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. 2025 Jan 24;14:e005. doi: 10.25259/IJMA_49_2024

Table 3. Factors associated with willingness to access HIV preventive services among KPs.

Variable Not Willing n (%) Willing n (%) COR (95% CI) p-value AOR (95% CI) p-value
Willing to take HIV services 559 (42.3) 761 (57.7) - - - -
KPs group
MSM 226 (52.6) 204 (47.4) Ref - - -
FSWs 222 (34.2) 428 (65.8) 2.136 [1.665–2.740] <0.001* 1.075 [0.682–1.692] 0.756
PWIDs 111 (46.3) 129 (53.8) 1.287 [0.938-1.767] 0.118 0.647 [0.366–1.143] 0.134
Age category (years)
18–24 184 (43.2) 242 (56.8) Ref - - -
25–34 248 (41.1) 356 (58.9) 1.091 [0.849–1.403] 0.495 1.147 [0.804–1.638] 0.449
35–45 88 (41.9) 122 (58.1) 1.054 [0.754–1.473] 0.758 1.003 [0.629–1.601] 0.989
Above 45 39 (48.8) 41 (51.2) 0.799 [0.495–1.290] 0.359 1.524 [0.774–2.997] 0.223
Respondent Education Level
No formal education 76 (34.2) 146 (65.8) Ref - - -
Primary 46 (33.6) 91 (66.4) 1.030 [0.657–1.615] 0.898 1.362 [0.748–2.480] 0.312
Secondary 289 (46.5) 333 (53.5) 0.600 [0.436–0.825] 0.002* 1.063 [0.684–1.652] 0.786
Tertiary 148 (43.7) 191 (56.3) 0.672 [0.473–0.954] 0.026* 1.037 [0.637–1.690] 0.883
Local government area
Fagge 214 (52.2) 196 (47.8) Ref - - -
Gwale 296 (59.2) 204 (40.8) 0.752 [0.578–0.979] 0.034* 1.729 [1.120–2.670] 0.013*
Tarauni 49 (12.0) 361 (88.0) 8.044 [5.636–11.481] <0.001* 26.404 [14.987–46.518] <0.001*
Drug abuse
Never abused drugs 266 (48.5) 283 (51.5) Ref - - -
Ever abused drugs 293 (38.0) 478 (62.0) 1.533 [1.228–1.914] <0.001* 1.096 [0.729–1.646] 0.660
Drugs injection
Never injected drugs 361 (45.5) 432 (54.5) Ref - - -
Ever injected drugs 198 (37.6) 329 (62.4) 1.389 [1.109–1.739] 0.004* 1.363 [0.867–2.144] 0.180
Age of first sexual debut
Below 13 years 113 (37.0) 192 (63.0) Ref - - -
14–17 years 203 (41.5) 286 (58.5) 0.829 [0.618–1.112] 0.212 1.140 [0.745–1.745] 0.546
18 years and above 195 (43.7) 251 (56.3) 0.758 [0.562–1.021] 0.068 1.058 [0.672–1.664] 0.808
Reason for first sexual intercourse
Having fun/love/marriage 318 (41.9) 441 (58.1) Ref - - -
Peer pressure 76 (45.5) 91 (54.5) 0.863 [0.616–1.209] 0.393 1.627 [1.046–2.531] 0.031*
Rape/forced 11 (45.8) 13 (54.2) 0.852 [0.377–1.927] 0.701 0.769 [0.275–2.150] 0.617
To obtain money 92 (34.5) 175 (65.5) 1.372 [1.026–1.834] 0.033* 0.880 [0.576–1.343] 0.554
Sexual partners during the last three months
One 96 (36.0) 171 (64.0) Ref - - -
More than one 332 (39.7) 505 (60.3) 0.854 [0.642–1.136] 0.279 0.972 [0.640–1.475] 0.893
Vaginal sex in the last three months
Not have vaginal sex 161 (71.9) 63 (28.1) Ref - - -
Have vaginal sex 267 (30.3) 613 (69.7) 5.867 [4.240–8.119] <0.001* 4.344 [2.227–8.474] <0.001*
Anal sex in the last three months
Not have anal sex 262 (30.6) 593 (69.4) Ref - - -
Have anal sex 166 (66.7) 83 (33.3) 0.221 [0.164–0.298] <0.001* 0.413 [0.233–0.732] 0.002*
Oral sex in the last three months
Not have oral sex 338 (36.2) 596 (63.8) Ref - - -
Have oral sex 90 (52.9) 80 (47.1) 0.504 [0.363–0.701] <0.001* 0.841 [0.541–1.307] 0.441
Transactional sex engaged in
No transactional sex 82 (44.8) 101 (55.2) Ref - - -
Paid for sex 124 (32.0) 264 (68.0) 1.729 [1.205–2.480] 0.003* 0.843 [0.529–1.343] 0.472
Paid & received 89 (53.6) 77 (46.4) 0.702 [0.461–1.071] 0.101 0.687 [0.375–1.259] 0.224
Received gift for sex 133 (36.2) 234 (63.8) 1.428 [0.996–2.049] 0.053 0.710 [0.420–1.200] 0.201
Condoms used in the last three months
Always 167 (34.6) 316 (65.4) 0.729 [0.570–0.932] 0.012* 0.910 [0.620–1.335] 0.631
Irregularly 261 (42.0) 360 (58.0) Ref - - -
Condoms used during the last sexual encounter
Not used condoms 195 (44.3) 245 (55.7) Ref - - -
Used condoms 233 (35.1) 430 (64.9) 1.469 [1.148–1.880] 0.002* 1.660 [1.116–2.470] 0.012*

Source: Field Survey Conducted in Nigeria Crude Odds Ratio (COR), Adjusted Odds Ratio (AOR).

*Significant at p < 0.05. KPs: Key populations, FSWs: Female sex workers, MSM: Men who have sex with men, PWIDs: People who inject drugs, CI: Confidence interval, Ref: Reference.