Table 4.
Multivariable association of Age of Sexual Debut with 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 | ||||
| Characteristics | Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
| Age of sexual debut | ||||||
| <16 vs. ≥16 | 1.30 (1.09–1.56) | 1.02 (0.83–1.25) | 0.87 (0.67–1.14) | 1.08 (0.80–1.46) | 0.96 (0.72–1.29) | 0.92 (0.68–1.25) |
| Age at enrollment | ||||||
| 22–25 vs. 16–21 | 1.80 (1.39–2.32) | 2.08 (1.56–2.77) | 0.76 (0.48–1.20) | 0.66 (0.41–1.08) | ||
| 26+ vs. 16–21 | 2.45 (1.90–3.16) | 3.24 (2.41–4.35) | 0.91 (0.58–1.43) | 0.83 (0.52–1.34) | ||
| Education | ||||||
| >SSS vs. ≤ SSS | 1.17 (0.98–1.39) | 1.44 (1.11–1.86) | 1.28 (0.96–1.71) | 1.27 (0.96–1.67) | ||
| Gender Identity | ||||||
| Trans/non-binary vs. cisgender | 1.54 (1.25–1.90) | 0.82 (0.61–1.10) | 1.37 (0.99–1.89) | 1.46 (1.05–2.03) | ||
| Sexual orientation | ||||||
| Bisexual/other vs. homosexual | 0.69 (0.58–0.83) | 1.31 (1.01–1.70) | 0.93 (0.70–1.24) | |||
| Receptive sex partners (past year) | ||||||
| >3 vs. 0–2 | 2.88 (2.42–3.43) | 2.53 (2.08–3.08) | 0.93 (0.72–1.20) | 1.04 (0.79–1.37) | ||
| Exchanged sex (past year) | ||||||
| Yes vs. no | 0.95 (0.80–1.12) | 0.86 (0.66–1.11) | 0.72 (0.54–0.96) | 0.67 (0.50–0.89) | ||
| Ever condomless anal sex | ||||||
| Yes vs. no | 6.16 (4.55–8.33) | 4.33 (3.15–5.95) | 1.11 (0.63–1.98) | 0.90 (0.48–1.67) | ||
| Ever being forced to have sex | ||||||
| Yes vs. no | 1.86 (1.53–2.25) | 1.42 (1.15–1.76) | 0.99 (0.76–1.30) | 0.78 (0.58–1.05) | ||
| Depression (PHQ-9) † | ||||||
| Mod-severe vs. minimal | 1.60 (1.22–2.09) | 1.35 (1.00–1.81) | 1.28 (0.78–2.10) | 1.37 (0.79–2.39) | 1.03 (0.64–1.67) | |
| Unknown vs. minimal | 2.55 (2.09–3.12) | 2.02 (1.61–2.54) | 0.29 (0.20–0.41) | 0.31 (0.21–0.46) | 1.44 (1.00–2.05) | |
| Disclosure to family € | ||||||
| Yes vs. no | 2.13 (1.68–2.70) | 1.80 (1.39–2.33) | 0.79 (0.57–1.08) | 1.05 (0.75–1.48) | ||
| Stigma | ||||||
| Moderate vs. low | 1.01 (0.85–1.20) | 0.95 (0.73–1.24) | 0.83 (0.62–1.10) | |||
| High vs. low | 1.05 (0.80–1.39) | 1.06 (0.70–1.61) | 0.87 (0.56–1.37) | |||
| HIV health information ‡ | ||||||
| Yes vs. no | 1.09 (0.91–1.30) | 0.47 (0.36–0.61) | 0.61 (0.46–0.81) | 1.42 (1.08–1.87) | 1.48 (1.12–1.96) | |
| Unknown vs. no | 0.46 (0.36–0.60) | 0.01 (0.00–0.05)0 | 0.01 (0.00–0.05) | 1.10 (0.27–4.48) | 1.24 (0.30–5.07) | |
Abbreviations: OR, Odds Ratio; CI, Confidence Interval; No, Number; PHQ-9, The Patient Health Questionnaire-9; SSS, senior secondary school; Mod, moderate; Trans, transgender
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?”;
HIV health information derived from question “In the past 12 months, you participated in any talks or meetings related to HIV/AIDS with other MSM?” that was within a module “Exposure to Health Information”. Bolded indicates p<0.05