Table 3.
Factors associated with concordance between lay and clinician anal examinations in Chicago, Illinois and Houston, Texas, USA, 2020–2022, bivariate and multivariable analyses.
| Characteristic | PR (95% CI) | aPRa (95% CI) |
|---|---|---|
| Age, years | ||
| 25–34 | 1.0 | 1.0 |
| 35–44 | 0.91 (0.81–1.02) | 0.91 (0.81–1.03) |
| 45–54 | 0.92 (0.82–1.04) | 0.94 (0.84–1.07) |
| 55–81 | 0.85 (0.75–0.96) | 0.87 (0.76–0.99) |
| Waist, cm | ||
| ≤102 | 1.0 | |
| >102 | 0.90 (0.82–1.00) | – |
| Race/ethnicity | ||
| White, non-Hispanic | 1.0 | |
| Black, non-Hispanic | 1.11 (1.00–1.23) | – |
| Hispanic | 0.96 (0.85–1.09) | – |
| Asian, non-Hispanic | 1.14 (0.95–1.36) | – |
| Other, non-Hispanicb | 0.93 (0.65–1.34) | – |
| Sexual orientation | ||
| Gay | 1.0 | |
| Bisexual | 1.15 (1.02–1.30) | – |
| Queer | 1.12 (0.94–1.33) | – |
| Heterosexual, lesbian, don’t know or other | 1.26 (1.02–1.56) | – |
| HIV status, self-report | ||
| Negative | 1.0 | – |
| Positive | 0.92 (0.84–1.02) | – |
| Dexterity-related medical condition | ||
| No | 1.0 | – |
| Yes | 0.91 (0.82–1.01) | – |
| Difficulty with ASE/ACE | ||
| Hard or very hard | 1.0 | |
| Easy or very easy | 1.20 (0.99–1.45) | – |
| Trainer type | ||
| Clinician | 1.0 | 1.0 |
| Non-clinician | 0.84 (0.76–0.93) | 0.87 (0.78–0.98) |
| Clinician type | ||
| Medical doctor | 1.0 | |
| Advanced practice provider | 0.88 (0.81–0.96) | - |
| Worry about getting anal cancer | ||
| None | 1.0 | |
| A little | 0.95 (0.85–1.06) | – |
| Some | 1.11 (0.99–1.26) | – |
| Quite a lot | 0.64 (0.38–1.06) | – |
Note. Confidence intervals in bold do not include unity.
PR, prevalence ratio; aPR, adjusted prevalence ratio; ASE/ACE, anal self-examination, or anal companion examination.
a
Variables remaining in model are adjusted for each other and city.
b
Other includes American Indian or Alaskan Native, Native Hawaiian or Pacific Islander, and other.