Table 3.
Characteristics associated with prevalence of insertive and receptive CAI among YGBMSM
| Any Insertive CAI | Any Receptive CAI | ||||
|---|---|---|---|---|---|
| Variable | Level | Estimate (95% CI) | P-value | Estimate (95% CI) | P-value |
| Demographics | |||||
| Age | 1.03 (0.92,1.14) | .636 | 1.11 (1.01,1.22) | .035 | |
| Current Gender Identity (ref: Male) |
Female, trans female | 0.95 (0.16,5.74) | .957 | ||
| Other | 0.60 (0.19,1.84) | .369 | |||
| Sexual Identity (ref: Gay) |
Bisexual | 0.96 (0.54,1.70) | .880 | 0.79 (0.47,1.31) | .360 |
| Other | 0.37 (0.07,2.15) | .270 | 0.28 (0.05,1.58) | .150 | |
| Hispanic/Latino | Yes | 0.98 (0.56,1.72) | .938 | 1.18 (0.78,1.78) | .425 |
| Racial Identification (ref: White) | African American/Black | 0.52 (0.20,1.38) | .188 | 1.15 (0.53,2.49) | .722 |
| Other | 0.57 (0.28,1.15) | .116 | 0.67 (0.33,1.35) | .262 | |
| In a committed relationship | Yes | 2.19 (1.39,3.44) | .001 | 1.55 (1.09,2.19) | .014 |
| Highest Education (ref: <12th grade) |
Completed high school/GED, some technical/college | 0.96 (0.54,1.72) | .898 | 1.10 (0.66,1.83) | .716 |
| College/technical degree or more | 1.19 (0.53,2.71) | .673 | 1.69 (0.90,3.17) | .099 | |
| Economic | |||||
| Currently employed | Yes | 0.81 (0.52,1.25) | .341 | 0.85 (0.59,1.22) | .375 |
| Yearly income (ref: <$11,999) |
$12,000+ | 0.95 (0.52,1.73) | .864 | 0.87 (0.53,1.45) | .602 |
| Don’t know/Refuse | 0.80 (0.33,1.95) | .628 | 0.60 (0.25,1.42) | .242 | |
| Life Stressors | |||||
| Homeless for one night or more (3 mo)? | Yes | 0.87 (0.52,1.46) | .595 | 1.12 (0.76,1.64) | .574 |
| Ever been incarcerated? | Yes | 1.03 (0.61,1.74) | .913 | 1.25 (0.85,1.83) | .251 |
| Social Media Use | |||||
| Number of social media accounts (ref: none) |
1–3 | 0.93 (0.41,2.07) | .850 | 1.41 (0.53,3.70) | .490 |
| 4–6 | 0.84 (0.38,1.85) | .668 | 1.44 (0.56,3.72) | .448 | |
| 7–9 | 0.79 (0.26,2.36) | .674 | 1.87 (0.65,5.42) | .249 | |
| Frequency of visit to social media accounts (in last month) (ref: less than weekly) |
Weekly | 2.14 (0.94,4.87) | .070 | 2.48 (0.89,6.87) | .081 |
| Daily | 0.95 (0.42,2.14) | .906 | 1.72 (0.66,4.51) | .268 | |
| Used internet to search for a sex partner (3 mo.)? | Yes | 1.22 (0.78,1.90) | .381 | 1.53 (1.07,2.19) | .021 |
| Frequency going online for sex partners (past month)? (ref: less than weekly) |
Weekly | 1.34 (0.72,2.50) | .351 | 1.21 (0.73,2.00) | .463 |
| Daily | 1.16 (0.61,2.20) | .656 | 1.37 (0.87,2.15) | .173 | |
| Mental Health | |||||
| Depressed | Yes | 0.98 (0.63,1.53) | .935 | 0.93 (0.64,1.34) | .690 |
| Moderate/Severe Anxiety | Yes | 1.15 (0.72,1.85) | .556 | 1.26 (0.88,1.80) | .212 |
| Substance Use | |||||
| Problematic Substance Use | Yes | 1.31 (0.82,2.07) | .257 | 1.54 (1.05,2.28) | .028 |
| Ever used alcohol | Yes | 1.60 (0.67,3.86) | .291 | 1.62 (0.80,3.28) | .183 |
| Alcohol daily/almost daily | Yes | 0.33 (0.05,2.06) | .235 | 1.47 (0.78,2.77) | .239 |
| Ever used marijuana | Yes | 1.45 (0.82,2.57) | .196 | 1.90 (1.11,3.26) | .020 |
| Marijuana daily/almost daily | Yes | 1.01 (0.64,1.59) | .977 | 1.27 (0.90,1.80) | .167 |
| Ever used Cocaine/ Amphetamines/Opioids | Yes | 0.91 (0.49,1.67) | .749 | 1.54 (1.04,2.28) | .031 |
| HIV Health and Medication Adherence | |||||
| New-to-care vs. Non-adherent | New-to-care | 1.31 (0.82,2.07) | .257 | 1.54 (1.05,2.28) | .028 |
| HIV Transmission Beliefs | |||||
| If VL is low/undetectable I’m less likely to infect someone w/ HIV | Yes | 1.53 (0.96,2.41) | .071 | 1.19 (0.83,1.70) | .353 |
| I practice safer sex less often because new medical treatments for HIV/AIDS have come along | Yes | 1.06 (0.68,1.66) | .789 | 1.36 (0.95,1.94) | .090 |
| I am less concerned about using condoms w/ a partner who is also HIV+ | Yes | 1.71 (1.10,2.64) | .017 | 1.42 (1.00,2.03) | .052 |
| I am more concerned about using condoms with HIV− or unknown status partners when VL is detectable | Yes | 0.96 (0.60,1.53) | .861 | 1.03 (0.70,1.51) | .891 |
| A partner who doesn’t seem interested in using condoms is probably also HIV+ | Yes | 1.59 (1.02,2.49) | .041 | 1.43 (1.00,2.03) | .048 |
| I look for other HIV+ people to have sex with | Yes | 2.00 (1.33,3.01) | .001 | 1.82 (1.32,2.52) | .000 |
| I will have oral sex w/ /partner to reduce risk of infecting someone | Yes | 1.33 (0.84,2.10) | .220 | 1.18 (0.82,1.70) | .375 |
| Stigma | |||||
| Internalized Homophobia | 2 | 0.97 (0.54,1.75) | .917 | 1.47 (0.94,2.30) | .094 |
| 3 | 0.81 (0.43,1.50) | .499 | 0.75 (0.41,1.36) | .339 | |
| 4+ | 1.23 (0.68,2.22) | .489 | 1.67 (1.10,2.55) | .017 | |
| Rise in homophobia/transphobia (12mo). | Agree | 1.11 (0.70,1.75) | .657 | 1.26 (0.88,1.80) | .209 |
| HIV Stigma (Range: 0–50) | -- | 1.01 (0.99,1.04) | .279 | 1.00 (0.98,1.02) | .938 |
All regressions adjusted for study site
Estimates found “important” by Random Forests analysis in bold