Table 2.
Factors Associated with Rectal Neisseria Gonorrhoeae/Chlamydia Trachomatis, HIV, and Syphilis Infection
| No rectal STI (n = 85) | Rectal STI (GC/CT) (n = 35) | HIV negative (n = 104) | HIV positive (n = 15) | No syphilis (n = 112) | Untreated syphilis (n = 7) | |
|---|---|---|---|---|---|---|
| Age, (years) | ||||||
| Median (IQR) | 31.0 (26.0–40.0)* | 26.0 (23.0–34.0)* | 29.5 (24.0–37.5) | 29.0 (24.0–42.0) | 30.5 (24.0–38.5)* | 25.0 (22.0–28.0)* |
| Education (years) | ||||||
| 0–6 | 4 (4.7) | 0 (0.0) | 3 (2.9) | 1 (6.7) | 4 (3.6) | 0 (0.0) |
| 7–11 | 59 (69.4) | 28 (80.0) | 74 (71.2) | 12 (80.0) | 80 (71.4) | 6 (85.7) |
| >11 | 22 (25.9) | 7 (20.0) | 27 (26.0) | 2 (13.3) | 28 (25.0) | 1 (14.3) |
| Monthly household income | ||||||
| USD 150 or less | 38 (44.7) | 11 (31.4) | 40 (38.5) | 8 (53.3) | 45 (40.2) | 3 (42.9) |
| More than USD 150 | 31 (36.5) | 13 (37.1) | 39 (37.5) | 5 (33.3) | 41 (36.6) | 3 (42.9) |
| Not reported | 16 (18.8) | 11 (31.4) | 25 (24.0) | 2 (13.3) | 26 (23.2) | 1 (14.3) |
| Substance use | ||||||
| AUDIT ≥8 | 58 (68.2) | 19 (54.2) | 36 (34.6) | 7 (46.7) | 73 (65.2) | 3 (42.9) |
| AUDIT <8 | 27 (31.8) | 16 (45.7) | 68 (65.4) | 8 (53.3) | 39 (34.8) | 4 (57.1) |
| Substance use before intercourse (n = 110) | 50 (64.1) | 16 (50.0) | 59 (60.8) | 7 (53.9) | 60 (58.3) | 6 (85.7) |
| HIV (n = 119) | ||||||
| HIV+ | 7 (8.3)* | 8 (22.9)* | — | — | 13 (11.6) | 2 (28.6) |
| Rectal STI | ||||||
| Rectal GC/CT | — | — | 27 (26.0)* | 8 (53.3)* | 32 (28.6) | 3 (42.9) |
| Syphilis (n = 119) | ||||||
| Positive RPR and TP-PA, dilutions ≥1:16 | 4 (4.8) | 3 (8.6) | 5 (4.8) | 2 (13.3) | — | — |
| Positive RPR and TP-PA, any dilution | 20 (23.8) | 11 (31.4) | 24 (23.1) | 7 (46.7) | — | — |
| No. of sex partners in the past 30 days | ||||||
| Median (IQR) | 10 (4–11) | 10 (4–11) | 10 (4–11) | 5 (4–11) | 4 (2–6) | 4 (3–6) |
| Min–max | 0–26 | 2–25 | 0–26 | 3–11 | 0–21 | 2–21 |
| 0–5 Partners | 30 (35.3) | 13 (37.1) | 35 (33.7) | 8 (53.3) | 80 (71.4) | 4 (57.1) |
| 6–10 Partners | 18 (21.2) | 7 (20.0) | 23 (22.1) | 2 (13.3) | 12 (10.7) | 2 (28.6) |
| >10 Partners | 37 (43.5) | 15 (42.9) | 46 (44.2) | 5 (33.3) | 20 (17.9) | 1 (14.3) |
| CRAI partners in the past 30 days (n = 119) | ||||||
| Median (IQR) | 4 (2–6) | 4 (3–6) | 4 (2–6) | 3 (2–6) | 10 (4–11) | 8 (4–11) |
| Min–max | 0–21 | 0–21 | 0–21 | 0–11 | 0–26 | 4–12 |
| 0–5 Partners | 58 (69.1) | 26 (74.3) | 73 (70.2) | 11 (73.3) | 40 (35.7) | 3 (42.9) |
| 6–10 Partners | 8 (9.5) | 6 (17.1) | 13 (12.5) | 1 (6.7) | 23 (20.5) | 2 (28.6) |
| >10 Partners | 18 (21.4) | 3 (8.6) | 18 (17.3) | 3 (20.0) | 49 (43.8) | 2 (28.6) |
| Number reporting this partner type in the past 30 days | ||||||
| Clients | 57 (67.1) | 19 (54.3) | 68 (65.4) | 8 (53.3) | 71 (63.4) | 5 (71.4) |
| Casual | 64 (75.3) | 23 (65.7) | 79 (76.0) | 8 (53.3) | 81 (72.3) | 6 (85.7) |
| Anonymous | 38 (44.7) | 15 (42.9) | 47 (45.2) | 6 (40.0) | 48 (42.9) | 5 (71.4) |
| Stable | 41 (48.2) | 18 (51.4) | 55 (52.9) | 4 (26.7) | 55 (49.1) | 4 (57.1) |
| Migration | ||||||
| Migrant | 28 (32.9)* | 19 (54.3)* | 41 (39.4) | 6 (40.0) | 46 (41.1) | 1 (14.3) |
| Nonmigrant | 57 (67.1) | 16 (45.7) | 63 (60.6) | 9 (60.0) | 66 (58.9) | 6 (85.7) |
| Trans woman confidant | ||||||
| Yes | 33 (38.8) | 11 (31.4) | 38 (36.5) | 6 (40.0) | 42 (37.5) | 2 (28.6) |
*
p < 0.05.