Table 1.
Multivariable logistic regression models of potential HIV Care Continuum drivers among a population-based sample of younger black MSM, uConnect 2013–2014
| HIV Care Continuum Drivers Odds Ratio (95% CI) |
Serostatus N=618 |
HIV+ Aware N=214 |
Linked to Care N=214 |
Retained in Care N=214 |
Adherence to ARVs N=214 |
Viral Suppress N=214 |
|---|---|---|---|---|---|---|
| Social Factors | ||||||
| Criminal justice involvement | 2.24 (1.28–3.94)** | 1.57 (0.63–3.87) | 3.20 (1.10–9.36)* | 3.72 (1.77–7.84)** | 2.52 (1.30–4.89)** | 3.00 (1.15–7.79 |
| Have a mother/mother figure | 0.58 (0.24–1.36) | 4.33 (1.24–15.13)* | 1.16 (0.50–2.72) | 1.28 (0.42–3.88) | 0.98 (0.34–2.87) | 2.31 (0.71–7.4 |
| Open about sexual identity | 0.79 (0.41–1.55) | 3.52 (1.07–11.57)* | 1.85 (0.55–6.28) | 1.90 (0.51–7.16) | 1.18 (0.32–4.31) | 1.36 (0.31–5.9 |
| House/Ball or gay family member | 1.51 (0.94–2.45)† | 1.22 (0.53–2.81) | 0.79 (0.43–1.44) | 1.35 (0.51–3.55) | 1.34 (0.49–3.66) | 0.83 (0.25–2.8 |
| Closeness to Black community | 0.82 (0.46–1.46) | 0.75 (0.18–3.03) | 2.58 (0.59–11.33) | 0.63 (0.19–2.09) | 0.53 (0.14–1.95) | 0.52 (0.15–1.7 |
| Ever witness to violent assault(s) | 0.68 (0.36–1.30) | 0.52 (0.18–1.52) | 1.09 (0.44–2.69) | 0.95 (0.44–2.10) | 0.54 (0.28–1.05)† | 1.50 (0.76–2.9 |
|
| ||||||
| Sociodemographics | ||||||
| Age (Years) | ||||||
| 16–18 | 0.12 (0.02–0.57)** | 7.08 (1.84–27.24)** | 0.33 (0.08–1.48) | 0.40 (0.07–2.23) | 0.14 (0.01–1.67) | 0.16 (0.01–2.1 |
| 19–20 | 0.19 (0.09–0.42)*** | 2.18 (0.43–11.00) | 6.33 (1.23–32.61)* | 0.93 (0.30–2.90) | 0.98 (0.30–3.23) | 0.34 (0.11–1.05 |
| 21–24 | 0.43 (0.25–0.75)** | 1.29 (0.50–3.34) | 1.13 (0.40–3.16) | 0.82 (0.43–1.55) | 0.53 (0.20–1.42) | 0.42 (0.14–1.2 |
| 25+ | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Education | ||||||
| Less than high school | 0.94 (0.51–1.75) | 1.47 (0.39–5.61) | 1.32 (0.55–3.15) | 1.72 (0.50–5.91) | 1.94 (0.49–7.61) | 4.45 (1.03–19.2 |
| High school or equivalent | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Some college or higher | 1.07 (0.68–1.68) | 2.17 (0.86–5.44)† | 1.17 (0.53–2.55) | 0.89 (0.41–1.93) | 0.73 (0.32–1.63) | 0.71 (0.26–1.9 |
| Identifies as gay | 3.10 (1.34–7.19)** | 1.89 (0.48–7.41) | 1.99 (0.74–5.36) | 0.98 (0.47–2.03) | 0.82 (0.37–1.84) | 0.64 (0.23–1.8 |
| Current employment | ||||||
| Unemployed | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Full time | 0.63 (0.36–1.10) | 2.01 (0.64–6.29) | 0.80 (0.33–1.93) | 1.12 (0.32–3.86) | 0.62 (0.17–2.25) | 0.53 (0.17–1.6 |
| Part time | 0.85 (0.43–1.68) | 1.02 (0.42–2.51) | 0.60 (0.26–1.36) | 1.32 (0.62–2.82) | 1.59 (0.72–3.49) | 1.63 (0.66–4.0 |
| Housing instability in past year | 1.08 (0.64–1.80) | 1.27 (0.45–3.59) | 0.33 (0.12–0.89)* | 0.70 (0.28–1.77) | 0.95 (0.33–2.70) | 1.09 (0.42–2.7 |
| Behavior & Health | ||||||
| Drug use in past year | 1.64 (1.03–2.60)* | 2.12 (0.80–5.64) | 1.21 (0.49–3.02) | 1.72 (0.80–3.68) | 0.98 (0.37–2.59) | 1.09 (0.37–3.2 |
| Health care coverage | 1.46 (0.96–2.21)† | 9.86 (4.19–23.22)*** | 10.00 (3.97–25.19)*** | 5.24 (2.27–12.05)*** | 6.60 (3.02–14.39)*** | 6.14 (2.59–14.55 |
| Psychological distress | 0.93 (0.53–1.63) | 4.10 (0.55–30.49) | 2.92 (1.02–8.35)* | 0.91 (0.26–3.19) | 0.66 (0.14–3.18) | 0.46 (0.07–2.9 |
| Years since HIV diagnosis | Excludedb | Excludedb | 1.14 (0.98–1.32)† | 1.09 (0.99–1.20)† | 1.07 (0.97–1.18) | 1.06 (0.96–1.1 |
†
p<0.10;
*
p<0.05;
**
p<0.01;
***
p<0.001
ARVs, antiretrovirals; CI, confidence interval; MSM, men who have sex with men; TasP, treatment as prevention.
a
Ordinal variable giving the highest stage each respondent reached in the HIV Care Continuum.
b
Excluded from model due to dependence on the outcome variable