Table 5b.
Frequency of sero-adaptive strategies by and association with having sex at a group sex event (GSE) in the six months prior to survey for HIV-positive participants (n=195)
| No sex at GSE | Yes, had sex at GSE | Univariate OR | Multivariate AOR | |||
|---|---|---|---|---|---|---|
| n | %(95% CI) | n | %(95% CI) | (95% CI) | (95% CI) | |
| Sero-adaptive strategies used (n=195)* | ||||||
| Always using condoms | 52 | 37.7(25.1, 50.2) | 16 | 22(7.9, 36.1) | 0.47(0.21, 1.05) | Not selected |
| Being the bottom for anal sex | 43 | 26.8(16.4, 37.2) | 28 | 49(28.7, 69.2) | 2.62(1.27, 5.38) | Not selected |
| Not having anal sex | 38 | 37.1(24.1, 50.2) | 29 | 41.2(22.5, 59.9) | 1.19(0.58, 2.41) | Not selected |
| Only have condomless sex with HIV+ men | 62 | 38.9(27.2, 50.7) | 40 | 70.5(54.8, 86.3) | 3.76(1.77, 7.96) | 3.20(1.37, 7.44) |
| Only have condomless sex with men if ‘my viral load is low or I'm on HIV treatment’ | 35 | 24.4(14.2, 34.7) | 33 | 49.7(29.6, 69.9) | 3.06(1.48, 6.34) | 2.19(0.93, 5.14) |
| Withdrawal | 30 | 24.5(14.2, 34.8) | 26 | 40.5(20.1, 60.9) | 2.10(1.00, 4.38) | Not selected |
| Ask partner their HIV serostatus before sex | 58 | 35.7(24.3, 47.1) | 37 | 41.9(23.5, 60.3) | 1.30(0.64, 2.65) | Not selected |
| Assumption of anal sex partner's HIV status if not disclosed (n=195) | ||||||
| Assume positive | 60 | 52.4(39.8, 65.0) | 34 | 52.2(32.0, 72.4) | Referent | Not selected |
| Assume negative | 8 | 6.5(1.4, 11.5) | 1 | 1.8(0.0, 5.3) | 0.27(0.02, 3.04) | |
| Look for other signs | 9 | 5.4(1.6, 9.2) | 7 | 5.9(0.0, 11.8) | 1.10(0.24, 5.08) | |
| Make no assumptions | 52 | 35.8(24.0, 47.5) | 24 | 40.2(20.0, 60.3) | 1.13(0.54, 2.36) | |
| Seek HIV+ partners to avoid using condoms (n=191) | ||||||
| No | 6060 | 53.5(40.6, 66.4) | 23 | 47.8(27.3, 68.4) | Referent | Not selected |
| Yes | 6565 | 46.5(33.6, 59.4) | 43 | 52.2(31.6, 72.7) | 1.26(0.62, 2.53) | |
| Number of years since HIV diagnosis (n=130) | ||||||
| 0-5 | 17 | 19.8(9.1, 30.4) | 13 | 25.4(7.4, 43.5) | Referent | |
| 6-12 | 13 | 12.2(4.2, 20.3) | 19 | 31.4(12.7, 50.0) | 1.99(0.57, 6.90) | 1.21(0.30, 4.93) |
| 13-19 | 26 | 34.4(19.0, 49.8) | 8 | 18.5(2.5, 34.6) | 0.42(0.12, 1.44) | 0.23(0.05, 0.99) |
| 20+ | 26 | 33.6(18.0, 49.2) | 8 | 24.7(0.6, 48.8) | 0.57(0.18, 1.85) | 0.26(0.06, 1.17) |
| On treatment (adherence >95%) (n=177) | ||||||
| No | 31 | 25.1(14.1, 36.0) | 22 | 30.4(13.3, 47.6) | Referent | Not selected |
| Yes | 88 | 74.9(64.0, 85.9) | 36 | 69.6(52.4, 86.7) | 0.77(0.34, 1.70) | |
| Most recent viral load (n=195) | ||||||
| < 50 | 91 | 69.4(57.2, 81.5) | 45 | 74.0(55.1, 93.0) | Referent | Not selected |
| 50-200 | 17 | 12.1(3.7, 20.4) | 10 | 18.0(0.0, 37.1) | 1.40(0.54, 3.67) | |
| 200+ | 21 | 18.6(7.9, 29.2) | 11 | 7.9(1.9, 14.0) | 0.40(0.12,1.34) | |
OR = odds ratio, AOR = adjusted odds ratio, 95% CI = 95% Confidence Interval, P6M = past six months
*
referent is not having done that specific sexual behaviour
NB: All statistics are RDS-adjusted (except raw sample size, n)