title: Use of dual protection in Botswana.
abstract: 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.
authors.affiliation: Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-34, Atlanta, GA 30341, USA. jik4@cdc.gov
authors.forename: Joan Marie
authors.initials: JM
authors.lastname: Kraft
authors.forename: Christine
authors.initials: C
authors.lastname: Galavotti
authors.forename: Marion
authors.initials: M
authors.lastname: Carter
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.forename: Lesego
authors.initials: L
authors.lastname: Busang
authors.forename: Douglas
authors.initials: D
authors.lastname: Fleming
authors.forename: Peter H
authors.initials: PH
authors.lastname: Kilmarx
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001902:Botswana / Q000453:epidemiology; D016009:Chi-Square Distribution; D016000:Cluster Analysis; D017280:Condoms / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D005193:Family Planning Services; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D015995:Prevalence; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D014505:Urban Population