Abstract
Background: To facilitate effective program designs aimed at assisting youth avoid unnecessary negative reproductive health outcomes, there is need to understand determinants of condom use among adolescents. Objectives: To determine demographic, socioeconomic and psychosocial factors associated with adolescent condom use in Botswana. Methods: Logistic regression models were employed to analyse a weighted sample of 221 adolescents aged 15 to 19 years from the 2012 Botswana AIDS Impact Survey who had a sexual relationship during the 12 months preceding the survey. Results: A majority of adolescents were current and consistent condom users (81% and 72% respectively). Both current and consistent condom use were positively associated with secondary or higher education, unemployed, high perception of severity of HIV to health and high self-efficacy perception. However, being female, non-Christian, having medium or comprehensive HIV/AIDS related knowledge and high perceived personal risk to HIV infection were negatively associated with both outcomes. Although being 18 to 19 years, having multiple sexual partners and high perception of condom attributes were positively associated with current condom use, they were negatively associated with consistent use. Conclusions: The study showed that in addition to demographic and socioeconomic factors, psychosocial factors are important predictors for condom use among adolescents.
Highlights
To determine demographic, socioeconomic and psychosocial factors associated with adolescent condom use in Botswana
Logistic regression models were employed to analyse a weighted sample of 221 adolescents aged 15 to 19 years from the 2012 Botswana AIDS Impact Survey who had a sexual relationship during the 12 months preceding the survey
This study focused on a weighted sample of 221 adolescents (78.4% of those that have ever had sex) who reported to have been involved in a sexual activity during the 12 months preceding the survey
Summary
Risky sexual behaviour among adolescents remains one of the emerging public health. E. In some studies carried out in Botswana, the temporal relationships between predictors and condom use have been obscured by the inclusion of condom use variables in the determination of risky sexual behaviour indices [38] [39] [40] [41]. The need to inform sexual and reproductive interventions on factors associated with condom use among adolescents is critical as little is known on what influences adolescent condom use in Botswana. The objective of this study is to examine the demographic, socioeconomic and psychosocial predictors of condom use among adolescents aged 15 to 19 years in Botswana. Information from this study will make policy makers and health program managers understand factors that facilitate or deter condom use among adolescents This would assist in facilitating the design of effective sexual and reproductive health programs aimed at assisting the youth to avoid reproductive health problems through increased condom use
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