Table 4.
Factors associated with high-risk behaviors among 247 sexually active HIV-infected men in south central Pennsylvania, 2007–2008, multivariate analysis
| Characteristics | Any unsafe sexual behavior aOR (95% CI) |
Non-disclosure of HIV infection status to sexual partner(s) aOR (95% CI) |
UAI among 178 MSM aOR (95% CI) |
|---|---|---|---|
| Demographics | |||
| Age (vs. >=50 years) | |||
| <40 | 2.10 (0.90, 4.89) | 0.61 (0.16, 2.40) | 1.20 (0.44, 3.25) |
| 40–49 | 0.86 (0.46, 1.62) | 1.14 (0.42, 3.08) | 0.66 (0.29, 1.47) |
| Race-ethnicity (vs. Non-Hispanic white) | |||
| Non-Hispanic black | 1.09 (0.49, 2.39) | 4.51 (1.41, 14.5)* | 0.35 (0.09, 1.38) |
| Hispanic | 0.80 (0.32, 2.01) | 0.72 (0.12, 4.30) | 0.97 (0.26, 3.69) |
| HIV-related clinical information | |||
| HIV transmission risk category (vs. Heterosexual/Other) | |||
| MSM/MSM IDU | 1.14 (0.52, 2.52) | 0.91 (0.22, 3.67) | --- |
| IDU | 1.71 (0.56, 5.27) | 1.34 (0.21, 8.78) | --- |
| Length of HIV infection (vs. >=10 years) | |||
| <10 year | 0.80 (0.39, 1.65) | 1.60 (0.53, 4.88) | 1.06 (0.45, 2.49) |
| Unknown | 0.94 (0.48, 1.86) | 1.25 (0.40, 3.91) | 0.56 (0.24, 1.31) |
| History of any AIDS complications (vs. No) | |||
| Yes | 0.94 (0.54, 1.66) | 0.78 (0.31, 1.93) | 0.95 (0.47, 1.91) |
| HIV viral load (vs. Undetectable) | |||
| Detectable (>75 copies/ml) | 0.96 (0.53, 1.74) | 1.10 (0.43, 2.80) | 0.91 (0.43, 1.93) |
| Partners’ characteristics | |||
| Partner(s) have HIV (vs. Yes) | |||
| No/Not sure | 0.46 (0.25, 0.87)* | 5.02 (1.09, 23.2)* | 0.54 (0.26, 1.13) |
| Partner(s) may have sex with other people(vs. No) | |||
| Yes or uncertain | 2.59 (1.44, 4.66)* | 12.1 (4.35, 33.7)* | 2.00 (1.02, 3.90)* |
Abbreviations: HIV: human immunodeficiency virus; MSM: men who have sex with men; IDU: injection drug use; AIDS: acquired immunodeficiency syndromes; UAI: unprotected anal intercourse; aOR: adjusted odds ratio; CI: confidence interval.
Any unsafe sexual behavior included inconsistent condom use, sex under the influence of alcohol or drugs, or exchange of sex for money.
Non-disclosure of HIV infection was determined if the patients answered “No” to “partner(s) know you have HIV”.
UAI was defined as having anal sex without consistent condom use in the last 12 months.
*
P<0.05