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Alcohol Consumption and Risky Sexual Behavior Among Persons Attending Alcohol Consumption Venues in Gaborone, Botswana

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Abstract

Alcohol use is a known key risk factor associated with risky sexual behavior that contributes to HIV transmission. This cross-sectional study used time location sampling to investigate alcohol use and risky sexual behaviors that occurred after ingesting alcohol among 609 patrons of alcohol venues in Gaborone, Botswana. Alcohol Use Disorders Identification Test (AUDIT) scores were categorized as low (1–7), medium (8–15), and high (16+) for analysis. Logistic regression models stratified by gender assessed the association between alcohol use and condom use at last sex after drinking alcohol. Among females, the odds of condom use during last sex after drinking alcohol were significantly lower for high compared to low AUDIT scores (AOR = 0.17, 95 % CI 0.06–0.54). Among males, factors significantly associated with condom use at last sex after alcohol use were low levels of education (primary level compared to university and above AOR = 0.13; 95 % CI 0.03–0.55) and beliefs that alcohol use did not increase risky sexual behaviors (AOR = 0.26; 95 % CI 0.11–0.62). HIV prevention interventions should target females and emphasize sexual risks associated with alcohol use.

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Acknowledgments

This research was supported by the Center for Disease Control Botswana on behalf of the Botswana Ministry of Health and manuscript preparation by USAID.

Conflict of Interest

The authors declare that they have no conflict of interest.

Compliance with Ethical Standards

This Research to Prevention (R2P) project was supported by USAID|Project SEARCH, Task Order No. 2, funded by the US Agency for International Development under Contract No. GHH-I-02-07-00032-00, beginning 30 September 2008, and supported by the President’s Emergency Plan for AIDS Relief. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Authors and Affiliations

  1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA

    Tsering Pema Lama

  2. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA

    Heena Brahmbhatt

  3. Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA

    E. ‘Kuor Kumoji

  4. Motlabaseyo Integrated Management Services (MiMS), Gaborone, Botswana

    Ditsotlhe Ketlogetswe

  5. Department of Health Policy Development, Monitoring and Evaluation, Ministry of Health (MOH) of Botswana, Gaborone, Botswana

    Marina Anderson

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  1. Tsering Pema Lama
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  2. E. ‘Kuor Kumoji
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  3. Ditsotlhe Ketlogetswe
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  4. Marina Anderson
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  5. Heena Brahmbhatt
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Correspondence to Heena Brahmbhatt.

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Lama, T.P., Kumoji, E.‘., Ketlogetswe, D. et al. Alcohol Consumption and Risky Sexual Behavior Among Persons Attending Alcohol Consumption Venues in Gaborone, Botswana. Prev Sci 17, 227–236 (2016). https://doi.org/10.1007/s11121-015-0607-2

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  • DOI: https://doi.org/10.1007/s11121-015-0607-2

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