ABSTRACT Monitoring of patterns and correlates of health behaviours among adolescents serves to provide strong evidence to guide adolescent interventions and programs. Using data derived from the four Botswana AIDS Impact surveys (2001–2013), this study assesses patterns and correlates of health risk behaviours among adolescents in Botswana. Samples of adolescents were drawn from each survey and used for data analysis. Estimates of adolescents’ health risk behaviours generally showed fluctuating patterns across all the four surveys. After sex disaggregation, inconsistent condom, multiple sexual partnerships and alcohol & substance use increased overtime among males while among females all health risk behaviours still showed a fluctuating pattern. Multivariate results indicated that the odds of reporting inconsistent condom use were significantly high male adolescents who reported multiple sexual partnerships between 2001–2013 surveys (e.g.in 2001, AOR = 1.02, C.I. = 1.00–2.30; 2004, AOR = 1.07, C.I. = 1.01–3.72; 2008, AOR = 2.46, C.I. = 1.03–4.10; 2013, AOR = 2.59, C.I. = 1.16–4.23). Moreover, males who reported alcohol and substance use were more likely to report inconsistent condom use, and the odds of inconsistent condom use among these males were highest in 2004 (AOR = 5.5, C.I. = 1.18–15.9). Among females, the odds of reporting inconsistent condom use and multiple sexual partnerships were significantly high among those who reported alcohol and substance use. All the comparisons were statistically significant at 5% level. These results highlight the need to strengthen adolescent’s behavioural programs in order to reduce health-damaging behaviours among adolescents.

中文翻译：

---

博茨瓦纳青少年健康风险行为的模式和相关因素：2001-2013年

摘要监测青少年健康行为的模式和相关性可为指导青少年干预和计划提供强有力的证据。利用来自博茨瓦纳四次艾滋病影响调查（2001-2013年）的数据，本研究评估了博茨瓦纳青少年健康风险行为的模式和相关性。从每次调查中抽取青少年样本，并将其用于数据分析。在所有四个调查中，青少年健康风险行为的估计通常显示出波动的模式。在按性别分列，避孕套不一致，多次性伴侣以及酗酒和滥用毒品之后，男性加班时间增加，而女性的所有健康风险行为仍呈波动模式。多变量结果表明，报告使用安全套不一致的几率是很高的男性青少年，他们在2001–2013年的调查之间报告了多次性伴侣（例如2001年，AOR = 1.02，CI = 1.00–2.30； 2004年，AOR = 1.07，CI = 1.01– 3.72； 2008，AOR = 2.46，CI = 1.03–4.10； 2013，AOR = 2.59，CI = 1.16–4.23）。此外，报告饮酒和使用毒品的男性更有可能报告使用安全套不一致，并且这些男性中使用安全套不一致的几率在2004年最高（AOR = 5.5，CI = 1.18-15.9）。在女性中，报告饮酒和吸毒的人群中报告使用安全套不一致和多性伴侣的几率很高。所有比较在5％的水平上具有统计学意义。