Table 4.
Adjusted Multinomial Logistic Regression Models for Patterns of HIV Disclosure at the Four US HIV Clinics Enrolled in the IENGAGE Study During 2013–2016
| Variables | Patterns of HIV disclosure Adjusted model, n = 234 |
Patterns of HIV disclosure Parsimonious model, n = 300 |
||
|---|---|---|---|---|
| Selective disclosure, OR (95% CI) | Broad disclosure, OR (95% CI) | Selective disclosure, OR (95% CI) | Broad disclosure, OR (95% CI) | |
| Age | 0.98 (0.93–1.03) | 0.98 (0.95–1.02) | ||
| Gender | ||||
| Male | 0.27 (0.05–1.43) | 0.39 (0.12–1.60) | 0.28 (0.09–0.85) | 0.54 (0.21–1.42) |
| Female | Ref. | Ref. | Ref. | Ref. |
| Race | ||||
| Black | 0.62 (0.13–3.05) | 0.30 (0.10–0.94) | 0.66 (0.22–2.03) | 0.23 (0.10–0.53) |
| Othera | 3.21 (0.26–40.19) | 1.21 (0.15–10.15) | 4.75 (0.67–33.61) | 1.74 (0.32–9.30) |
| White | Ref. | Ref. | Ref. | Ref. |
| Ethnicity | ||||
| Hispanic | 0.70 (0.02–23.16) | 3.40 (0.25–46.75) | ||
| Non-Hispanic | Ref. | Ref. | ||
| Social support score | 1.01 (0.99–1.04) | 1.00 (0.98–1.02) | ||
| Alcohol use | ||||
| Low risk | 0.78 (0.13–4.72) | 0.79 (0.20–3.18) | ||
| High risk | 1.16 (0.34–3.95) | 1.74 (0.68–4.43) | ||
| Supportive services needed in last 6 months | ||||
| Substance use treatment or counseling | 0.48 (0.11–2.08) | 2.49 (0.95–6.53) | 0.58 (0.19–1.84) | 2.47 (1.12–5.51) |
| Household expenditureb | 0.69 (0.21–2.24) | 0.92 (0.37–2.30) | ||
| Baseline CD4 count (cells/mL of blood) | ||||
| 200–350 | 0.64 (0.10–4.05) | 0.75 (0.22–2.49) | ||
| >350 | 2.92 (0.65–13.14) | 0.73 (0.24–2.22) | ||
| <200 | Ref. | Ref. | ||
| Coping | ||||
| Active coping | 1.34 (0.90–1.99) | 1.19 (0.91–1.55) | 1.43 (1.07–1.90) | 1.07 (0.88–1.32) |
| Use of emotional support | 1.36 (0.97–1.89) | 1.73 (1.34–2.23) | 1.42 (1.13–1.79) | 1.75 (1.45–2.12) |
| Behavioral disengagement | 0.94 (0.32–2.76) | 1.62 (0.79–3.31) | ||
| Acceptance | 0.59 (0.37–0.92) | 0.80 (0.56–1.13) | 0.73 (0.55–0.96) | 0.95 (0.75–1.19) |
| Positive reframing | 0.82 (0.55–1.21) | 0.88 (0.66–1.18) | ||
| Religion | 1.88 (0.9–3.64) | 1.01 (0.64–1.60) | ||
| Anticipated stigma from friends | 1.10 (0.57–2.12) | 0.92 (0.58–1.46) | ||
| Site | ||||
| UAB | 0.41 (0.05–3.18) | 0.83 (0.22–3.15) | ||
| UNC | 1.32 (0.16–11.32) | 2.99 (0.63–14.15) | ||
| JHU | 0.78 (0.10–6.10) | 0.90 (0.21–3.87) | ||
| UW | Ref. | Ref. | ||
| Stigma | ||||
| Disclosure concerns | 2.10 (0.57–7.69) | 0.89 (0.35–2.26) | ||
| Negative self-image | 0.97 (0.38–2.48) | 0.58 (0.27–1.24) | ||
a
Other includes Native American, Asian, and other race.
b
Household expenditure category includes housing, transportation, food, groceries, meals, and childcare.
CI, confidence interval; iENGAGE, integrating ENGagement and Adherence Goals upon Entry; JHU, Johns Hopkins University at Baltimore; OR, odds ratio; UAB, University of Alabama at Birmingham; UNC, University of North Carolina at Chapel Hill; UW, University of Washington at Seattle.
Bold values indicate statistical significance where a two-sided p-value was <0.05.