We calculated the latest median decades at the sexual introduction and you will many years within very first delivery having fun with existence table research
But really regardless of the high adolescent fertility price, birth-control use among family and teenagers into the Nicaragua is pretty high: Seventy percent away from intimately active lady old fifteen–twenty-four claimed currently playing with a contraception in a single higher questionnaire. 12 Although not, other research has located lower prices out-of approach fool around with whenever inquiring on the private experience, suggesting inconsistent contraceptive have fun with, as well as the practices from young people (20–24) could be obscuring the ones from adolescents (15–19). thirteen During the 2001, simply step 3% regarding Nicaraguans aged 15–49 said playing with condoms, that is such as for instance relevant in terms of adolescent wellness, given that adolescents is less likely to want to fool around with almost every other, continuing kinds of contraceptive as they are expected to engage during the infrequent otherwise unplanned gender. 14
In the past identified factors that have been on the before initiation away from childbearing become reduced academic attainment, lack of the biological father regarding family throughout teens and you may living in an outlying city. cuatro,11 Recent operate in Nicaragua’s funding city focusing on bad, urban young women exhibited one to providing coupons to have reproductive medical care enhanced their the means to access contraceptives, suggesting one availableness tends to be a main matter for many communities. fifteen Early wedding, lack of sex training, romanticism, machismo, gender twice criteria and you may spiritual prohibition off contraceptive have also suggested that one can contributors to your country’s large adolescent fertility speed. ten,16,17
We used regression analyses to evaluate new impacts of several socioeconomic and you may personal items towards the adolescents’ decades at the sexual debut, many years to start with delivery and you can most recent access to a modern-day contraception.
Steps
This study spends study on 2001 Nicaragua Market and you will Wellness Questionnaire (DHS). Testing are conducted having a good stratified, two-stage construction, and you will domiciles was basically randomly selected off pripling tools to help make a great nationally affiliate probability test. Every woman within a family had been interviewed individually, as well as the full data set incorporated thirteen,060 lady old fifteen–49. I utilized study from step three,142 lady aged 
15–19 which replied questions regarding its sexual activity. For every interview lasted everything forty five moments, and all educated, female Nicaraguan interviewers put an organized, standardized survey.
Interviews collected details about respondents’ age within interview, at the sexual first as well as very first beginning (however regarding the things close the past a couple measures), and on their host to home (metropolitan otherwise rural), degree top (not one, number 1, second, or maybe more), relationship standing (single with no partner, partnered and you can living individually, unmarried and you will cohabiting, and you may hitched) and you will focus on certain birth control measures and ovulatory years. Participants was in addition to requested if they got had sex, whether they had actually provided beginning and you may whether or not they had ever before made use of a modern contraception means. Its socio-monetary updates try centered on some houses features and the palms regarding plenty of items for your home,* together with resulting riches list was applied to separate the people towards the riches quintiles. Fundamentally, respondents was indeed asked whenever they planned to become pregnant within this couple of years, and in case they thought they’d have a problem getting consent to consult with a health care provider (an excellent marker for lack of medical care flexibility).
Study was basically reviewed that have Intercooled STATA 8.0, making use of the appropriate DHS-assigned questionnaire weighting. These types of methods was indeed upcoming checked-out having fun with success investigation processes, in which we performed Cox proportional threat modeling alone which have quarters, studies and you can wide range quintile for the good bivariate design, before adding many of these variables in a good multivariate design one yielded modified risk percentages. The brand new design getting decades in the beginning beginning in addition to controlled having many years within sexual introduction.
