Table 2 –
ASSOCIATION OF PARTICIPANT-LEVEL GSN APP USE WITH SEXUAL RISK BEHAVIORS, HIV PREVENTION AWARENESS, AND HIV TESTING HISTORY
| Overall (N=741) | GSN App Users (N=477) | GSN App NON-Users (N=264) | Crude Prevalence Ratio | Adjusted a Prevalence Ratio | |
|---|---|---|---|---|---|
|
| |||||
| SEXUAL BEHAVIORS (last 3 months) | n (% of N) | n (% of N) | n (% of N) | PR (95% CI) | aPR (95% CI) |
|
| |||||
| ≥5 Partners | 388 (52%) | 307 (64%) | 81 (31%) | 2.10 (1.73 – 2.55) | 2.14 (1.76 – 2.61) |
| Group Sex | 327 (44%) | 255 (53%) | 72 (27%) | 1.96 (1.58 – 2.43) | 1.96 (1.57 – 2.44) |
| Substance Use Before/During Sex | 354 (48%) | 248 (52%) | 106 (40%) | 1.29 (1.09 – 1.54) | 1.28 (1.08 – 1.53) |
| Transactional Sex | 292 (39%) | 203 (43%) | 89 (34%) | 1.26 (1.03 – 1.54) | 1.31 (1.06 – 1.60) |
| Casual Partner b | 446 (60.2) | 331 (69%) | 115 (44%) | 1.59 (1.37 – 1.85) | 1.62 (1.39 – 1.89) |
| Condomless Anal Sex (CAS) c | 381 (51%) | 260 (55%) | 121 (46%) | 1.19 (1.02 – 1.39) | 1.14 (0.97 – 1.33) |
| Receptive CAS | 268 (36%) | 192 (40%) | 76 (29%) | 1.40 (1.12 – 1.74) | 1.28 (1.02 – 1.60) |
|
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| HIV PREVENTION AWARENESS | |||||
|
| |||||
| Ever Heard Of PrEP | 473 (64%) | 341 (72%) | 132 (50%) | 1.43 (1.25 – 1.63) | 1.44 (1.26 – 1.65) |
| Believes U=U Is True d | 320 (43%) | 224 (47%) | 96 (36%) | 1.29 (1.07 – 1.56) | 1.28 (1.07 – 1.55) |
|
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| HIV TESTING HISTORY | |||||
|
| |||||
| Ever Had HIV Test | 639 (86%) | 421 (88%) | 218 (83%) | 1.07 (1.00 – 1.14) | 1.09 (1.02 – 1.17) |
| Last HIV Test ≤6 Months Ago e | 338 (53%) | 237 (57%) | 101 (46%) | 1.24 (1.05 – 1.46) | 1.24 (1.05 – 1.47) |
|
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| HIV STATUS f | Overall | GSN App Users | GSN App Non-Users | ||
|
| |||||
| Online Survey | (N=397) | (N=228) | (N=169) | ||
| HIV-Positive (Self-Report) | 103 (26%) | 59 (26%) | 44 (26%) | 0.99 (0.71 – 1.39) | 1.05 (0.75 – 1.47) |
| On ART (Of N=103 Self-Reported HIV+) | 97 (94%) | 54 (92%) | 43 (98%) | 0.94 (0.85 – 1.03) | 0.96 (0.88 – 1.04) |
| In-Person Survey | (N=344) | (N=249) | (N=95) | ||
| HIV-Positive (Rapid Test) | 43 (13%) | 33 (13%) | 10 (11%) | 1.26 (0.64 – 2.47) | 1.25 (0.61–2.57) |
GSN, geosocial networking; PR, prevalence ratio; CI, confidence interval; PrEP, pre-exposure prophylaxis; ART, antiretroviral therapy
Adjusted for age (± 30 years) and educational attainment (± completed university or higher)
Refers to whether last/penultimate partner (in the past 3 months) was categorized as “casual”
Refers to whether condomless anal sex was reported with last/penultimate (in the past 3 months)
Responded “True” when presented with the following True/False statement: “It is very unlikely that a person with HIV will transmit the virus to their sexual partner if the person with HIV is taking antiretroviral therapy and the virus is undetectable in their blood”
Among the n=638 who did not report having an existing HIV diagnosis
Stratified by survey setting: for online survey, HIV status (and ART use) was ascertained by self-report; for in-person survey, used result of HIV screening test from Vía Libre clinic