Attitude and prevalence of early sexual debut and associated risk sexual behavior among adolescents in Tanzania; Evidence from baseline data in a Randomized Controlled Trial

Millanzi, Walter C.; Osaki, Kalafunja M.; Kibusi, Stephen M.

doi:10.1186/s12889-023-16623-6

Cited by 19 publications

(8 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have shown that factors such as peer pressure, lower education, coercion, substance use (tobacco and alcohol use), poor parental or guardian attachment and exposure to pornographic materials were associated with an early sexual debut. [61][62][63] Furthermore, a lack of HIV knowledge and low-risk perception have been considered a potential barrier to HIV testing among adolescent women. 64 This could be a likely reason why young women were not tested for HIV in this study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Maviso,

Kalembo

2024

BMJ Open

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to assess the prevalence of not testing for HIV and its determinants among young adult women aged 15–29 years in Papua New Guinea (PNG).Design and settingThe study used secondary data from the 2016 to 2018 PNG Demographic and Health Survey (PNGDHS), a nationally representative cross-sectional survey that used a two-stage stratified sampling.ParticipantsA total weighed sample of 5164 young adult women aged 15–29 years were included in the analysis.Primary outcome measureEver been tested for HIV was the primary outcome of the study. All analyses were adjusted using survey weights to account for unequal sampling probabilities.ResultsThe prevalence of not testing for HIV was 58.8% (95% CI: 57.4% to 60.1%). The mean age was 21.65 years (SD = 4.23). Of the women who were not tested for HIV, the majority were never married (79.4%), without formal education (63%), not working (60.2%), and from rural areas (62.9%). In the multivariable analysis, those who were never married (adjusted OR (AOR) 4.9, 95% CI 3.6 to 6.6), had poor wealth index (AOR 1.8, 95% CI 1.3 to 2.5), were from rural areas (AOR 2.0, 95% CI 1.5 to 2.6), were from the Momase region (AOR 1.3, 95% CI 1.0 to 1.7), did not read newspapers or magazines (AOR 1.7, 95% CI 1.3 to 2.1), did not listen to the radio (AOR 1.5, 95% CI 1.1 to 2.0), experienced early sexual debut (AOR 1.5, 95% CI 1.1 to 1.9), had one sexual partner (AOR 1.5, 95% CI 1.2 to 2.0) and reported no sexually transmitted infection (STI) in the past 12 months (AOR 1.8, 95% CI 1.1 to 3.1) had higher odds of not testing for HIV.ConclusionsOur study found a very high unmet need for HIV testing among young adult women in PNG. Health promotion programmes should be designed to increase HIV knowledge and access to testing services, particularly targeting young women who are disadvantaged and from rural areas.

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Maviso,

Kalembo

2024

BMJ Open

View full text Add to dashboard Cite

show abstract

“…As shown in Table 1, the study involved 312 out of 12,584 randomly sampled adults in the Dodoma region. As it has also been used by some previous studies (Millanzi, 2022;Millanzi et al, 2020Millanzi et al, , 2021Millanzi, Herman, & Ambrose, 2023;Millanzi, Herman, & Mtangi, 2023;Millanzi, Osaki, et al, 2023;Mwanja et al, 2023;Shitindi et al, 2023), a proportionate formula was adopted based on the available number and level of health facilities that were stratified into dispensaries (n = 1: in one district) health centres (n = 2: in three districts), district hospitals (n = 2: in 6 districts) and referral hospital (n = 1: in Dodoma region). A simple random sampling technique by lottery methods was used to get study participants.…”

Section: Sampling Procedures and Sample Sizementioning

confidence: 99%

Knowledge, attitude, intentional practice and individualized determinants of COVID‐19 vaccine uptake among adults: A cross‐sectional study in Tanzania

Nassoro,

Millanzi,

Herman

2024

Nursing Open

View full text Add to dashboard Cite

AimThe study assessed the knowledge, attitude, intentional practice and individualized factors of COVID‐19 vaccine uptake among adults in Tanzania.DesignHospital‐based analytical cross‐sectional study.MethodsQuantitative approaches were adopted to study 312 randomly selected adults using an interviewer‐administered structured questionnaire. Descriptive analysis established frequencies and percentages of variables at a 95% confidence interval and a 5% significance level.ResultsMean age was 24.66 ± 6.503 of which 61.5% were males. 86.9% of them were not vaccinated. 57.7% of respondents had inadequate knowledge about the COVID‐19 vaccine, and 61.5% had negative attitudes towards it. 63.8% of adults demonstrated an unwillingness to be vaccinated. Participants' sociodemographic characteristics profiles were significantly associated with COVID‐19 vaccine knowledge, attitude and willingness to uptake it (p < 0.05). Findings highlight the need for large‐scale interventions to address the low uptake vaccine. Adults' willingness to get a coronavirus vaccine was comparatively low. Sociodemographic profiles, knowledge and attitude were associated significantly with low uptake of the COVID‐19 vaccine among adults in Tanzania.

