Table 3.
Bivariate and multivariate logistic regression analyses of PrEP awareness and current use among PrEP-eligible men who have sex with men (MSM) and transgender women who have sex with men (TWSM) attending Atlanta Gay Pride Festivals, 2018
Aware of PrEP |
Current use of PrEP |
|||||||
---|---|---|---|---|---|---|---|---|
Unadjusted OR |
Adjusted OR |
Unadjusted OR |
Adjusted OR |
|||||
cOR (95% CI) | p value | aOR (95% CI) | p value | cOR (95% CI) | p value | aOR (95% CI) | p value | |
| ||||||||
Sociodemographic characteristics | ||||||||
Gender | ||||||||
Cis-gender men | 1.77 (0.37, 8.60) | .479 | 1.07 (0.18, 6.32) | 0.942 | 2.67 (0.34, 21.27) | .355 | 2.44 (0.18, 33.94) | .507 |
Transgender women | Ref | Ref | Ref | Ref | ||||
Race | ||||||||
Black | 0.45 (0.20, 1.02) | .057 | 0.61 (0.20, 1.81) | 0.372 | 0.60 (0.33, 1.07) | .082 | 0.61 (0.29, 1.29) | .196 |
Non-black | Ref | Ref | Ref | Ref | ||||
Age | ||||||||
18–29 years old | 1.20 (0.56 (2.56) | .636 | 2.04 (0.75, 5.57) | 0.164 | 0.39 (0.21, 0.73) | .004 | 0.39 (0.17, 0.87) | .022 |
≥ 30 years old | Ref | Ref | Ref | Ref | ||||
Education | ||||||||
No collegea | 0.24 (0.11, 0.53) | < .001 | 0.64 (0.21, 1.96) | 0.435 | 0.60 (0.28, 1.30) | .193 | 1.08 (0.36, 3.20) | .897 |
College/advanced | Ref | Ref | Ref | Ref | ||||
Employment status | ||||||||
Not employed | 0.35 (0.13, 0.89) | .028 | 0.83 (0.20, 3.48) | 0.799 | 0.42 (0.13, 1.43) | .162 | 0.82 (0.17, 3.93) | .795 |
Employed | Ref | Ref | Ref | Ref | ||||
Incomeb | ||||||||
< $60,000 annually | 0.07 (0.01, 0.55) | .011 | 0.13 (0.02, 1.13) | 0.064 | 0.37 (0.21, 0.68) | .002 | 0.38 (0.16, 0.90) | .029 |
≥ $60,000 annually | Ref | Ref | Ref | Ref | ||||
Insurance | ||||||||
No | 0.22 (0.10, 0.50) | < .001 | 0.48 (0.17, 1.37) | 0.171 | 0.35 (0.13, 0.91) | .031 | 0.82 (0.25, 2.73) | .748 |
Yes | Ref | Ref | Ref | Ref | ||||
Homeless in past year | ||||||||
No | 5.24 (2.17, 12.65) | < .001 | 1.62 (0.41, 6.44) | 0.496 | 1.86 (0.63, 5.54) | .269 | 0.83 (0.17, 4.10) | .822 |
Yesc | Ref | Ref | Ref | Ref | ||||
Saw a clinician in past year | ||||||||
No | 0.28 (0.12, 0.65) | .003 | 0.26 (0.08, 0.78) | 0.016 | 0.55 (0.21, 1.47) | .230 | 1.09 (0.32, 3.70) | .886 |
Yesd | Ref | Ref | Ref | Ref | ||||
Place of residence | ||||||||
Fulton County | 1.60 (0.74, 3.43) | .231 | 0.93 (0.35, 2.49) | 0.887 | 1.16 (0.65, 2.07) | .628 | 0.65 (0.30, 1.40) | .272 |
Rest of Atlanta | Ref | Ref | Ref | Ref | ||||
HIV risk factors (past 6 months) | ||||||||
Male sex partners | ||||||||
≤ 5 partners | Ref | Ref | Ref | Ref | ||||
≥ 6 partners | 1.55 (0.45, 5.40) | .489 | 2.25 (0.46, 10.97) | 0.317 | 5.04 (2.46, 10.34) | < .001 | 3.86 (1.50, 9.91) | .005 |
Unprotected sex with a casual partner | ||||||||
No | Ref | Ref | Ref | Ref | ||||
Yes | 0.65 (0.28, 1.49) | .311 | 0.60 (0.20, 1.78) | 0.359 | 2.85 (1.42, 5.70) | .004 | 2.00 (0.87, 4.56) | .101 |
Sex with a HIV-positive partner | ||||||||
No | Ref | Ref | Ref | Ref | ||||
Yes | 1.26 (0.45, 3.42) | .670 | 1.61 (0.43, 6.01) | 0.483 | 5.51 (2.85, 10.64) | < .001 | 5.38 (2.34, 12.37) | < .001 |
Any bacterial STI diagnosede | ||||||||
No | Ref | Ref | Ref | Ref | ||||
Yes | 1.54 (0.19, 12.28) | .684 | 1.68 (0.09, 30.75) | 0.728 | 3.72 (1.29, 10.74) | .016 | 2.84 (0.61, 13.36) | .185 |
Any drug usef | ||||||||
No | Ref | Ref | Ref | Ref | ||||
Yes | 0.25 (0.10, 0.63) | .003 | 0.33 (0.09, 1.19) | 0.089 | 0.41 (0.12, 1.41) | .157 | 0.17(0.03, 0.87) | .034 |
Statistically significant odds ratios and p values have been bolded for ease of interpretation
Had high school education only or less
Income before taxes at end of 2017
Respondents who reported sleeping on the streets, shelter, motel or car in the past 12 months
Respondents who reported visiting a health-care facility for medical care within the previous year (primary care, urgent care, hospital, emergency room or service organization)
Any bacterial sexually transmitted diseases: syphilis, gonorrhea or chlamydia
Any illicit drug use (methamphetamines, cocaine, crack and heroin)
Criteria outlined in Pages 13&36, United States Public Health Service, Clinical Practice Guidelines for PrEP, 2017 update
Survey question “Before today, have you heard of PrEP?”