Table 2:
Mixed Effects Logistic Regression model assessing patient, healthcare, and combined factors and adjusted odds of HIV test completion
| Patient Model | Healthcare Model | Final Combined Model | ||||
|---|---|---|---|---|---|---|
| Covariates | aOR (95% CI) | p-value | aOR (95% CI) | p-value | aOR (95% CI) | p-value |
| STIs at diagnosis | --- | --- | ||||
| Having 1 STI at diagnosis | Reference | Reference | ||||
| Multiple STIs at diagnosis | 1.40 (0.99 – 2.00) | 0.06 | 1.43 (1.00 – 2.04) | 0.05 | ||
| STI History | --- | --- | ||||
| No prior history of STIs | Reference | Reference | ||||
| Prior STI history | 0.59 (0.47 – 0.73) | <0.001 | 0.58 (0.47 – 0.73) | <0.001 | ||
| Younger vs. Older adolescents | --- | --- | ||||
| 13–17 years-old | Reference | Reference | ||||
| 18–24 years-old | 0.88 (0.72 – 1.09) | 0.24 | 0.91 (0.74 – 1.12) | 0.58 | ||
| Patient Sex | --- | --- | ||||
| Male | Reference | Reference | ||||
| Female | 0.63 (0.49 – 0.80) | <0.001 | 0.63 (0.49 – 0.81) | <0.001 | ||
| Adolescent trained providers | --- | --- | ||||
| No | Reference | Reference | ||||
| Yes | 1.00 (0.81 – 1.24) | 0.99 | 1.11 (0.89 – 1.37) | 0.36 | ||
| Insurance status | --- | --- | ||||
| Private or Government | Reference | Reference | ||||
| No insurance | 0.44 (0.21 – 0.92) | 0.03 | 0.48 (0.23 – 0.99) | 0.05 | ||
| Family planning visit | --- | --- | ||||
| No | Reference | Reference | ||||
| Yes | 0.48 (0.34 – 0.67) | <0.001 | 0.55 (0.39 – 0.76) | <0.001 | ||
| Interaction (insurance and family planning visit) | --- | --- | 1.87 (0.85 – 4.14) | 0.121 | 1.72 (0.78 – 3.77) | 0.18 |
| Primary care enrollment | --- | --- | ||||
| No | Reference | Reference | ||||
| Yes | 1.24 (0.90 – 1.70) | 0.185 | 1.46 (1.06 – 2.01) | 0.02 | ||
aOR= Adjusted Odds Ratios; CI=Confidence Intervals; STI=Sexually transmitted infection
A Mixed Effects Logistic Regression model was used including all variables above after considering hierarchical structure of STI related visits by clinic and individual.