Background: HIV prevalence in Botswana is among the highest in the world and sexual networking patterns represent an important dimension to understanding the spread of HIV/AIDS.
Purpose: To examine risk behavior associated with recent multiple sexual partnerships among people living with HIV/AIDS in Botswana.
Methods: Confidential brief interviews were administered to 209 HIV positive men and 291 HIV positive women recruited conveniently from HIV/AIDS support groups and antiretroviral clinics. Measures included demographics, duration of HIV diagnosis, sexual partnerships, condom use, and HIV status disclosure.
Results: The response rate was 63% and 309 (62%) participants were currently sexually active, of which 247 (80%) reported only one sex partner in the previous 3-months and 62 (20%) reported two or more partners during that time. Condom use exceeded 80% across partner types and regardless of multiple partnerships. Steady sex partners of participants with multiple partnerships were significantly less likely to be protected by condoms than steady partners of persons with only one sex partner. Individuals with multiple sex partners were also significantly less likely to have disclosed their HIV status.
Conclusions: Multiple sexual partnerships, many of which are likely concurrent, are not uncommon among sexually active people living with HIV in Botswana. HIV prevention is needed for all persons who are at risk and assistance should be provided to HIV infected persons who continue to practice unprotected sex with uninfected or unknown HIV status partners.
- Botswana Africa
- Concurrent sex partners
- HIV prevention
- Prevention for people with HIV
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