Table 1 Prevalence of and determinants associated with unknown HIV status (never tested for HIV) among 1201 homosexual men with negative or unknown HIV status visiting the sexually transmitted infection clinic in Amsterdam, The Netherlands, in the period 2002–2003.
| Determinants | Proportion never tested before, n/n (%) | OR | 95% CI | p Value | OR adj* | 95% CI | p Value |
|---|---|---|---|---|---|---|---|
| Age category (years) | <0.01 | 0.01 | |||||
| <30 | 94/235 (40.0) | 1.82 | 1.31 to 2.54 | <0.01 | 1.79 | 1.26 to 2.54 | <0.01 |
| 30–39 | 128/478 (26.8) | 1 | 1 | ||||
| 40–49 | 105/334 (31.4) | 1.25 | 0.92 to 1.71 | 1.16 | 0.84 to 1.60 | ||
| ⩾50 | 57/154 (37.0) | 1.61 | 1.09 to 2.36 | <0.05 | 1.28 | 0.86 to 1.91 | |
| Educational level | 0.93 | ||||||
| Low | 78/249 (31.3) | 1 | |||||
| Middle | 156/477 (32.7) | 1.07 | 0.77 to 1.48 | ||||
| High | 145/453 (32.0) | 1.03 | 0.74 to 1.44 | ||||
| Dutch | <0.01 | <0.01 | |||||
| No | 23/125 (18.4) | 1 | 1 | ||||
| Yes | 361/1076 (33.6) | 2.24 | 1.40 to 3.58 | 2.45 | 1.49 to 4.03 | ||
| AI (in the previous 6 months) | <0.01 | <0.01 | |||||
| No/protected AI with CP and with SP | 187/504 (37.1) | 1 | 1 | ||||
| UAI with SP only | 82/313 (26.2) | 0.60 | 0.44 to 0.82 | <0.01 | 0.61 | 0.44 to 0.84 | <0.01 |
| Unprotected anal intercourse with CP only | 65/181 (35.9) | 0.95 | 0.67 to 1.35 | 1.05 | 0.72 to 1.54 | ||
| UAI with CP and with SP | 38/139 (27.3) | 0.64 | 0.42 to 0.97 | <0.05 | 0.67 | 0.43 to 1.05 | |
| STI diagnosed at new STI consultation | |||||||
| Infectious syphilis | <0.01 | <0.01 | |||||
| No | 352/1136 (31.0) | 1 | 1 | ||||
| Yes | 32/65 (49.2) | 2.16 | 1.31 to 3.57 | 2.63 | 1.53 to 4.53 | ||
| Rectal gonorrhoea | 0.10 | ||||||
| No | 356/1133 (31.4) | 1 | |||||
| Yes | 28/68 (41.2) | 1.53 | 0.93 to 2.52 | ||||
| Mean (SD) | OR | 95% CI | p Value | ORadj* | 95% CI | p Value | |
|---|---|---|---|---|---|---|---|
| HAART‐related beliefs (1, disagree; 7, agree) | |||||||
| Perceiving less HIV/AIDS threat since HAART | 2.50 (1.27) | 0.93 | 0.85 to 1.02 | 0.11 | |||
| Perceiving less need for safe sex since HAART | 1.18 (0.61) | 0.98 | 0.82 to 1.18 | 0.86 | |||
| Perceiving less risk for HIV transmission due to HAART | 2.51 (1.52) | 1.04 | 0.96 to 1.13 | 0.39 | |||
| Perceiving high effectiveness of HAART in curing HIV/AIDS | 1.72 (1.14) | 1.03 | 0.93 to 1.15 | 0.54 | |||
| Motivational beliefs (1, low level; 7, high level) | |||||||
| Safer sex fatigue | 2.64 (1.48) | 0.92 | 0.85 to 0.99 | 0.03 | 0.93 | 0.85 to 1.01 | 0.09 |
| Sexual sensation seeking | 5.00 (1.81) | 0.98 | 0.92 to 1.05 | 0.58 |
AI, anal intercourse; CP, casual partner; HAART, highly active antiretroviral therapy; SP, sexual partner; STI, sexually transmitted infection; UAI, unprotected anal intercourse.
*OR adjusted for the other variables included in the multivariate model.