Self-reported risky sexual practices among adolescents and young adults in Botswana.

Adolescents Gender-specific risky sexual practices HIV Risky sexual practices Self-reported risky sexual practices Young adults

Journal

Southern African journal of HIV medicine
ISSN: 2078-6751
Titre abrégé: South Afr J HIV Med
Pays: South Africa
ID NLM: 100965417

Informations de publication

Date de publication:
2019
Historique:
received: 14 08 2018
accepted: 25 03 2019
entrez: 17 7 2019
pubmed: 17 7 2019
medline: 17 7 2019
Statut: epublish

Résumé

Adolescents and young adults account for more than one-third of incident Human Immunodeficiency Virus (HIV) infections globally. Understanding sexual practices of this high-risk group is critical in designing HIV targeted prevention programming. To describe self-reported risky sexual practices of adolescents and young adults aged 16-24 years from 30 Botswana communities. Cross-sectional, self-reported age at sexual debut; number of sexual partners; condom and alcohol use during sex; intergenerational sex; and transactional sex data were collected. Modified Poisson estimating equations were used to obtain univariate and multivariate-adjusted prevalence ratios (PR) and 95% confidence intervals (CI) comparing engagement in different sexual practices according to gender, accounting for the clustered design of the study. Among the 3380 participants, 2311 reported being sexually active with more females reporting being sexually active compared to males (65% vs. 35%, respectively; Self-reported risky sexual practices of adolescents and young adults in Botswana differed significantly between males and females. Gender-specific risky sexual practices highlight the importance of developing tailored HIV prevention programming.

Sections du résumé

BACKGROUND BACKGROUND
Adolescents and young adults account for more than one-third of incident Human Immunodeficiency Virus (HIV) infections globally. Understanding sexual practices of this high-risk group is critical in designing HIV targeted prevention programming.
OBJECTIVES OBJECTIVE
To describe self-reported risky sexual practices of adolescents and young adults aged 16-24 years from 30 Botswana communities.
METHODS METHODS
Cross-sectional, self-reported age at sexual debut; number of sexual partners; condom and alcohol use during sex; intergenerational sex; and transactional sex data were collected. Modified Poisson estimating equations were used to obtain univariate and multivariate-adjusted prevalence ratios (PR) and 95% confidence intervals (CI) comparing engagement in different sexual practices according to gender, accounting for the clustered design of the study.
RESULTS RESULTS
Among the 3380 participants, 2311 reported being sexually active with more females reporting being sexually active compared to males (65% vs. 35%, respectively;
CONCLUSIONS CONCLUSIONS
Self-reported risky sexual practices of adolescents and young adults in Botswana differed significantly between males and females. Gender-specific risky sexual practices highlight the importance of developing tailored HIV prevention programming.

Identifiants

pubmed: 31308965
doi: 10.4102/sajhivmed.v20i1.899
pii: HIVMED-20-899
pmc: PMC6620511
doi:

Types de publication

Journal Article

Langues

eng

Pagination

899

Subventions

Organisme : NIAID NIH HHS
ID : K23 AI091434
Pays : United States
Organisme : CGH CDC HHS
ID : U01 GH000447
Pays : United States
Organisme : NIAID NIH HHS
ID : K24 AI131928
Pays : United States
Organisme : CGH CDC HHS
ID : U2G GH001911
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA236546
Pays : United States

Déclaration de conflit d'intérêts

The authors declare that this article is not under publication consideration elsewhere and that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

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Auteurs

Unoda Chakalisa (U)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Kathleen Wirth (K)

Harvard T.H. Chan School of Public Health, Boston, United States.

Kara Bennett (K)

Bennett Statistical Consulting, Ballston Lake, United States.

Etienne Kadima (E)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Kutlo Manyake (K)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Tendani Gaolathe (T)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Pam Bachanas (P)

Centers for Disease Control and Prevention, Division of Global HIV/AIDS and TB, Atlanta, United States.

Tafireyi Marukutira (T)

Centers for Disease Control and Prevention, Gaborone, Botswana.

Refeletswe Lebelonyane (R)

Botswana Ministry of Health and Wellness, Gaborone, Botswana.

Scott Dryden-Peterson (S)

Brigham and Women's Hospital, Boston, United States.

Lisa Butler (L)

Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, Storrs, United States.

Mompati Mmalane (M)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Joseph Makhema (J)

Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.

Michelle E Roland (ME)

Centers for Disease Control and Prevention, Gaborone, Botswana.

Molly Pretorius-Holme (M)

Harvard T.H. Chan School of Public Health, Boston, United States.

Max Essex (M)

Harvard T.H. Chan School of Public Health, Boston, United States.

Shahin Lockman (S)

Brigham and Women's Hospital, Boston, United States.

Kathleen M Powis (KM)

Massachusetts General Hospital, Boston, United States.

Classifications MeSH