title: A comparison of risky sexual behaviours between circumcised and uncircumcised men aged 30-44 years in Botswana.
abstract: BACKGROUND
  The principal mode of HIV transmission in Southern Africa is through sexual intercourse, and this has prompted uptake of safe male circumcision. Engaging in risky sexual behaviour by circumcised men increases the risks of acquiring HIV, though male circumcision coupled with preventive behaviour reduces this risk.
  
  
  OBJECTIVE
  To compare the factors associated with risky sexual behaviour among circumcised and uncircumcised men in Botswana.
  
  
  METHODS
  Nationally representative data from the Botswana AIDS Impact Survey III were used. A sample of 313 sexually active men was used. The data was analysed by cross-tabulation and logistic regression.
  
  
  RESULTS
  The study revealed that uncircumcised men (odds ratio, 5.711) were more likely to have sex while intoxicated with alcohol compared to circumcised men. Low levels of education (odds ratio, 8.736), urban residency (city/town: odds ratio, 1.238 and urban village: odds ratio, 1.098) were more likely to influence risky behaviour (more than one sexual partner) for circumcised men. The results also show that marital status (never married) (odds ratio, 1.947) influences risky behaviour (having sex while intoxicated with alcohol) among uncircumcised men.
  
  
  CONCLUSIONS
  Low level of education, place of residence and alcohol consumption influences risky sexual behaviour for both circumcised and uncircumcised men. Policies and programmes should thus focus on the attitudes underlying sexual behaviour.
authors.affiliation: Ministry of Health, Research.
authors.forename: Galekgatlhe Bailey
authors.initials: GB
authors.lastname: Balekang
authors.affiliation: Ministry of Health, Research.
authors.forename: Kakanyo Fani
authors.initials: KF
authors.lastname: Dintwa
mesh_terms: D000293:Adolescent; D000328:Adult; D001902:Botswana; D002944:Circumcision, Male; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D016017:Odds Ratio; D012111:Residence Characteristics; D012307:Risk Factors; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D014505:Urban Population
keywords: 30–44 years; Botswana; Risky sexual behaviours; circumcised; uncircumcised men