dependent and was the strongest. Feeling comfortable being seen by parents/guardians buying or holding condoms, perceived ability of condoms to offer protection against HIV/AIDS infections, district of residence and living arrangements also offered significant predictive effect. Knowledge of these factors is vital in designing successful and sustainable condom promotion and distribution programs in Tanzania.</p>
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spelling doaj.art-7acdded500f749c3b003d589fc7930b62022-12-22T00:27:41ZengBMCBMC Public Health1471-24582012-07-0112156910.1186/1471-2458-12-569Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, TanzaniaExavery AmonMubyazi Godfrey MRugemalila JovithaMushi Adiel KMassaga Julius JMalebo Hamisi MTenu FilemonIkingura Joyce KMalekia SiaMakundi Emmanuel ARuta Acleus SMOgondiek John WWiketye VictorMalecela Mwelecele N<p>Abstract</p> <p>Background</p> <p>The HIV/AIDS pandemic remains a leading challenge for global health. Although condoms are acknowledged for their key role on preventing HIV transmission, low and inappropriate use of condoms persists in Tanzania and elsewhere in Africa. This study assesses factors affecting acceptability of condom promotion and distribution among adolescents in Mpwapwa and Mbeya rural districts of Tanzania.</p> <p>Methods</p> <p>Data were collected in 2011 as part of a larger cross-sectional survey on condom use among 10–19 year-olds in Mpwapwa and Mbeya rural districts of Tanzania using a structured questionnaire. Associations between acceptability of condom promotion and distribution and each of the explanatory variables were tested using Chi Square. Multivariate logistic regression model was used to examine independent predictors of the acceptability of condom promotion and distribution using STATA (11) statistical software at 5% significance level.</p> <p>Results</p> <p>Mean age of the 1,327 adolescent participants (50.5% being males) was 13.5 years (SD = 1.4). Acceptance of condom promotion and distribution was found among 37% (35% in Mpwapwa and 39% in Mbeya rural) of the adolescents. Being sexually active and aged 15–19 was the strongest predictor of the acceptability of condom promotion and distribution (OR = 7.78, 95% CI 4.65-12.99). Others were; not agreeing that a condom is effective in preventing transmissions of STIs including HIV (OR = 0.34, 95% CI 0.20-0.56), being a resident of Mbeya rural district (OR = 1.67, 95% CI 1.28-2.19), feeling comfortable being seen by parents/guardians holding/buying condoms (OR = 2.20, 95% CI 1.40-3.46) and living with a guardian (OR = 1.48, 95% CI 1.08-2.04).</p> <p>Conclusion</p> <p>Acceptability of condom promotion and distribution among adolescents in Mpwapwa and Mbeya rural is low. Effect of sexual activity on the acceptability of condom promotion and distribution is age-dependent and was the strongest. Feeling comfortable being seen by parents/guardians buying or holding condoms, perceived ability of condoms to offer protection against HIV/AIDS infections, district of residence and living arrangements also offered significant predictive effect. Knowledge of these factors is vital in designing successful and sustainable condom promotion and distribution programs in Tanzania.</p>http://www.biomedcentral.com/1471-2458/12/569AcceptabilityCondom promotion and distributionAdolescentsTanzania
spellingShingle Exavery Amon
Mubyazi Godfrey M
Rugemalila Jovitha
Mushi Adiel K
Massaga Julius J
Malebo Hamisi M
Tenu Filemon
Ikingura Joyce K
Malekia Sia
Makundi Emmanuel A
Ruta Acleus SM
Ogondiek John W
Wiketye Victor
Malecela Mwelecele N
Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
BMC Public Health
Acceptability
Condom promotion and distribution
Adolescents
Tanzania
title Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
title_full Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
title_fullStr Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
title_full_unstemmed Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
title_short Acceptability of condom promotion and distribution among 10–19 year-old adolescents in Mpwapwa and Mbeya rural districts, Tanzania
title_sort acceptability of condom promotion and distribution among 10 19 year old adolescents in mpwapwa and mbeya rural districts tanzania
topic Acceptability
Condom promotion and distribution
Adolescents
Tanzania
url http://www.biomedcentral.com/1471-2458/12/569
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