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. Author manuscript; available in PMC: 2024 Jul 1.
Published in final edited form as: AIDS. 2023 Apr 5;37(8):1285–1296. doi: 10.1097/QAD.0000000000003565

Table 3.

Disparities in Durable Viral Suppression according to selected demographic categories, Howard Brown Health, 2012-2020

A. Non-intersectional analysis (Odds Ratio, 95% Confidence interval)
Category Complete Case Imputed Data
Model 1 Model 2 Model 3 Model 1 Model 2 Model 3
  A. Race & ethnicity (ref: White, non-Hispanic)
Hispanic 0.97 (0.75 - 1.25) 0.99 (0.77 - 1.29) 0.99 (0.76 - 1.29) 0.91 (0.71 - 1.15) 0.91 (0.72 - 1.17) 0.92 (0.72 - 1.18)
Asian/other, non-Hispanic1 1.22 (0.7 - 2.3) 1.24 (0.71 - 2.35) 1.15 (0.65 - 2.2) 0.92 (0.62 - 1.42) 0.93 (0.62 - 1.43) 0.93 (0.62 - 1.45)
Black, non-Hispanic 0.6 (0.48 – 0.73)* 0.63 (0.51 – 0.79)* 0.73 (0.58 – 0.93)* 0.57 (0.46 – 0.69)* 0.58 (0.47 – 0.71)* 0.68 (0.54 – 0.84)*
  B. Gender identity (ref: Cisgender man)
Cisgender woman 0.76 (0.51 – 1.16) 0.96 (0.59 – 1.6) 1.05 (0.64 – 1.76) 0.87 (0.61 – 1.3) 1.04 (0.66 – 1.68) 1.16 (0.73 – 1.86)
Transgender woman 0.66 (0.48 - 0.92) 0.76 (0.54 - 1.09) 1.09 (0.76 - 1.57) 0.72 (0.54 - 0.98) 0.82 (0.59 - 1.14) 1.12 (0.8 - 1.57)
Transgender man, genderqueer, or else2 5.57 (1.2 - 99)* 5.3 (1.12 - 95)* 6.34 (1.31 - 114)* 3.58 (1.1 - 22)* 3.5 (1.06 - 22)* 3.74 - 23)*
  C. Sexual orientation (ref: Heterosexual/Straight)
Bisexual 0.9 (0.61 – 1.32) 0.79 (0.52 – 1.21) 0.84 (0.55 – 1.3) 0.85 (0.59 – 1.23) 0.76 (0.51 – 1.14) 0.83 (0.56 – 1.24)
Gay or Lesbian 1.37 (1.03 – 1.81)* 1.07 (0.75 – 1.52) 0.96 (0.67 – 1.36) 1.2 (0.93 – 1.54) 0.95 (0.68 – 1.31) 0.86 (0.62 – 1.18)
Queer or else3 1.82 (0.99 – 3.56) 1.49 (0.79 – 2.98) 1.38 (0.73 – 2.8) 1.57 (0.9 – 2.93) 1.3 (0.73 – 2.48) 1.21 (0.67 – 2.33)
B. Intersectional analysis with Latent class
Category Complete case Imputed Data
Model 4 Model 5 Model 4 Model 5
Reference: A (mixed r/e, mixed SES, gay, cis men)
B (majority Black, low SES, cis, het men/women) 0.37 (0.26 - 0.52)* 0.45 (0.33 - 0.63)* 0.46 (0.33 - 0.64)* 0.45 (0.33 - 0.63)*
C (mixed r/e, low SES, bi/gay, cis men) 0.31 (0.25 - 0.38)* 0.41 (0.34 - 0.49)* 0.38 (0.32 - 0.46)* 0.41 (0.34 - 0.49)*
D (mixed r/e, low SES, mixed sexual orientation, trans women) 0.32 (0.23 - 0.46)* 0.43 (0.31 - 0.6)* 0.40 (0.29 - 0.57)* 0.43 (0.31 - 0.6)*

Note:

* -

confidence interval does NOT cross null (1.0). r/e – race & ethnicity, SES – socio-economic status, het – heterosexual, TG – transgender.DM – diabetes mellitus, HTN – hypertension, LCA – latent class analysis, r&e – race and ethnicity, SES – socio-economic status, SO – sexual orientation, TG- transgender.

1 -

Other race and ethnicity variables include Asian, Pacific Islander, Multiracial, and Unspecified.

2 –

Includes genderqueer, gender non-conforming or replied “something else” when asked about gender. Pooled with trans man due to low numbers.

3 –

Other sexual orientations include Queer, Questioning, and Something else responses

4

Each model adjusts for slightly different variables. Models 1, 2, and 4 adjusts only for confounders with model 2 assuming demographic variables as confounders of each other. Model 3 and 5 adjusts for mediators of demographic variables. Specific variables are specified as follows:

Model 1: adjusts only for age and year of first viral load. Three separate models, one for each demographic variable.

Model 2: One model that adjusts for age, year of first viral load, and demographic categories.

Model 3: One model that adjusts for variables in model 2 as well as mediator variables including housing, poverty, insurance, diabetes or hypertension status, mental health disorder, and substance use disorder.

Model 4: Similar to model 1 in that it adjusts for age and year of first viral load

Model 5: Similar to model 3 in that it adjusts for age and year of first viral load as well as mediators which include hypertension status, mental health disorder, and substance use disorder.