Predictors of risky sexual behaviour among young people in the era of HIV/AIDS: evidence from the 2008 Botswana AIDS Impact Survey III

Gobopamang Letamo, Lucky L. Mokgatlhe

Abstract

The objective of this study is to fill in that research gap by investigating factors that are likely to predict Botswana’s young people’s practicing risky sexual behaviour in the era of HIV/AIDS. Data used in this study were obtained from a nationally representative sample of 5,810 young people aged 15 to 29 who had completed an individual questionnaire of the 2008 Botswana AIDS Impact Survey III. Both descriptive and multiple regression analyses were used for analysis. Elevated odds ratio (OR) values were obtained from a linear model analysis, showing statistically significant predictors of risky sexual behaviour among young people who have experienced coerced sex (OR=2.2), substance use (OR=1.8), having had sex before the age of 15 (OR=1.9), being older (OR=1.1) and lack of sexual self-efficacy (OR=1.6). Therefore risk reduction strategies aimed at addressing these potential problems should target young people before they enter adolescence and should develop gender-specific strategies. (Afr J Reprod Health 2013; 17[3]: 169-181).

 

Résumé

 

L'objectif de cette étude est de combler cette lacune-là qui existe dans la recherche tout en examinant  les facteurs qui sont susceptibles de prédire la pratique de comportements sexuels à risque chez les jeunes gens du Botswana à l'ère du VIH / SIDA.  Les données utilisées dans cette étude ont été obtenues à partir d'un échantillon national représentatif de 5810 jeunes âgés de 15 à 29 ans qui avaient remplir un questionnaire individuel du Botswana AIDS Impact Survey III 2008. Des analyses de régression à la fois descriptive et multiples ont été utilisées pour l'analyse. Les rapports de  valeurs de cotes élevé (OR) ont été obtenus à partir d'une analyse du modèle linéaire, montrant des  indices statistiquement significatifs de comportements sexuels à risque chez les jeunes qui ont eu des relations sexuelles sous la contrainte (OR = 2,2), la consommation de drogue (OR = 1,8), après avoir eu des relations sexuelles avant l’âge de 15 ans (OR = 1,9), étant plus âgés (OR = 1,1) et le manque d’auto-efficacité  sexuelle(OR = 1,6).  Par conséquent, les stratégies de réduction de risque  destinées à résoudre ces problèmes potentiels devraient cibler les jeunes gens avant qu'ils n’entrent dans l'adolescence et devrait élaborer des stratégies propres à chaque sexe. (Afr J Reprod Health 2013; 17[3]: 169-181).

 

 

Keywords:  Risky sexual behaviour, young people, HIV/AIDS, Botswana

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