Table 4.
Hierarchical Logistic Regression Analyses of Stress as Predictors of HIV-Risk Behaviors among YMSM (N=526)
Illicit drug use | Alcohol Misuse | Unprotected Anal Intercourse(UAI) |
||||
---|---|---|---|---|---|---|
OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | |
Steps | ||||||
1. Socio-Demographic Variables | ||||||
Race/Ethnicity | ||||||
Caucasian | 1.00 | 1.00 | ||||
African-American | 0.37*** | (0.21-0.67) | 0.45** | (0.26-0.79) | - | - |
Latino of Mexican descent | 0.69 | (0.42-1.11) | 0.94 | (0.60-1.48) | - | - |
Living with Family | 0.63* | (0.40-0.99) | 0.64* | (0.42-.0.98) | - | - |
2. Psychosocial Characteristics | ||||||
Distress (CESD) | 1.00 | (0.98-1.02) | - | - | 1.00 | (0.98-1.02) |
Proactive Coping | 0.96* | (0.92-0.99) | - | - | 0.97+ | (0.93-1.00) |
Friend's Support | - | - | 1.82* | (1.20-2.76) | - | - |
3. Sexual Identity-Related Stress | ||||||
Internalized Homophobia | 0.80 | (0.37-1.73) | 0.90 | (0.43-1.86) | - | - |
Level of Disclosure | 1.46* | (1.07-2.00) | 1.19 | (0.89-1.59) | - | - |
Extreme Homophobia (e.g., physical assault) | 1.52 | (0.83-2.82) | 1.69+ | (0.94-3.05) | 1.24 | (0.69-2.22) |
4. Stressful Life Events | ||||||
Family Stress | 1.24 | (0.73-2.10) | - | - | 1.09 | (0.69-1.72) |
School/work Stress | - | - | - | - | 1.33 | (0.86-2.06) |
Financial Stress | 1.77* | (1.07-2.92) | 1.63* | (1.07-2.64) | ||
Partner-related Stress | - | - | - | - | 2.23*** | (1.49-3.35) |
Peer Non-Acceptance of Sexuality | - | - | 0.58** | (0.38-0.87) | ||
Stress Related to Own Health Concerns | 1.40 | (0.91-2.16) | 1.55* | (1.03-2.32) | 1.67** | (1.13-2.46) |
Note. Only those variables were significant at p ≤ .10 from bivariate results were included in multivariate models. Dash “-” denotes the variable not included in each specific model. Omnibus tests of model coefficients were significant at each of the four steps with the exception of extreme homophobia for unprotected anal intercourse. Hosmer-Lemeshow Goodness-of-fit Chi2(8) for illicit drug use, alcohol misuse, and unprotected anal intercourse werre not significant, suggesting good or adequate fit; bolded numbers denote statistical significance.
p ≤ .10;
p ≤ .05;
p ≤ .01;
p ≤ .001