Demographic, Socio-Economic and Psychosocial Determinants of Current and Consistent Condom Use among Adolescents in Botswana

Background: To facilitate effective program designs aimed at assisting youth avoid unnecessary negative reproductive health outcomes, there is need to understand determinants of condom use among adolescents. Objectives: To determine demographic, socioeconomic and psychosocial factors associated with adolescent condom use in Botswana. Methods: Logistic regression models were employed to analyse a weighted sample of 221 adolescents aged 15 to 19 years from the 2012 Botswana AIDS Impact Survey who had a sexual relationship during the 12 months preceding the survey. Results: A majority of adolescents were current and consistent condom users (81% and 72% respectively). Both current and consistent condom use were positively associated with secondary or higher education, unemployed, high perception of severity of HIV to health and high self-efficacy perception. However, being female, non-Christian, having medium or comprehensive HIV/AIDS related knowledge and high perceived personal risk to HIV infection were negatively associated with both outcomes. Although being 18 to 19 years, having multiple sexual partners and high perception of condom attributes were positively associated with current condom use, they were negatively associated with consistent use. Conclusions: The study showed that in addition to demographic and socioeconomic factors, psychosocial factors are important predictors for condom use among adolescents.