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Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana

Author

Listed:
  • Francis Barchi

    (Edward J. Bloustein School of Planning & Public Policy, Rutgers-The State University of New Jersey, New Brusnwick, NJ 08901, USA)

  • Helen Apps

    (WoMen Against Rape, Maun, Botswana)

  • Oleosi Ntshebe

    (Department of Population Studies, University of Botswana, Gaborone, Botswana)

  • Peggie Ramaphane

    (WoMen Against Rape, Maun, Botswana)

Abstract

Adolescent sexual behavior is shaped by individual, social, and structural factors that can increase HIV-risk, unwanted pregnancy, and sexually transmitted disease. To inform the development of a comprehensive sexuality education program, 239 secondary school adolescents ages 14–19 in Maun, Botswana, completed a survey of sexual and reproductive health knowledge, attitudes, and behaviors in February–March 2020. Bivariate and multivariate analyses examined factors associated with sexual experience and perceived ability to insist on condoms. Approximately 21% of respondents reported having had sexual intercourse. More than half felt able to insist on condoms. Sources of information about human reproduction, alcohol use, attitudes about when sex is acceptable, and perceived sexual activity by one’s peers were predictive of sexual experience. Age, confidence in correct condom use, perceived acceptability of adolescent sex with condoms, and endorsement of prevailing gender norms were significantly associated with perceived ability to insist on condom use.

Suggested Citation

  • Francis Barchi & Helen Apps & Oleosi Ntshebe & Peggie Ramaphane, 2021. "Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5583-:d:560702
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    References listed on IDEAS

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    1. Tsai, A.C. & Leiter, K. & Heisler, M. & Iacopino, V. & Wolfe, W. & Shannon, K. & Phaladze, N. & Hlanze, Z. & Weiser, S.D., 2011. "Prevalence and correlates of forced sex perpetration and victimization in Botswana and Swaziland," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1068-1074.
    2. Hendriksen, E.S. & Pettifor, A. & Lee, S.-J. & Coates, T.J. & Rees, H.V., 2007. "Predictors of condom use among young adults in South Africa: The reproductive health and HIV research unit national youth survey," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1241-1248.
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