HIV-Related knowledge, attitudes, and practice among educated young adults in Botswana

Stephens, Lindsey L.; Bachhuber, Marcus A.; Seloilwe, Esther; Gungqisa, Nontombi; Mmelesi, Mpho; Bussmann, Hermann; Marlink, Richard; Wester, Carolyn

doi:10.5897/jahr11.062

Cited by 8 publications

(3 citation statements)

References 35 publications

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“…Similar barriers to use of condoms were found in another study of Botswana youth: decreased pleasure, the influence of drugs and alcohol, trust of one’s partner, unavailability of condoms, influence of peers, unprotected sex as proof of love, desire for money and gifts. 23 A study conducted in South Africa also identified the difficulties that families have in openly discussing issues of sex and HIV. 24 …”

Section: Discussionmentioning

confidence: 99%

Reasons for inconsistent condom use by young adults in Mahalapye, Botswana

Kanda

Mash

2018

Afr. j. prim. health care fam. med.

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BackgroundBotswana is one of the countries significantly affected by the HIV and AIDS epidemic. Despite an extensive preventive campaign, the incidence of HIV remains high. Condoms are an important contributor to prevention of new HIV infections, although they are not consistently used by young adults.AimThe aim of this study was to explore the reasons why condoms are not consistently used by young adults.SettingMahalapye District Hospital and Airstrip Clinic, Botswana.MethodThis was a phenomenological qualitative study using individual in-depth interviews. Eleven participants were purposively selected, including six males and five females. Data were transcribed and analysed using the framework method.ResultsAll participants acknowledged the importance of utilising condoms to prevent unplanned pregnancies and sexually transmitted infections. Reasons not to use condoms were a need to have a child, implied lack of trust or faithfulness, long-term relationships need to please the partner and decreased pleasure. Other contributing factors were lack of knowledge of benefits, less fear of contracting HIV and AIDS as it can now be controlled with medication, influence of tradition, alcohol and drug abuse, peer pressure, power and gender issues and the refusal of the partner. The female condom was largely rejected by young adults in general and by women in particular because of its size and the perception that it is complicated to insert.ConclusionThe current preventive campaign against HIV and AIDS needs to take cognisance of the factors affecting decisions on the use of condoms by young adults and the obstacles to their use, particularly the new belief that HIV and AIDS is no longer a significant concern.

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Section: Discussionmentioning

confidence: 99%

Reasons for inconsistent condom use by young adults in Mahalapye, Botswana

Kanda

Mash

2018

Afr. j. prim. health care fam. med.

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“…In Botswana, for example, a study conducted previously showed that half of the students could be perceived to be at risk of HIV, while the same participants thought that each sexually active student should be aware of his HIV status through regular testing. 22…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices regarding HIV/AIDS among senior high school students in Sekondi-Takoradi metropolis, Ghana

Dzah

Tarkang

Lutala

2019

African Journal of Primary Health Care & Family Medicine

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Background In Ghana, youths aged 15–24 years constitute the group most vulnerable to HIV infection. Inadequate knowledge, negative attitudes and risky practices are major hindrances to preventing the spread of HIV. Aim This study sought to investigate the knowledge, attitudes and practices regarding HIV/AIDS among senior high school (SHS) students. Setting Sekondi-Takoradi metropolis, Ghana. Methods A descriptive, cross-sectional design was adopted, using a validated self-administered questionnaire, to collect data from a stratified sample of 294 senior students selected from three participating high schools in August 2017. The data collected were analysed using Stata version 12. Descriptive and inferential statistics were at a significance level of 0.05. Results Among the participants, 61.6% had good knowledge about HIV/AIDS, 172 (58.5%) showed positive attitudes towards people living with HIV (PLHIV) and 79.1% reported HIV-related risky practices. We found a significant association between age and attitudes ( p < 0.05). Poor knowledge was associated with being Muslim (aOR = 1.51 and 1.93; CI 1.19–1.91; p = 0.00) and being a student from school ‘F’ senior high school (F SHS) (aOR = 1.93; CI 1.71–2.18; p = 0.00). Bad attitude towards PLHIV and HIV was associated with ages 15–19 years (aOR = 3.20[2.58–3.96]; p = 0.03) p confirmed; and single marital status (aOR = 1.79[1.44–2.23]; p = 0.00). Bad practices were associated with ages 15–19 years (aOR = 1.72[1.41–2.11]; p = 0.08), belonging to the Akans ethnic group (aOR = 1.57[1.26–1.97]; p = 0.00) or being single (aOR = 1.79[1.44–2.23]; p = 0.00). Associations between misconceptions and HIV transmission were found: HIV can be transmitted by a handshake (aOR = 3.45[2.34–5.68]; p = 0.000), HIV can be cured (aOR = 2.01[2.12–5.04]; p = 0.004) and HIV/AIDS can be transmitted by witchcraft (aOR = 3.12[3.21–7.26]; p = 0.001). Conclusion Participants generally had inadequate knowledge regarding HIV/AIDS, manifested negative attitudes towards PLHIV and also engaged in risky practices that might predispose them to HIV transmission. Our findings underscore the need for culturally adapted and age-oriented basic HIV information for youths in the metropolis on misconceptions about HIV transmission, negative attitudes of students towards PLHIV as well as the risky practices of students regarding HIV.

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“…Young people, particularly females aged 15-24 years, are reported to be most at risk; existing research suggests that high levels of risky sexual behavior are the major contributor to high STI infections in the region. [5][6][7] . Risky sexual behavior has been defined as having sexual intercourse with at least one non-spousal partner without using a barrier method 8 .…”

Section: Introductionmentioning

confidence: 99%

Association between educational attainment and risky sexual behaviour among Ghanaian female youth

Jackson¹,

Haile²

2023

Afr H. Sci.

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Background: Ghanaian female youth aged 15-24 years are especially vulnerable to sexually transmitted infections (STIs) compared to their male counterparts.Objectives: This study examined the association between educational attainment and risky sexual behavior among Ghanaian female youth. Method: A cross-sectional study was conducted using a nationally representative sample of youth from the 2014 Ghana Demographic and Health Survey (n=1702). The outcome of interest was risky sexual behavior, defined as having last intercourse with a non-marital partner without condoms. Descriptive and inferential statistical tests were utilized. Results: Overall, the prevalence of risky sexual behavior was 66.9%. In the bivariate analysis, risky sexual behavior differed by level of education. Compared to women with a college-level education, a significantly higher proportion of women with secondary education reported risky sexual behavior (72.9%), followed by those with primary education (65.7%) (p<0.001). In the multivariable-adjusted model, there was a significant interaction between education and household wealth index (P =0.030) and between education and the type of place of residence (P =0.045) on risky sexual behavior. Conclusion: Culturally appropriate and targeted interventions are warranted to increase condom use among these subgroups and curb the rising rates of STIs among Ghanaian female youth. Keywords: Ghanaian youth; risky sexual behavior; educational attainment.

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HIV-Related knowledge, attitudes, and practice among educated young adults in Botswana

Cited by 8 publications

References 35 publications

Reasons for inconsistent condom use by young adults in Mahalapye, Botswana

Reasons for inconsistent condom use by young adults in Mahalapye, Botswana

Knowledge, attitudes and practices regarding HIV/AIDS among senior high school students in Sekondi-Takoradi metropolis, Ghana

Association between educational attainment and risky sexual behaviour among Ghanaian female youth

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