Table III.
Factors associated with point-of care vs. standard testing at last HIV test
| Standard Test (n=250) | POCT (n=212) | Univariable | Multivariable | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| N | RDS% | 95% CI | N | RDS% | 95% CI | OR | 95% CI | aOR | 95% CI | ||
| Sexual Identity | Gay | 209 | 79.6 | 71.6, 87.5 | 189 | 88.4 | 81.8, 95.0 | Ref | Not selected | ||
| Bisexual | 22 | 14.4 | 6.8, 21.3 | 13 | 7.9 | 1.8, 14.0 | 0.51 | 0.27, 0.94 | |||
| Other | 19 | 6.4 | 2.0, 10.8 | 10 | 3.7 | 0.8, 6.6 | 0.52 | 0.22, 1.26 | |||
| Race/Ethnicity | White | 187 | 63.6 | 54.5, 72.7 | 158 | 75.4 | 66.8, 84.0 | Ref | Ref | ||
| Asian | 31 | 13.8 | 8.0, 19.6 | 21 | 7.3 | 3.3, 11.3 | 0.45 | 0.24, 0.85 | 0.34 | 0.15, 0.77 | |
| Indigenous | 15 | 7.7 | 1.9, 13.5 | 11 | 6.4 | 0.9, 11.9 | 0.70 | 0.34, 1.45 | 0.58 | 0.23, 1.45 | |
| Latino | 10 | 10.5 | 3.3, 17.6 | 10 | 5.6 | 0.1, 11.0 | 0.45 | 0.22, 0.93 | 0.36 | 0.14, 0.89 | |
| Other | 7 | 4.4 | 0.0, 8.8 | 12 | 5.3 | 1.5, 9.0 | 1.01 | 0.43, 2.38 | 1.39 | 0.45, 4.27 | |
| Neighborhood | Downtown | 98 | 40.5 | 31.9, 49.2 | 102 | 51.0 | 40.8, 61.2 | Ref | Ref | ||
| Vancouver, Not Downtown | 94 | 33.8 | 25.7, 41.9 | 69 | 28.2 | 19.5, 36.9 | 0.66 | 0.43, 1.02 | 0.49 | 0.28, 0.87 | |
| Outside City | 58 | 25.7 | 17.9, 33.4 | 41 | 20.8 | 13.0, 28.7 | 0.65 | 0.40, 1.04 | 0.34 | 0.18, 0.64 | |
| Age Group (years) | <30 | 113 | 43.5 | 34.8, 52.1 | 113 | 50.7 | 40.5, 60.9 | Ref | Ref | ||
| 30–44 | 81 | 33.1 | 24.9, 41.3 | 72 | 37.8 | 27.9, 47.7 | 0.98 | 0.65, 1.47 | 0.88 | 0.51, 1.51 | |
| 45+ | 56 | 23.4 | 16.0, 30.8 | 27 | 11.5 | 5.1, 17.9 | 0.42 | 0.24, 0.73 | 0.27 | 0.13, 0.56 | |
| Current Relationship Status | Married/Monogamous | 38 | 14.4 | 8.5, 20.2 | 34 | 16.2 | 8.3, 24.1 | Ref | Ref | ||
| Open/Partially Open | 62 | 26.4 | 18.7, 34.1 | 41 | 15.9 | 9.0, 22.7 | 0.53 | 0.29, 0.998 | 0.60 | 0.27, 1.33 | |
| No Regular Partner | 150 | 59.2 | 50.7, 67.7 | 137 | 67.9 | 58.5, 77.4 | 1.02 | 0.60, 1.71 | 1.13 | 0.56, 2.28 | |
| # of Male Anal Sex Partners, p6m (median, adjusted median, and adjusted IQR) | (Continuous) | 2 | 2 | 1, 5 | 4 | 4 | 1, 9 | 1.02 | 1.01, 1.04 | Not selected | |
| Condomless Anal Sex with | No | 166 | 69.8 | 61.9, 77.8 | 127 | 65.7 | 56.3, 75.1 | Ref | Not selected | ||
| Opposite/unknown Status Partner, p6m | Yes | 73 | 30.2 | 22.2, 38.1 | 81 | 34.3 | 24.9, 43.7 | 1.21 | 0.81, 1.80 | ||
| # of Female Sex Partners, p6m | 0 | 230 | 86.7 | 79.1. 94.4 | 197 | 93.4 | 89.2, 97.6 | Ref | Not selected | ||
| 1+ | 20 | 13.3 | 5.6, 20.9 | 15 | 6.6 | 2.4, 10.8 | 0.46 | 0.24, 0.89 | |||
| Anal Sex Position Preference | Bottom | 81 | 31.3 | 23.1, 39.5 | 69 | 29.5 | 20.2, 38.8 | Ref | Ref | ||
| Versatile | 51 | 17.2 | 11.2, 23.1 | 63 | 33.7 | 23.6, 43.8 | 2.08 | 1.26, 3.44 | 1.69 | 0.90, 3.18 | |
| Top | 104 | 44.9 | 36.2, 53.7 | 73 | 34.1 | 24.7, 43.4 | 0.80 | 0.51, 1.26 | 0.78 | 0.44, 1.38 | |
