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Use of Dual Protection in Botswana
Author(s) -
Kraft Joan Marie,
Galavotti Christine,
Carter Marion,
Jamieson Denise J.,
Busang Lesego,
Fleming Douglas,
Kilmarx Peter H.
Publication year - 2009
Publication title -
studies in family planning
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 68
eISSN - 1728-4465
pISSN - 0039-3665
DOI - 10.1111/j.1728-4465.2009.00214.x
Subject(s) - dual (grammatical number) , developing country , socioeconomics , business , environmental health , geography , economic growth , medicine , economics , art , literature
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.