Skip to main content
Top
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Sexual practices among unmarried adolescents in Tanzania

Authors: Method R Kazaura, Melkiory C Masatu

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

Sexual activities are increasingly changing from the cultural point of view what they used to be. Knowledge of these practices among adolescents may be a basis to create awareness among adolescents on practices that involve risks. This study aims to assess sexual practices among unmarried adolescents in Tanzania.

Methods

A cross-sectional survey was conducted among in-school and out-of-school but unmarried adolescents aged 10 to 19 in five locations in Tanzania. A questionnaire was used to collect information and to characterize sexual practices among these adolescents.

Results

About 32% of adolescents reported being sexually active; a higher proportion being males than females. The only inquired and reported sexual practices include vaginal sex, masturbation, oral and anal sex. About 15% of sexually active adolescents reported having multiple sexual partners. Significantly more males reported having multiple partners than females. Nearly 42% of sexually active adolescents reported having used a condom during most recent sexual act. Females reported older partners at first sexual act.

Conclusion

Adolescents experience several sexual practices that include penetrative and non-penetrative. More males reported being sexually active than females. Despite adolescents reporting having multiple sexual partners, reported condom use during the most recent sexual act was low. We advocate for a more enhanced approach of reproductive health education that includes safer sex to adolescents without forgetting those in-schools.
Appendix
Available only for authorised users
Literature
1.
go back to reference Pacheco-Sánchez CI, Rincón-Suárez LJ, Guevara EE, Latorre-Santos C, Enríquez-Guerrero C, Nieto-Olivar JM: Meanings of sexuality and reproductive health in adolescents from Bogota. Salud Publica Mex. 2007, 49: 45-51.CrossRefPubMed Pacheco-Sánchez CI, Rincón-Suárez LJ, Guevara EE, Latorre-Santos C, Enríquez-Guerrero C, Nieto-Olivar JM: Meanings of sexuality and reproductive health in adolescents from Bogota. Salud Publica Mex. 2007, 49: 45-51.CrossRefPubMed
2.
go back to reference Silberschmidt M, Rasch V: Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents. Soc Sci Med. 2001, 52: 1815-26. 10.1016/S0277-9536(00)00299-9.CrossRefPubMed Silberschmidt M, Rasch V: Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents. Soc Sci Med. 2001, 52: 1815-26. 10.1016/S0277-9536(00)00299-9.CrossRefPubMed
3.
go back to reference Bambra CS: Current status of reproductive behaviour in Africa. Hum Reprod Update. 1999, 5: 1-20. 10.1093/humupd/5.1.1.CrossRefPubMed Bambra CS: Current status of reproductive behaviour in Africa. Hum Reprod Update. 1999, 5: 1-20. 10.1093/humupd/5.1.1.CrossRefPubMed
4.
go back to reference Lydie N, Robinson NJ, Ferry B, Akam E, De Loenzien M, Zekeng L, Abega S: Adolescent sexuality and the HIV epidemic in Yaounde, Cameroon. J Biosoc Sci. 2004, 36: 597-616. 10.1017/S002193200300631X.CrossRefPubMed Lydie N, Robinson NJ, Ferry B, Akam E, De Loenzien M, Zekeng L, Abega S: Adolescent sexuality and the HIV epidemic in Yaounde, Cameroon. J Biosoc Sci. 2004, 36: 597-616. 10.1017/S002193200300631X.CrossRefPubMed
5.
go back to reference Masatu CM, Kazaura MR, Ndeki S, Mwampambe R: Predictors of Risky Sexual Behavior among Adolescents in Tanzania. AIDS Behav. 2009, 13: 94-99. 10.1007/s10461-007-9292-x.CrossRefPubMed Masatu CM, Kazaura MR, Ndeki S, Mwampambe R: Predictors of Risky Sexual Behavior among Adolescents in Tanzania. AIDS Behav. 2009, 13: 94-99. 10.1007/s10461-007-9292-x.CrossRefPubMed
