Table 1.
Participants | Anal Sex Events (ASE) |
Condom-protected ASE |
Univariate Associations |
Multivariate Associations* |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | OR | 95% CI | AOR | 95% CI | |||
Age Categories | ||||||||||||
18–29 | 267 | 51.0 | 666 | 55.7 | 411 | 61.9 | Ref | |||||
30–44 | 165 | 31.5 | 362 | 30.3 | 174 | 26.2 | 0.55 | 0.38 | 0.81 | |||
45+ | 92 | 17.6 | 168 | 14.1 | 79 | 11.9 | 0.54 | 0.32 | 0.91 | |||
Sexual Orientation | ||||||||||||
Gay | 445 | 84.9 | 1051 | 87.9 | 580 | 87.4 | Ref | |||||
Bisexual | 45 | 8.6 | 83 | 6.9 | 41 | 6.2 | 0.87 | 0.46 | 1.67 | |||
Other | 34 | 6.5 | 62 | 5.2 | 43 | 6.5 | 2.04 | 0.93 | 4.47 | |||
Race/Ethnicity | ||||||||||||
White | 390 | 74.4 | 900 | 75.3 | 488 | 73.5 | Ref | |||||
Asian | 60 | 11.5 | 123 | 10.3 | 80 | 12.1 | 1.52 | 0.86 | 2.67 | |||
Aboriginal | 29 | 5.5 | 53 | 4.4 | 25 | 3.8 | 0.64 | 0.28 | 1.50 | |||
Other | 45 | 8.6 | 120 | 10.0 | 71 | 10.7 | 1.08 | 0.60 | 1.94 | |||
Annual Income ($CAD) | ||||||||||||
<$30,000 | 313 | 59.7 | 694 | 58.0 | 414 | 62.4 | Ref | Ref | ||||
≥$30,000 | 211 | 40.3 | 502 | 42.0 | 250 | 37.7 | 0.64 | 0.45 | 0.91 | 0.65 | 0.46 | 0.93 |
Relationship status | ||||||||||||
Not partnered | 323 | 61.6 | 769 | 64.3 | 459 | 69.1 | Ref | |||||
Partnered, but not married/common law | 110 | 21.0 | 250 | 20.9 | 134 | 20.2 | 0.74 | 0.48 | 1.14 | |||
Partnered, and married/common law | 91 | 17.4 | 177 | 14.8 | 71 | 10.7 | 0.38 | 0.24 | 0.63 | |||
Last HIV test | ||||||||||||
<6 months ago | 198 | 48.4 | 542 | 58.3 | 294 | 56.5 | Ref | |||||
6 months – 2 years ago | 151 | 36.9 | 283 | 30.4 | 168 | 32.3 | 1.17 | 0.77 | 1.80 | |||
>2 years ago | 33 | 8.1 | 53 | 5.7 | 29 | 5.6 | 0.99 | 0.44 | 2.23 | |||
Never tested | 27 | 6.6 | 52 | 5.6 | 29 | 5.6 | 0.92 | 0.40 | 2.09 | |||
Prevention practices
(mutually exclusive; referent: don’t use) |
||||||||||||
Consistent condoms “Always using condoms for anal sex” |
335 | 64.4 | 739 | 62.2 | 526 | 79.3 | 6.48 | 4.59 | 9.14 | 4.04 | 2.74 | 5.95 |
Strategic positioning “Being the top for anal sex” |
138 | 26.5 | 344 | 29.0 | 149 | 22.5 | 0.48 | 0.33 | 0.70 | |||
Anal abstinence “Having sex which doesn’t include anal sex” |
258 | 49.6 | 477 | 40.2 | 269 | 40.6 | 1.09 | 0.77 | 1.55 | |||
Sero-sorting “Having anal sex without condoms only with guys I know are HIV- negative” |
182 | 35.0 | 476 | 40.1 | 192 | 29.0 | 0.31 | 0.22 | 0.44 | 0.50 | 0.35 | 0.73 |
Withdrawal “Not letting my sex partners cum inside me” |
146 | 28.1 | 354 | 29.8 | 192 | 29.0 | 0.93 | 0.64 | 1.36 | |||
Ask Status “Asking my sex partners about their HIV status before sex” |
326 | 62.7 | 793 | 66.8 | 418 | 63.1 | 0.73 | 0.51 | 1.06 | |||
TasP awareness: “heard of the term treatment as prevention” |
||||||||||||
No | 299 | 57.2 | 699 | 58.5 | 381 | 57.5 | Ref | |||||
Yes | 224 | 42.8 | 496 | 41.5 | 282 | 42.5 | 1.15 | 0.81 | 1.63 | |||
TasP-related prevention practice: “Having anal sex without condoms with HIV-positive guys who have low viral loads or are on HIV treatment” |
||||||||||||
Yes | 469 | 90.2 | 1028 | 86.5 | 625 | 94.3 | Ref | |||||
No | 51 | 9.8 | 160 | 13.5 | 38 | 5.7 | 0.18 | 0.10 | 0.31 | |||
TasP-related attitude: “Knowing a sex partner’s viral load is just as important as knowing their HIV status” |
||||||||||||
Disagree | 163 | 31.8 | 357 | 30.6 | 220 | 33.6 | Ref | Ref | ||||
Agree | 349 | 68.2 | 811 | 69.4 | 434 | 66.4 | 0.75 | 0.51 | 1.09 | 0.70 | 0.47 | 1.03 |
Psychosocial factors (mutually exclusive) | median | Q1,Q3 | median | Q1,Q3 | median | Q1,Q3 | OR | 95% CI | AOR | 95% CI | ||
Treatment Optimism | 24 | 20, 27 | 24 | 20, 27 | 23 | 20, 25 | 0.90 | 0.87 | 0.93 | |||
Sexual Sensation Seeking Scale | 30 | 28, 33 | 31 | 28, 34 | 30 | 28, 33 | 0.90 | 0.86 | 0.94 | |||
Escape Motivation | 28 | 24, 32 | 29 | 25, 33 | 28 | 24, 32 | 0.96 | 0.93 | 0.98 | 0.96 | 0.93 | 0.99 |
Sexual Altruism – Personal | 3.57 | 3, 4 | 3.43 | 3, 4 | 3.57 | 3, 4 | 2.25 | 1.60 | 3.16 | |||
Sexual Altruism – Communal | 3.67 | 3, 4 | 3.50 | 3, 4 | 3.67 | 3, 4 | 2.35 | 1.80 | 3.08 | 1.64 | 1.22 | 2.21 |
HAD – Anxiety | 8 | 5, 10 | 8 | 5, 10 | 8 | 5, 10 | 1.03 | 0.99 | 1.08 | |||
HAD – Depression | 3 | 1, 6 | 3 | 1, 5 | 3 | 2, 6 | 1.05 | 1.00 | 1.11 |
95% CI = 95% confidence interval; OR = odds ratio; $CAD = Canadian dollars; Q1,Q3 = first quartile, third quartile values. Bolded text indicates statistical significant at p<0.05.
The multivariable model also includes event-level factors listed in Table 2.