Use of Dual Protection in Botswana
Article first published online: 8 DEC 2009
© 2009 The Population Council, Inc.
Studies in Family Planning
Volume 40, Issue 4, pages 319–328, December 2009
How to Cite
Kraft, J. M., Galavotti, C., Carter, M., Jamieson, D. J., Busang, L., Fleming, D. and Kilmarx, P. H. (2009), Use of Dual Protection in Botswana. Studies in Family Planning, 40: 319–328. doi: 10.1111/j.1728-4465.2009.00214.x
- Issue published online: 8 DEC 2009
- Article first published online: 8 DEC 2009
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.