title: Gender-specific patterns of multiple concurrent sexual partnerships: a national cross sectional survey in Botswana.
abstract: A priority of AIDS prevention in Botswana is to reduce multiple concurrent sexual partnerships. We analysed data from interviews with people aged 16-60 years in a 2007 national stratified random cluster sample of communities across Botswana. Among 768 male and 1784 female respondents, 10% reported multiple sexual partners in the month prior to the survey (MP1); 19% of men and 6% of women. In a multivariate analysis, men were more likely to report MP1 if they had not completed primary education (adjusted Odds Ratio (ORa) 2.13, 95% confidence intervals with adjustment for clustering (CIca) 1.19-3.85), if they were single (ORa 2.29, 95% CIca 1.28-4.11), if they had experienced intimate partner violence in the last year (ORa 2.59, 95% CIca 1.51-4.45) and if they reported acquiescence to high risk sex (ORa 8.32, 95% CIca 3.38-20.46). Women who said they earned more or the same as their partner were also more likely to report MP1 (ORa 1.76, 95% CIca 1.21-2.56). The higher rate of MP1 among men with different forms of choice-disability shows an important potential multiplication of male risk factors. Women with higher income were more likely to have more partners, questioning the idea that multiple concurrent partners is mainly a question of male disposable income.
authors.affiliation: CIET Trust Botswana, Gaborone, Botswana. ari@ciet.org
authors.forename: Ari
authors.initials: A
authors.lastname: Ho-Foster
authors.forename: Ditiro
authors.initials: D
authors.lastname: Laetsang
authors.forename: Mokgweetsi
authors.initials: M
authors.lastname: Masisi
authors.forename: Marina
authors.initials: M
authors.lastname: Anderson
authors.forename: Derrick
authors.initials: D
authors.lastname: Tlhoiwe
authors.forename: Anne
authors.initials: A
authors.lastname: Cockcroft
authors.forename: Neil
authors.initials: N
authors.lastname: Andersson
mesh_terms: D000293:Adolescent; D000328:Adult; D001902:Botswana; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners / Q000523:psychology*; D012959:Socioeconomic Factors; D055815:Young Adult