6.
go back to reference Kaaya SF, Leshabari MT, Mbwambo JK: Risk behaviours and vulnerability to HIV infection among Tanzania youth. J Health Popul Dev Ctries. 1998, 1: 51-60.PubMed Kaaya SF, Leshabari MT, Mbwambo JK: Risk behaviours and vulnerability to HIV infection among Tanzania youth. J Health Popul Dev Ctries. 1998, 1: 51-60.PubMed
7.
go back to reference Vos T: Attitudes to sex and sexual behaviour in rural Matabeleland, Zimbabwe. AIDS Care. 1994, 6: 193-203. 10.1080/09540129408258630.CrossRefPubMed Vos T: Attitudes to sex and sexual behaviour in rural Matabeleland, Zimbabwe. AIDS Care. 1994, 6: 193-203. 10.1080/09540129408258630.CrossRefPubMed
8.
go back to reference Brody S, Potterat JJ: Assessing the role of anal intercourse in the epidemiology of AIDS in Africa. Int J STD AIDS. 2003, 14: 431-6. 10.1258/095646203322025704.CrossRefPubMed Brody S, Potterat JJ: Assessing the role of anal intercourse in the epidemiology of AIDS in Africa. Int J STD AIDS. 2003, 14: 431-6. 10.1258/095646203322025704.CrossRefPubMed
9.
go back to reference Schwandt M, Morris C, Ferguson A, Ngugi E, Moses S: Anal and dry sex in commercial sex work, and relation to risk for sexually transmitted infections and HIV in Meru, Kenya. Sex Transm Infect. 2006, 82: 392-6. 10.1136/sti.2006.019794.CrossRefPubMedPubMedCentral Schwandt M, Morris C, Ferguson A, Ngugi E, Moses S: Anal and dry sex in commercial sex work, and relation to risk for sexually transmitted infections and HIV in Meru, Kenya. Sex Transm Infect. 2006, 82: 392-6. 10.1136/sti.2006.019794.CrossRefPubMedPubMedCentral
10.
go back to reference Paul-Ebhohimhen VA, Poobalan A, van Teijlingen ER: Systematic review of effectiveness of school-based sexual health interventions in sub-Saharan Africa. BMC Public Health. 2008, 8: 4-10.1186/1471-2458-8-4.CrossRefPubMedPubMedCentral Paul-Ebhohimhen VA, Poobalan A, van Teijlingen ER: Systematic review of effectiveness of school-based sexual health interventions in sub-Saharan Africa. BMC Public Health. 2008, 8: 4-10.1186/1471-2458-8-4.CrossRefPubMedPubMedCentral
11.
go back to reference Slaymaker E, Buckner B: Monitoring trends in sexual behaviour in Zambia, 1996-2003. Sex Transm Infect. 2004, 80 (Suppl 2): ii85-90. 10.1136/sti.2004.012054.PubMedPubMedCentral Slaymaker E, Buckner B: Monitoring trends in sexual behaviour in Zambia, 1996-2003. Sex Transm Infect. 2004, 80 (Suppl 2): ii85-90. 10.1136/sti.2004.012054.PubMedPubMedCentral
12.
go back to reference Ntozi JP, Najjumba IM, Ahimbisibwe F, Ayiga N, Odwee J: Has the HIV/AIDS epidemic changed sexual behaviour of high risk groups in Uganda?. Afr Health Sci. 2003, 3: 107-16.PubMedPubMedCentral Ntozi JP, Najjumba IM, Ahimbisibwe F, Ayiga N, Odwee J: Has the HIV/AIDS epidemic changed sexual behaviour of high risk groups in Uganda?. Afr Health Sci. 2003, 3: 107-16.PubMedPubMedCentral
13.
go back to reference Quigley M, Munguti K, Grosskurth H, et al: Sexual behaviours patterns and other risk factors for HIV infection in rural Tanzania: a case-control study. AIDS. 1997, 11: 237-48. 10.1097/00002030-199702000-00015.CrossRefPubMed Quigley M, Munguti K, Grosskurth H, et al: Sexual behaviours patterns and other risk factors for HIV infection in rural Tanzania: a case-control study. AIDS. 1997, 11: 237-48. 10.1097/00002030-199702000-00015.CrossRefPubMed
14.
go back to reference Munguti K, Grosskurth H, Newell J, et al: Patterns of sexual behaviour in a rural population in north-westren Tanzania. Soc Sci Med. 1997, 44: 1553-61. 10.1016/S0277-9536(97)00014-2.CrossRefPubMed Munguti K, Grosskurth H, Newell J, et al: Patterns of sexual behaviour in a rural population in north-westren Tanzania. Soc Sci Med. 1997, 44: 1553-61. 10.1016/S0277-9536(97)00014-2.CrossRefPubMed
