Table 2:

Associations between State Policy Class and HIV Outcomes among Men Who Have Sex with Men, 2008–2014

Model	Policy class	Outcome
		HIV diagnoses per 10,000 MSM		Late diagnoses per 10,000 MSM		AIDS diagnoses per 10,000 MSM with HIV		AIDS mortality per 10,000 MSM with AIDS
		Risk	RD 95% CI	Risk	RD 95% CI	Risk	RD 95% CI	Risk	RD 95% CI
Controlled for time only	Consistently low policy support (reference)	96.1	N/A	39.8	N/A	329.7	N/A	244.4	N/A
	Increasing trajectory of policy support	68.1	−27.9 (−49.5, −6.4)	28.1	−11.7 (−21.0, −2.3)	294.0	−35.7 (−74.2, 2.8)	203.8	−40.5 (−66.5, −14.6)
	Consistently policy high support	65.6	−30.5 (−48.3, −12.6)	27.2	−12.6 (−20.3, −4.8)	304.8	−25.0 (−56.9, 7.0)	191.6	−52.8 (−74.4, −31.3)
Controlled for all covariates‡	Consistently low policy support (reference)	96.7	N/A	40.1	N/A	329.1	N/A	236.4	N/A
	Increasing trajectory of policy support	79.4	−17.3 (−35.3, 0.7)	34.7	−5.5 (−13.6, 2.7)	302.0	−27.1 (−68.2, 14.1)	214.2	−21.2 (−49.0, 6.5)
	Consistently high policy support	58.9	−37.9 (−54.7, −21.0)	27.6	−12.5 (−20.4, −4.7)	305.0	−24.1 (−64.4, 16.2)	202.8	−33.7 (−61.2, −6.2)

Note: All outcomes indicate per 10,000 at risk. All covariates standardized to 2008 mean values. Risks derived from covariate-adjusted model-based predicted population marginal effects. RD=Risk Difference; CI=Confidence Interval. Both models adjusted for time.

^‡Covariates include: percent non-Hispanic White adults ages 15–64 per total population ages 15–64; sex ratio among the non-Hispanic White population age 18–64, defined as total non-Hispanic White males divided by females in the population ages 18–64; total number of MSM per total population ages 15–64; total number of religious congregations per total population multiplied by 10,000; percentage of men below of the poverty line; percentage of men ages 25 and up without a high school diploma or equivalent per number of men ages 25 and up; and population density, defined as the total population per the total MSA land area in square miles.