| No anal sex | 14 | 6.6 | 1.9, 11.3 | 7 | 2.8 | 0.1, 5.4 | 0.44 | 0.16, 1.21 | 0.41 | 0.11, 1.46 | |
| Always Using Condoms as a | No | 85 | 33.8 | 25.7, 41.9 | 90 | 40.6 | 30.7, 50.4 | Ref | Not selected | ||
| Prevention Practice, p6m | Yes | 165 | 66.2 | 58.1, 74.3 | 119 | 59.4 | 49.6, 69.3 | 0.75 | 0.51, 1.09 | ||
| Viral Load Sorting Prevention | No | 228 | 94.3 | 91.4, 97.1 | 181 | 86.2 | 79.1, 93.4 | Ref | Ref | ||
| Practice, p6m | Yes | 22 | 5.7 | 2.9, 8.6 | 28 | 13.8 | 6.6, 20.9 | 2.63 | 1.36, 5.09 | 2.84 | 1.29, 6.28 |
| Avoiding Anal Sex as a | No | 111 | 51.1 | 42.4, 59.8 | 114 | 61.7 | 52.1, 71.2 | Ref | Ref | ||
| Prevention Practice, p6m | Yes | 139 | 48.9 | 40.2, 57.6 | 95 | 38.3 | 28.8, 47.9 | 0.65 | 0.45, 0.95 | 0.60 | 0.37, 0.996 |
| Tested for STIs, ever | No | 10 | 5.4 | 0.5, 10.2 | 10 | 9.3 | 1.9, 16.8 | Ref | Ref | ||
| Yes | 237 | 94.6 | 89.8, 99.5 | 200 | 90.7 | 83.2, 98.1 | 0.55 | 0.27, 1.14 | 0.22 | 0.08, 0.64 | |
| Location of Most Recent | Sexual Health Clinic | 93 | 32.3 | 24.8, 39.8 | 158 | 65.8 | 55.3, 76.3 | Ref | Ref | ||
| HIV Test | Doctor/Hospital/Walk-in Clinic | 120 | 51.1 | 42.4, 59.8 | 28 | 23.9 | 13.8, 34.0 | 0.23 | 0.15, 0.35 | 0.13 | 0.08, 0.23 |
| Other | 37 | 16.6 | 9.8, 23.4 | 26 | 10.3 | 4.2, 16.4 | 0.30 | 0.17, 0.55 | 0.30 | 0.15, 0.62 | |
| Being Out* | No | 56 | 28.8 | 20.2, 37.4 | 36 | 25.1 | 15.5, 34.6 | Ref | Ref | ||
| Yes | 194 | 71.2 | 62.6, 79.8 | 176 | 74.9 | 65.4, 84.5 | 1.21 | 0.80, 1.83 | 0.78 | 0.44, 1.35 | |
| Has a Family Doctor | No | 98 | 40.3 | 31.5, 49.1 | 100 | 50.4 | 40.2, 60.7 | Ref | Not selected | ||
| Yes | 152 | 59.7 | 50.9, 68.5 | 111 | 49.6 | 39.3, 59.8 | 0.66 | 0.46, 0.96 | |||
| Told Family Doctor that you have | No | 32 | 17.0 | 10.0, 24.0 | 26 | 16.4 | 8.2, 24.6 | Ref | Not selected | ||
| Male Sex Partners | Yes | 118 | 42.2 | 33.8, 50.6 | 83 | 33.0 | 23.7, 42.3 | 0.81 | 0.47, 1.40 | ||
| N/A (no family Dr) | 98 | 40.7 | 31.8, 49.6 | 100 | 50.7 | 40.4, 60.9 | 1.29 | 0.76, 2.19 | |||
| Usually Receives Medical Care | No | 114 | 45.5 | 36.7, 54.3 | 114 | 56.4 | 46.3, 66.5 | Ref | Not selected | ||
| at Family Doctor’s Office | Yes | 136 | 54.5 | 45.7, 63.3 | 98 | 43.6 | 33.5, 53.7 | 0.65 | 0.45, 0.93 | ||
| Usually Receives Medical Care | No | 240 | 94.8 | 90.4, 99.3 | 199 | 89.2 | 81.3, 97.0 | Ref | Ref | ||
| at Emergency Room | Yes | 10 | 5.2 | 0.7, 9.6 | 13 | 10.8 | 3.0, 18.7 | 2.24 | 1.10, 4.54 | 4.87 | 2.03, 11.67 |
| HAART Treatment Optimism† | (Continuous) | 24 | 24 | 21, 26 | 24 | 24 | 21, 28 | 1.03 | 0.99, 1.07 | Not selected | |
| Stigma Score† | (Continuous) | 18 | 18 | 17, 20 | 18 | 18 | 16, 19 | 0.93 | 0.88, 0.99 | 0.92 | 0.85, 1.00 |
Note: p6m = past 6 months;
IQR = interquartile range;
*
only asked to gay identified participants;
OR/aORs for continuous variables are calculated by 1 unit increase.