Multiple Sexual Partners and Its Associated Factors among Bhutanese Adolescents: Findings from 2016 Global School-Based Student Health Survey

Data on factors influencing multiple sexual partners that can inform cost-effective interventions are limited in Bhutan. This study examined factors associated with multiple sexual partners among adolescents. We analyzed the data of 7437 school-going adolescents from the 2016 Bhutan Global School-based Student Health Survey. Multivariable logistic regression stratified by sex was conducted. The prevalence of sex with multiple partners was 7.39%, with a much higher prevalence among males than females. In the overall sample, males, those >15 years of age, who smoked, consumed alcohol, used drugs, exhibited truancy, and were unmonitored by parents, had higher odds of having sex with multiple partners. In both males and females, being >15 years old, smoking, and drug use were associated with having multiple sexual partners. Alcohol use and truancy were significant only among males, whereas a lack of parental monitoring was significant only among females. The findings suggest that reducing substance use and enhancing parental support, and targeting males and older adolescents may yield larger gains.