Table 3.
Associations between psychological distress and sexual risk behaviors for HIV acquisition and HIV transmission in sexually-experienced men and women, Manicaland, Zimbabwe, 2009–2011
| HIV− participants | HIV+ participants | |||||
|---|---|---|---|---|---|---|
| No. (%) | AOR (95% CI) | No. (%) | AOR (95% CI) | |||
| Distress 114 (4.0) |
No distress 2706 (96.0) |
Distress 40 (6.6) |
No distress 568 (93.4) |
|||
| Men | ||||||
| Multiple partners in last 30 days | 6 (5.3) | 144 (5.4) | 0.98 (0.42–2.28) | 2 (5.0) | 27 (4.8) | 0.97 (0.22–4.27) |
| Multiple current sexual relationships | 10 (8.8) | 189 (7.0) | 1.28 (0.66–2.49) | 1 (2.5) | 38 (6.7) | 0.32 (0.04–2.40) |
| Transactional sex | 33 (29.5) | 387 (14.4) | 2.51 (1.64–3.84) | 12 (30.8) | 143 (25.4) | 1.30 (0.64–2.66) |
| Partner in concurrent relationship but condom use intermittent | 7 (6.1) | 41 (1.5) | 4.27 (1.87–9.76) | 1 (2.5) | 8 (1.4) | 2.13 (0.25–18.0) |
| HIV− participants | HIV+ participants | |||||
|---|---|---|---|---|---|---|
| No. (%) | AOR (95% CI) | No. (%) | AOR (95% CI) | |||
| Distress 705 (12.9) |
No distress 4778 (87.1) |
Distress 275 (19.0) |
No distress 1172 (81.0) |
|||
| Women | ||||||
| Multiple partners in last 30 days | 1 (0.1) | 11 (0.2) | 0.63 (0.08–4.90) | 3 (1.1) | 14 (1.2) | 1.01 (0.29–3.57) |
| Multiple current sexual relationships | 5 (0.7) | 13 (0.3) | 2.77 (0.98–7.82) | 2 (0.7) | 13 (1.1) | 0.72 (0.16–3.23) |
| Transactional sex | 15 (2.1) | 24 (0.5) | 4.14 (2.16–7.96) | 12 (4.4) | 40 (3.5) | 1.26 (0.64–2.47) |
| Sex work | 7 (1.0) | 13 (0.3) | 3.57 (1.41–9.00) | 9 (3.3) | 23 (2.0) | 1.68 (0.76–3.70) |
| Partner in concurrent relationship but condom use intermittent | 210 (29.8) | 670 (14.0) | 2.64 (2.20–3.17) | 67 (24.4) | 186 (15.9) | 1.88 (1.36–2.61) |
CI confidence interval, AOR odds ratios adjusted for age and site type