Table 3.
Demographic and Behavioral Distributions of SGM stratified by Outcomes 2, 3, and 4: the HIV Care Engagement at an SGM-Friendly Clinic
| HIV Engagement at TRUST/RV368 | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| HIV Diagnosis | ART by 6 months | Viral Suppression by 12 Months | |||||||
| Characteristic: | Negative N=1,235 n (row %) |
Positive N=1,079 n (row %) |
P * | No N=467 n (row %) |
Yes N=543 n (row %) |
P * | No N=616 n (row %) |
Yes N=420 n (row %) |
P * |
| Age of sexual debut | <0.01 | 0.33 | 0.79 | ||||||
| ≥16 | 912 (55.3) | 738 (44.7) | 316 (45.2) | 383 (54.8) | 418 (64.3) | 232 (35.7) | |||
| <16 | 323 (48.6) | 341 (51.4) | 151 (48.6) | 160 (51.5) | 182 (65.2) | 97 (34.8) | |||
| Age at enrollment | <0.01 | 0.28 | 0.15 | ||||||
| 16–19 | 245 (68.3) | 114 (31.7) | 38 (42.2) | 52 (57.8) | 48 (58.5) | 34 (41.5) | |||
| 20–24 | 539 (54.4) | 451 (45.6) | 204 (49.2) | 211 (50.8) | 253 (68.0) | 119 (32.0) | |||
| 25+ | 451 (46.7) | 514 (53.3) | 225 (44.6) | 280 (55.5) | 299 (63.0) | 176 (37.1) | |||
| Education | 0.07 | <0.01 | 0.09 | ||||||
| ≤Senior secondary | 819 (54.9) | 674 (45.1) | 309 (49.6) | 314 (50.4) | 379 (66.6) | 190 (33.4) | |||
| >Senior secondary | 416 (51.0) | 400 (49.0) | 155 (40.6) | 227 (59.4) | 217 (61.1) | 138 (38.9) | |||
| Gender Identity | <0.01 | 0.19 | 0.05 | ||||||
| Cisgender | 1,035 (55.4) | 834 (44.6) | 356 (45.2) | 431 (54.8) | 479 (66.1) | 246 (33.9) | |||
| Transgender or non-binary | 194 (44.6) | 241 (55.4) | 110 (50.2) | 109 (49.8) | 118 (58.7) | 83 (41.3) | |||
| Sexual orientation | <0.01 | 0.04 | 0.64 | ||||||
| Homosexual | 334 (47.0) | 377 (53.0) | 172 (50.7) | 167 (49.3) | 193 (63.5) | 111 (36.5) | |||
| Bisexual or other | 897 (56.1) | 701 (43.9) | 295 (44.0) | 375 (56.0) | 406 (65.1) | 218 (34.9) | |||
| Receptive sex partners (past year) | <0.01 | 0.59 | 0.77 | ||||||
| 0–2 | 845 (64.1) | 474 (35.9) | 209 (46.4) | 241 (53.6) | 270 (65.1) | 145 (34.9) | |||
| 3+ | 347 (38.3) | 560 (61.7) | 249 (48.2) | 268 (51.8) | 304 (64.1) | 170 (35.9) | |||
| Exchanged sex (past year) | 0.53 | 0.24 | 0.02 | ||||||
| No | 679 (53.0) | 602 (47.0) | 258 (45.5) | 309 (54.5) | 327 (61.7) | 203 (38.3) | |||
| Yes | 512 (54.4) | 430 (45.7) | 196 (49.4) | 201 (50.6) | 246 (69.1) | 110 (30.9) | |||
| Ever condomless anal sex | <0.01 | 0.72 | 0.74 | ||||||
| No | 303 (84.9) | 54 (15.1) | 24 (49.0) | 25 (51.0) | 28 (62.2) | 17 (37.8) | |||
| Yes | 926 (47.7) | 1,016 (52.3) | 441 (46.3) | 511 (53.7) | 566 (64.7) | 309 (35.3) | |||
| Ever being forced to have sex | <0.01 | 0.95 | 0.10 | ||||||
| No | 995 (57.0) | 751 (43.0) | 322 (46.1) | 377 (53.9) | 399 (62.7) | 237 (37.3) | |||
| Yes | 232 (41.7) | 325 (58.3) | 143 (46.3) | 166 (53.7) | 199 (68.4) | 92 (31.6) | |||
| Depression (PHQ-9 ‡ ) | <0.01 | <0.01 | 0.06 | ||||||
| Minimal (0–4) | 420 (68.1) | 197 (31.9) | 53 (27.5) | 140 (72.5) | 126 (70.0) | 54 (30.0) | |||
| Moderate-severe (5+) | 208 (57.1) | 156 (42.9) | 34 (22.8) | 115 (77.2) | 97 (69.3) | 43 (30.7) | |||
| Unknown | 607 (45.5) | 726 (54.5) | 380 (56.9) | 288 (43.1) | 377 (61.9) | 232 (38.1) | |||
| Disclosure to family € | <0.01 | 0.14 | 0.77 | ||||||
| No | 1,105 (56.1) | 864 (43.9) | 370 (45.1) | 450 (54.9) | 488 (64.8) | 265 (35.2) | |||
| Yes | 129 (37.5) | 215 (62.5) | 97 (51.1) | 93 (48.9) | 112 (63.6) | 64 (36.4) | |||
| Stigma | 0.94 | 0.87 | 0.42 | ||||||
| Low | 638 (53.6) | 552 (46.4) | 239 (46.0) | 281 (54.0) | 298 (62.6) | 178 (37.4) | |||
| Moderate | 473 (53.3) | 414 (46.7) | 180 (47.1) | 202 (52.9) | 235 (67.0) | 116 (33.0) | |||
| High | 124 (52.3) | 113 (47.7) | 48 (44.4) | 60 (55.6) | 67 (65.7) | 35 (34.3) | |||
| HIV health information ‡ | <0.01 | <0.01 | 0.04 | ||||||
| No | 471 (51.4) | 446 (48.6) | 137 (31.8) | 294 (68.2) | 296 (68.8) | 134 (31.2) | |||
| Yes | 507 (49.3) | 521 (50.7) | 247 (50.0) | 247 (50.0) | 298 (60.8) | 192 (39.2) | |||
| Unknown | 257 (69.7) | 112 (30.4) | 83 (97.7) | 2 (2.3) | 6 (66.7) | 3 (33.3) | |||
Abbreviations: No, Number; PHQ-9, The Patient Health Questionnaire-9; SGM, sexual gender minorities.
*
Chi-Square Test;
†
Questionnaire scoring was determined according to developer convention;
€
Disclosure to family derived from question “Have you told any member of your family that you have sex with other men or that you are attracted to other men?”;
‡
Exposure to HIV health information derived from question “In the past 12 months, you participated in any talks or meetings related to HIV/AIDS?” that was within a module “HIV Health Information”. Bolded indicates p<0.05