15.
go back to reference Wood K, Lambert H, Jewkes R: "Showing roughness in a beautiful way": talk about love, coercion, and rape in South African youth sexual culture. Med Anthropol Q. 2007, 21: 277-300. 10.1525/maq.2007.21.3.277.CrossRefPubMed Wood K, Lambert H, Jewkes R: "Showing roughness in a beautiful way": talk about love, coercion, and rape in South African youth sexual culture. Med Anthropol Q. 2007, 21: 277-300. 10.1525/maq.2007.21.3.277.CrossRefPubMed
16.
go back to reference Erulkar AS: The experience of sexual coercion among young people in Kenya. Int Fam Plan Perspect. 2004, 30: 182-9. 10.1363/3005804.CrossRefPubMed Erulkar AS: The experience of sexual coercion among young people in Kenya. Int Fam Plan Perspect. 2004, 30: 182-9. 10.1363/3005804.CrossRefPubMed
17.
go back to reference Koenig MA, Zablotska I, Lutalo T, Nalugoda F, Wagman J, Gray R: Coerced first intercourse and reproductive health among adolescent women in Rakai, Uganda. Int Fam Plan Perspect. 2004, 30: 156-63.CrossRefPubMed Koenig MA, Zablotska I, Lutalo T, Nalugoda F, Wagman J, Gray R: Coerced first intercourse and reproductive health among adolescent women in Rakai, Uganda. Int Fam Plan Perspect. 2004, 30: 156-63.CrossRefPubMed
18.
go back to reference Ajuwon AJ, Olley BO, Akin-Jimoh I, Akintola O: Experience of sexual coercion among adolescents in Ibadan, Nigeria. Afr J Reprod Health. 2001, 5: 120-31. 10.2307/3583330.CrossRefPubMed Ajuwon AJ, Olley BO, Akin-Jimoh I, Akintola O: Experience of sexual coercion among adolescents in Ibadan, Nigeria. Afr J Reprod Health. 2001, 5: 120-31. 10.2307/3583330.CrossRefPubMed
19.
go back to reference Lockhart C: Kunyenga, "real sex", and survival: assessing the risk of HIV infection among urban street boys in Tanzania. Med Anthropol Q. 2002, 16: 294-311. 10.1525/maq.2002.16.3.294.CrossRefPubMed Lockhart C: Kunyenga, "real sex", and survival: assessing the risk of HIV infection among urban street boys in Tanzania. Med Anthropol Q. 2002, 16: 294-311. 10.1525/maq.2002.16.3.294.CrossRefPubMed
20.
go back to reference Mwakagile D, Mmari E, Makwaya C, et al: Sexual behaviour among youths at high risk for HIV-1 infection in Dar es Salaam, Tanzania. Sex Transm Infect. 2001, 77: 255-9. 10.1136/sti.77.4.255.CrossRefPubMedPubMedCentral Mwakagile D, Mmari E, Makwaya C, et al: Sexual behaviour among youths at high risk for HIV-1 infection in Dar es Salaam, Tanzania. Sex Transm Infect. 2001, 77: 255-9. 10.1136/sti.77.4.255.CrossRefPubMedPubMedCentral
21.
go back to reference Simbayi LC, Kalichman SC, Jooste S, Cherry C, Mfecane S, Cain D: Risk factors for HIV-AIDS among youth in Cape Town, South Africa. AIDS Behavior. 2005, 9: 53-61. 10.1007/s10461-005-1681-4.CrossRefPubMed Simbayi LC, Kalichman SC, Jooste S, Cherry C, Mfecane S, Cain D: Risk factors for HIV-AIDS among youth in Cape Town, South Africa. AIDS Behavior. 2005, 9: 53-61. 10.1007/s10461-005-1681-4.CrossRefPubMed
22.
go back to reference Konings E, Blattner WA, Levin A, et al: Sexual Behavior survey in a rural area of north-est Tanzania. AIDS. 1994, 8: 987-993. 10.1097/00002030-199407000-00018.CrossRefPubMed Konings E, Blattner WA, Levin A, et al: Sexual Behavior survey in a rural area of north-est Tanzania. AIDS. 1994, 8: 987-993. 10.1097/00002030-199407000-00018.CrossRefPubMed
23.
go back to reference National AIDS Control Programme, Ministry of Health, United Republic of Tanzania: HIV/AIDS/STI Surveillance Report. 2005, Number 19; Ministry of Health; Tanzania National AIDS Control Programme, Ministry of Health, United Republic of Tanzania: HIV/AIDS/STI Surveillance Report. 2005, Number 19; Ministry of Health; Tanzania
24.
