Table 2.
Prevalence of syndemic conditions and their association with unprotected anal intercourse (UAI) in prior 6 months among men who have sex with men in India
| Syndemic condition, n (column %) | Total | No UAI in prior 6 months (N=5,236) | UAI in prior 6 months (N=6,533) | Prevalence Ratioˆ (95% CI) | Adjusted† Prevalence Ratioˆ (95% CI) |
|---|---|---|---|---|---|
|
| |||||
| Alcohol dependence1 | 2283 (15.2) | 756 (11.6) | 1527 (18.7) | 1.26 (1.14–1.41) | 1.31 (1.19–1.45) |
| Recent illicit drug use2 | 593 (2.5) | 188 (1.9) | 405 (3.0) | 1.22 (1.06–1.42) | 1.11 (0.93–1.33) |
| Depression3 | 1570 (10.9) | 610 (8.4) | 960 (13.4) | 1.19 (1.02–1.38) | 1.19 (1.05–1.35) |
| Childhood sexual abuse | 3782 (22.4) | 1510 (20.7) | 2272 (24.2) | 1.10 (1.01–1.20) | 1.16 (1.10–1.23) |
| History of intimate partner violence | 1898 (10.0) | 625 (7.0) | 1273 (12.9) | 1.35 (1.13–1.60) | 1.39 (1.16–1.67) |
|
| |||||
| Number of syndemic conditions | |||||
| 0 | 5671 (58.9) | 2792 (63.4) | 2879 (54.4) | REF | REF |
| 1 | 3342 (26.8) | 1507 (26.1) | 1835 (27.5) | 1.09 (0.96–1.23) | 1.13 (1.03–1.24) |
| 2 | 1777 (9.9) | 666 (8.2) | 1111 (11.5) | 1.28 (1.14–1.44) | 1.35 (1.21–1.51) |
| 3 or more | 979 (4.5) | 271 (2.3) | 708 (6.6) | 1.53 (1.22–1.92) | 1.67 (1.32–2.12) |
Measured using AUDIT (Saunders, JB et al. Development of the alcohol use disorders identification test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption-II. 1993 Addiction).
Injection or non-injection drug use in prior 6 months.
Depression defined as a score of 10 or more on the PHQ-9 (Kroenke K et al. The PHQ-9. Journal of General Internal Medicine. 2001).
Percentages are RDS-II weighted
Log poisson regression model with RDS-II weights as probability weights and clustered variance estimation;
Adjusted for city, sexual identity, age, and educational attainment
CI: confidence interval