Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana

Experiences of Getting Reproductive Health Information from Friends as the Most Influenced Factor on Human Immunodeficiency Virus (HIV) Risk Behavior in Adolescents

BACKGROUND: Adolescents are a vulnerable group to reproductive health and sexuality problems. The problem of drug use and premarital sexual behavior is the focus of attention for adolescents because it can be a risk of HIV transmission. Providing information from various parties regarding reproductive health is expected to reduce adolescents risk of carrying out HIV risk behaviors. AIM: This study purpose was to analyze the experience of obtaining reproductive health information (from friends, parents, community, community leaders, social media, and organizations) that most influence HIV risk behavior in adolescents. METHODS: This cross-sectional study was conducted on adolescents aged 15–19 years living with their parents in Surakarta. The research sample was 450 teenagers. The sampling used convenience sampling technique and data collection using a questionnaire. Data analysis was performed using Chi-square and Fisher’s exact test in bivariate analysis and logistic regression in multivariate analysis. RESULTS: Information from friends is the most influential factor on HIV risk behavior in adolescents (OR = 0.314, CI = 0.090–1.102). Teenagers who get information from friends tend to carry out HIV risk behaviors because the information is not credible and comprehensive and is more toward the negative, namely, pornography. CONCLUSION: Reproductive health information from friends is not necessarily correct. Efforts to improve the skills of adolescents to find credible sources of information on reproductive health and sexuality are needed to reduce the risk of HIV transmission.

Contraceptive literacy among school-going adolescents in Botswana

Aim

To examine adolescent contraceptive literacy and condom knowledge in Botswana.

Background

In Botswana, adolescent HIV infection rates remain high and unintended pregnancies are the predominant reason girls drop out of school. Despite a national mandate for comprehensive sexuality education and youth‐friendly health services, access to accurate sexual and reproductive health information for adolescents remains limited.

Methods

Two hundred forty adolescents attending secondary schools in Maun, Botswana, completed cross‐sectional surveys in 2020. Bivariate and logistic regression examined factors associated with contraceptive literacy and self‐reported condom knowledge.

Findings

Although 90% of students were aware of one or more forms of contraception, only 67% could name a method for which they knew a source and only half of sexually active respondents had used birth control during their last sexual experience. Respondents reported that teachers and family members were the most important sources of information; only 8.2% of respondents identified health professionals in that role. Adolescents who consulted nurses had eight times greater odds of reporting correct condom‐use knowledge than those who consulted teachers.

Implications for Nursing Policy

The positive association between adolescents’ condom‐use knowledge and nurses as information resources supports a call to expand nurses’ role in health education in secondary schools and clinics in Botswana. Education and training programs for health professionals that build communication skills for working with adolescents should be promoted as an essential step in youth‐friendly service provision.

Conclusion

Contraceptive literacy among adolescents in Botswana is low and may contribute to risk behaviors that drive rates of HIV and pregnancies in this population. Interventions to reduce adolescent HIV risk behaviors and unintended pregnancy may prove more effective if they involve nurses as communicators and educators.