Correlates of intention to abstain from sex among HIV positive adolescents in Botswana

Rebecca Kubanji, University of Botswana
Ogar Rapinyana, University of Botswana
Nthabiseng Phaladze, University of Botswana

HIV prevalence among adolescents aged 15 – 19 in Botswana stands at 5% (Statistics Botswana, 2013), and majority were infected through vertical transmission. This paper assesses correlates of abstinence among HIV positive adolescents to identify salient behavioural, normative and control beliefs relevant to sexual risk behaviour. A cross sectional quantitative survey of 98 respondents was conducted. The theory of reasoned action and planned behaviour was used to explore intention to abstain from sex. A univariate Generalised Estimation Equations model was employed for analysis. About 56% of females and 44% of males aged 15-19 years constituted the study. Approximately 17% had ever experienced sexual intercourse. More females than males reported unprotected sex. Behavioural, perceived control, prevention and normative beliefs significantly affect one’s intention to abstain from sex. Programmes that build HIV positive adolescents’ self-efficacy and promote positive behaviours will reduce risk of re-infection by increasing intention to abstain from sex.