Table 4.
Multivariate analysis of seroadaptation practices compared to no strategy among Black men who have sex with men, Baltimore, Chicago, Milwaukee, and New York City
| Characteristic | 100 % condom use (N = 375)
|
P-value | Serosorting (N = 505)
|
P-value | Condom serosorting (N = 349)
|
P-value | Seropositioning (N = 415)
|
P-value | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | |||||
| City | ||||||||||||
| Baltimore | 2.28 | 1.16, 4.47 | 0.017 | 2.08 | 1.14, 3.83 | 0.018 | ||||||
| Chicago | 0.42 | 0.19, 0.93 | 0.034 | 0.69 | 0.37, 1.28 | 0.241 | ||||||
| Milwaukee | 0.72 | 0.32, 1.64 | 0.439 | 1.03 | 0.52, 2.04 | 0.944 | ||||||
| New York City | REF | |||||||||||
| Age group | ||||||||||||
| 18–24 | 0.43 | 0.23, 0.81 | 0.009 | 0.51 | 0.20, 1.27 | 0.148 | 0.34 | 0.16, 0.72 | 0.004 | |||
| 25–34 | 0.77 | 0.42, 1.42 | 0.404 | 1.56 | 0.70, 3.47 | 0.274 | 0.51 | 0.24, 1.09 | 0.083 | |||
| 35–44 | 0.57 | 0.34, 0.95 | 0.031 | 0.51 | 0.23, 1.13 | 0.950 | 0.73 | 0.41, 1.29 | 0.273 | |||
| 45+ | REF | REF | REF | |||||||||
| Sexual identity | ||||||||||||
| Homosexual/Queer | REF | |||||||||||
| Bisexual | 0.34 | 0.19, 0.60 | 0.0002 | |||||||||
| Heterosexual/straight/not sure/other | 0.72 | 0.26, 2.00 | 0.523 | |||||||||
| Most recent HIV test result (self-report) | ||||||||||||
| Negative | REF | REF | ||||||||||
| Positive | 0.43 | 0.27, 0.67 | 0.0002 | 0.31 | 0.19, 0.50 | <0.0001 | ||||||
| Crack cocaine | ||||||||||||
| Cocaine | ||||||||||||
| Methamphetamine | 1.68 | 1.12, 2.51 | 0.012 | |||||||||
| Psychological distress (higher = higher distress) | 0.96 | 0.92, 0.99 | 0.023 | 0.94 | 0.89, 0.98 | 0.005 | ||||||
| Social support (lower = more support) | 0.94 | 0.90,0.98 | 0.004 | |||||||||
| Sexual self-efficacy (higher = higher efficacy) | 1.04 | 1.00, 1.09 | 0.046 | 1.05 | 1.02, 1.09 | 0.001 | 1.09 | 1.03, 1.14 | 0.001 | 1.04 | 1.01, 1.08 | 0.021 |
| Personal responsibility to avoid HIV transmission (higher = more responsibility) | ||||||||||||
| Outness (higher = more out) | ||||||||||||
| Main partner | ||||||||||||
| No | REF | |||||||||||
| Yes | 0.45 | 0.28, 0.72 | 0.001 | |||||||||
| Alcohol/drugs with sex | ||||||||||||
| No | REF | REF | ||||||||||
| Yes | 0.50 | 0.28,0.88 | 0.017 | 0.56 | 0.34, 0.92 | 0.022 | ||||||
| Number of male partners | 0.93 | 0.88,0.99 | 0.023 | 0.90 | 0.85, 0.94 | <0.001 | ||||||
N’s in the models do not add up to the total strategy category N’s due to missing data
Bold values indicate statistically significant results