Gender-specific patterns of multiple concurrent sexual partnerships: a national cross sectional survey in Botswana

AIDS Care. 2010 Aug;22(8):1006-11. doi: 10.1080/09540121003758598.


A priority of AIDS prevention in Botswana is to reduce multiple concurrent sexual partnerships. We analysed data from interviews with people aged 16-60 years in a 2007 national stratified random cluster sample of communities across Botswana. Among 768 male and 1784 female respondents, 10% reported multiple sexual partners in the month prior to the survey (MP1); 19% of men and 6% of women. In a multivariate analysis, men were more likely to report MP1 if they had not completed primary education (adjusted Odds Ratio (ORa) 2.13, 95% confidence intervals with adjustment for clustering (CIca) 1.19-3.85), if they were single (ORa 2.29, 95% CIca 1.28-4.11), if they had experienced intimate partner violence in the last year (ORa 2.59, 95% CIca 1.51-4.45) and if they reported acquiescence to high risk sex (ORa 8.32, 95% CIca 3.38-20.46). Women who said they earned more or the same as their partner were also more likely to report MP1 (ORa 1.76, 95% CIca 1.21-2.56). The higher rate of MP1 among men with different forms of choice-disability shows an important potential multiplication of male risk factors. Women with higher income were more likely to have more partners, questioning the idea that multiple concurrent partners is mainly a question of male disposable income.

MeSH terms

  • Adolescent
  • Adult
  • Botswana
  • Cross-Sectional Studies
  • Female
  • HIV Infections / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Sex Factors
  • Sexual Behavior / statistics & numerical data*
  • Sexual Partners / psychology*
  • Socioeconomic Factors
  • Young Adult