Table 5.
Domain-specific and final multivariable models assessing correlates of an undetectable viral load among young, HIV-positive, black men who have sex with men participating in healthMpowerment, 2013–2015.
| Model 1: Study and socio-demographic characteristics | |||
|---|---|---|---|
| Multivariable RR | 95% CI | P-value | |
|
|
|||
| Survey time, continuous | 1.06 | 1.01, 1.10 | 0.028 |
| Multiracial/multiethnic | 0.90 | 0.79, 1.01 | 0.144 |
| Queer/transgender/other | 0.67 | 0.44, 1.02 | 0.064 |
| Currently single | 0.90 | 0.80, 1.02 | 0.143 |
| Completed high school or more | 1.15 | 0.92, 1.45 | 0.308 |
| Currently employed | 1.04 | 0.88, 1.22 | 0.772 |
| Homeless, past 3 months | 0.64 | 0.48, 0.84 | 0.002 |
| Model 2: Psychosocial health indices | |||
| Multivariable RR | 95% CI | P-value | |
|
|
|||
| CES-D score (≥16 v <16) | 0.85 | 0.76, 0.96 | 0.020 |
| GAD-7 score (≥10 v <10) | 0.91 | 0.73, 1.13 | 0.410 |
| Lubben social network scale (<12 v ≥12) | 0.99 | 0.89, 1.11 | 0.924 |
| Emotional support, continuous a | 1.0 | 0.99, 1.01 | 0.733 |
| Experienced HIV discrimination, continuous a | 1.0 | 0.97, 1.03 | 0.991 |
| Experienced sexual minority discrimination, continuous a | 0.99 | 0.96, 1.01 | 0.274 |
| Model 3: Sexual and substance use behaviors | |||
| Multivariable RR | 95% CI | P-value | |
|
|
|||
| Condomless insertive anal intercourse, past 3 months | 1.10 | 1.00, 1.22 | 0.032 |
| Sex or drugs during condomless sex with a discordant partner, past 3 months | 0.99 | 0.87, 1.12 | 0.845 |
| Smoking, past week | 0.87 | 0.78, 0.97 | 0.014 |
| Methamphetamine or crack use, past 3 months | 0.56 | 0.33, 0.92 | 0.023 |
| Opiate use, including heroin, past 3 months | 0.89 | 0.56, 1.40 | 0.603 |
| Model 4: Full multivariable model | |||
| Multivariable RR | 95% CI | P-value | |
|
|
|||
| Survey time, continuous | 1.02 | 1.01, 1.03 | < 0.001 |
| Homelessness, past 3 months | 0.85 | 0.72, 0.99 | 0.041 |
| CES-D score (≥16 v <16) | 0.88 | 0.79, 0.98 | 0.025 |
| Cigarette smoking, past week | 0.92 | 0.83, 1.03 | 0.143 |
| Condomless insertive anal intercourse, past 3 months | 1.14 | 1.04, 1.24 | 0.005 |
| Methamphetamine or crack use, past 3 months | 0.61 | 0.38, 0.96 | 0.034 |
CES-D, Center for Epidemiologic Studies Depression Scale; CI, confidence interval; GAD-7, Generalized Anxiety Disorder 7 Item Scale; RR, relative risk. All models are adjusted for intervention group. Bold indicates P < 0.05.
a
Interpretation of relative risk is the change in probability of reporting an undetectable viral load associated with a one-unit change in the score of the psychosocial index.