show abstract

“…The BBS recruited adolescent boys (15-20 years), adolescent girls (15-20 years), adult women (21-45 years), adult men (21-45 years), older men (≥46 years), older women (≥46 years), and opinion leaders to participate in FGDs. We included adolescent boys and girls in the sample because Tanzania experiences a high prevalence of both early sexual debut (having had first sexual intercourse at or before age 14 years of age) and child marriage (marriage before age 18 years) (28,29). Opinion leaders included participants that were well known in the community and had influence over different community affairs despite not holding any religious, medical, or government position or title.…”

Section: Sampling and Recruitmentmentioning

confidence: 99%

Female genital schistosomiasis is a women’s issue, but men should not be left out: involving men in promoting care for female genital schistosomiasis in mainland Tanzania

Lambert,

Samson,

Matungwa

et al. 2024

Front. Trop. Dis

View full text Add to dashboard Cite

ObjectivesFemale Genital Schistosomiasis (FGS) causes gynecologic symptoms among women and girls living in sub-Saharan Africa. Despite continued efforts to raise awareness in communities about schistosomiasis, FGS remains poorly recognized. This study aimed to understand men’s knowledge and perceptions of FGS in northwestern Tanzania, and how this affects or can promote women’s uptake of FGS services.Design and methodsWe conducted a qualitative, formative survey called “Broad Brush Survey” (BBS) using 30 focus group discussions (FGDs) and 29 key informant interviews in five (5) districts across three regions in northwestern Tanzania. Participants were purposively selected in collaboration with village leaders and provided a written consent and/or assent to participate and be voice recorded. They included adolescent girls and boys (15-20 years), adult women and men (21-45 years), older women and men (≥46 years), village leaders (village chairpersons and executive officers), community health workers (CHWs), traditional healers, retail drug sellers, religious leaders, and opinion leaders (influential women and men). This analysis focuses and draws on 18 FGDs and 19 KIIs in which participants discussed or explained the importance and potential role of men in promoting FGS care.ResultsMost participants were not aware of FGS. Despite having adequate knowledge about urogenital schistosomiasis, they perceived FGS to be a sexually transmitted infection (STI). Three main themes emerged during analysis. First, most men reported perceiving women suffering from FGS as “promiscuous” or “unfaithful” due to misperceiving FGS as an STI. Such misperception could result in men ending a relationship. Second, participants reported that their engagement in FGS interventions would be critical to the interventions’ effectiveness because men often regulate women’s access to healthcare. Third, participants argued that men could be empowered through education to promote women’s uptake of FGS services. Finally, they argued that if men are educated about FGS like women, they can both work together in seeking care for FGSConclusionEngaging men to address FGS holds potential to transform their negative perceptions of FGS. Further, participants described men’s potential to support and even advocate for women’s healthcare seeking when women experience symptoms that could be consistent with FGS. Including men more explicitly in FGS community education efforts could facilitate the provision of high-quality sexual and reproductive health care for women living in many communities where FGS is endemic but access to care is limited. We propose that public health interventions in such communities, which are often highly patriarchal, should leverage men’s positions within society by engaging them in promoting women’s health interventions. While we only interviewed participants from five (5) districts across three (3) regions, we are confident that their perceptions are reflective of many similar communities in Tanzania and beyond.

show abstract

Attitude and prevalence of early sexual debut and associated risk sexual behavior among adolescents in Tanzania; Evidence from baseline data in a Randomized Controlled Trial

Cited by 19 publications

References 43 publications

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Knowledge, attitude, intentional practice and individualized determinants of COVID‐19 vaccine uptake among adults: A cross‐sectional study in Tanzania

Female genital schistosomiasis is a women’s issue, but men should not be left out: involving men in promoting care for female genital schistosomiasis in mainland Tanzania

Contact Info

Product

Resources

About