go back to reference Seha AM, Klepp KI, Ndeki SS: Scale reliability and construct validity: a pilot study among primary school children in Northern Tanzania. AIDS Educ Prev. 1994, 6: 524-534.PubMed Seha AM, Klepp KI, Ndeki SS: Scale reliability and construct validity: a pilot study among primary school children in Northern Tanzania. AIDS Educ Prev. 1994, 6: 524-534.PubMed
25.
go back to reference Rehle T, Shisana O, Pillay V, Zuma K, Puren A, Parker W: National HIV incidence measures--new insights into the South African epidemic. S Afr Med J. 2007, 97: 194-9.PubMed Rehle T, Shisana O, Pillay V, Zuma K, Puren A, Parker W: National HIV incidence measures--new insights into the South African epidemic. S Afr Med J. 2007, 97: 194-9.PubMed
26.
go back to reference National Bureau of Statistics (NBS) [Tanzania] and ORC Macro: Tanzania Demographic and Health Survey 2004-05. 2005, Dar es Salaam, Tanzania: National Bureau of Statistics and ORC Macro National Bureau of Statistics (NBS) [Tanzania] and ORC Macro: Tanzania Demographic and Health Survey 2004-05. 2005, Dar es Salaam, Tanzania: National Bureau of Statistics and ORC Macro
28.
go back to reference Konde-Lule JK, Sewankambo N, Morris M: Adolescent sexual networking and HIV transmission in rural Uganda. Health Transit Rev. 1997, 7 (Suppl): 89-100.PubMed Konde-Lule JK, Sewankambo N, Morris M: Adolescent sexual networking and HIV transmission in rural Uganda. Health Transit Rev. 1997, 7 (Suppl): 89-100.PubMed
29.
go back to reference Wong SP, Yin YP, Gao X, et al: Risk of syphilis in STI clinic patients: a cross-sectional study of 11,500 cases in Guangxi, China. Sex Transm Infect. 2007, 83: 351-6. 10.1136/sti.2007.025015.CrossRefPubMedPubMedCentral Wong SP, Yin YP, Gao X, et al: Risk of syphilis in STI clinic patients: a cross-sectional study of 11,500 cases in Guangxi, China. Sex Transm Infect. 2007, 83: 351-6. 10.1136/sti.2007.025015.CrossRefPubMedPubMedCentral
30.
go back to reference Finer LB, Darroch JE, Singh S: Sexual partnership patterns as a behavioral risk factor for sexually transmitted diseases. Fam Plann Perspect. 1999, 31: 228-36. 10.2307/2991570.CrossRefPubMed Finer LB, Darroch JE, Singh S: Sexual partnership patterns as a behavioral risk factor for sexually transmitted diseases. Fam Plann Perspect. 1999, 31: 228-36. 10.2307/2991570.CrossRefPubMed
31.
go back to reference Kellogg ND, Hoffman TJ: Child sexual revictimization by multiple perpetrators. Child Abuse Negl. 1997, 21: 953-64. 10.1016/S0145-2134(97)00056-2.CrossRefPubMed Kellogg ND, Hoffman TJ: Child sexual revictimization by multiple perpetrators. Child Abuse Negl. 1997, 21: 953-64. 10.1016/S0145-2134(97)00056-2.CrossRefPubMed
32.
go back to reference Bankole A, Ahmed FH, Neema S, Ouedraogo C, Konyani S: Knowledge of correct condom use and consistency of use among adolescents in four countries in Sub-Saharan Africa. Afr J Reprod Health. 2007, 11: 197-220.CrossRefPubMedPubMedCentral Bankole A, Ahmed FH, Neema S, Ouedraogo C, Konyani S: Knowledge of correct condom use and consistency of use among adolescents in four countries in Sub-Saharan Africa. Afr J Reprod Health. 2007, 11: 197-220.CrossRefPubMedPubMedCentral
33.
go back to reference Zaba B, Pisani E, Slaymaker E, Boerma JT: Age at first sex: understanding recent trends in African demographic surveys. Sex Transm Infect. 2004, 80 (Suppl 2): ii28-35. 10.1136/sti.2004.012674.PubMedPubMedCentral Zaba B, Pisani E, Slaymaker E, Boerma JT: Age at first sex: understanding recent trends in African demographic surveys. Sex Transm Infect. 2004, 80 (Suppl 2): ii28-35. 10.1136/sti.2004.012674.PubMedPubMedCentral
Metadata
Title
Sexual practices among unmarried adolescents in Tanzania
Authors
Method R Kazaura
Melkiory C Masatu
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-373

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue