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- Title
Use of dual protection in Botswana.
- Authors
Kraft, Joan Marie; Galavotti, Christine; Carter, Marion; Jamieson, Denise J.; Busang, Lesego; Fleming, Douglas; Kilmarx, Peter H.
- Abstract
High rates of unintended pregnancy and of HIV and other sexually transmitted infections prompt calls for use of "dual-protection" strategies, including consistent condom use or dual-method use. This study examines the use of dual-protection strategies in a sample of 15-49-year-old men and women in Botswana in 2003. Half of sexually active respondents reported consistent condom use in the past year; 2.5 percent reported dual-method use. Multiple logistic regression analyses showed that urban residence, less than a ten-year age difference between partners, discussing HIV and contraception with one's partner, not intending to have a child in the next year, having no children, being in a relationship where one or both partners have additional concurrent partners, and supportive condom norms were associated with dual protection--that is, with consistent condom or dual-method use. In the context of high HIV prevalence, concerns about disease prevention likely influence contraception, and interventions should address childbearing desires and sexual risk simultaneously.
- Subjects
BOTSWANA; CONTRACEPTION; CONDOM use; HIV infections; SEXUALLY transmitted diseases; CITY dwellers; HIV prevention; SAFE sex in AIDS prevention; REGRESSION analysis
- Publication
Studies in Family Planning, 2009, Vol 40, Issue 4, p319
- ISSN
0039-3665
- Publication type
journal article
- DOI
10.1111/j.1728-4465.2009.00214.x