Table 4.
Indicators of unmet health promotion need across four sex-assigned-at-birth/current-gender-identity subgroups of MSM.
| Group | Low Social Integration and/or Reliable Alliance | High Internalised Homonegativity | Disagrees with ‘The Sex I Have is always as Safe as I Want to Be’ | ||||||
|---|---|---|---|---|---|---|---|---|---|
| % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | |
| AMB men N = 124,838 | 11.6 | 1.00 | 1.00 | 12.3 | 1.00 | 1.00 | 11.1 | 1.00 | 1.00 |
| AMB trans men N = 373 | 19.8 | 1.89 (1.30–2.73) | 1.72 (1.19–2.51) | 15.8 | 1.35 (0.85–2.12) | 1.34 (0.85–2.12) | 10.3 | 0.92 (0.66–1.29) | 0.88 (0.63–1.24) |
| AFB trans men N = 498 | 16.3 | 1.49 (1.06–2.10) | 1.28 (0.91–1.82) | 1.1 | 0.08 (0.02–0.32) | 0.07 (0.02–0.29) | 14.3 | 1.34 (1.04–1.72) | 1.28 (0.99–1.65) |
| AFB men N = 178 | 14.5 | 1.30 (0.66–2.53) | 1.19 (0.61–2.35) | 12.8 | 1.05 (0.54–2.05) | 0.97 (0.50–1.88) | 14.9 | 1.40 (0.92–2.12) | 1.35 (0.89–2.05) |
| Group | Disagrees with ‘I find it easy to say ‘no’ to sex I don’t want’ | Condomless Intercourse Solely because Lacked Condom, last 12m | Concerned about Drug Use | ||||||
| % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | |
| AMB men N = 124,838 | 8.5 | 1.00 | 1.00 | 25.7 | 1.00 | 1.00 | 4.5 | 1.00 | 1.00 |
| AMB trans men N = 373 | 12.8 | 1.58 (1.16–2.14) | 1.61 (1.18–2.19) | 32.0 | 1.36 (1.09–1.70) | 1.36 (1.10–1.70) | 4.4 | 0.98 (0.59–1.61) | 0.91 (0.54–1.53) |
| AFB trans men N = 498 | 22.8 | 3.18 (2.58–3.93) | 2.79 (2.26–3.45) | 15.6 | 0.53 (0.42–0.68) | 0.48 (0.38–0.61) | 3.8 | 0.86 (0.54–1.36) | 0.76 (0.48–1.20) |
| AFB men N = 178 | 15.3 | 1.95 (1.29–2.94) | 1.78 (1.18–2.69) | 23.4 | 0.89 (0.62–1.26) | 0.82 (0.58–1.17) | 4.0 | 0.90 (0.42–1.92) | 0.82 (0.39–1.76) |
| Group | Not Confident to Access PEP (among those without Diagnosed HIV) | Not Heard of PrEP | Does not Know U=U | ||||||
| % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | |
| AMB men N = 124,838 | 59.9 | 1.00 | 1.00 | 36.5 | 1.00 | 1.00 | 42.3 | 1.00 | 1.00 |
| AMB trans men N = 373 | 67.8 | 1.41 (1.12–1.77) | 1.46 (1.15–1.84) | 70.3 | 4.13 (3.29–5.18) | 4.19 (3.33–5.27) | 61.7 | 2.20 (1.78–2.72) | 2.28 (1.84–2.82) |
| AFB trans men N = 498 | 67.0 | 1.36 (1.13–1.64) | 1.17 (0.97–1.42) | 41.4 | 1.23 (1.03–1.47) | 1.18 (0.99–1.41) | 43.8 | 1.07 (0.89–1.27) | 0.99 (0.83–1.18) |
| AFB men N = 178 | 66.1 | 1.31 (0.95–1.80) | 1.19 (0.86–1.65) | 47.4 | 1.57 (1.17–2.12) | 1.53 (1.13–2.06) | 43.2 | 1.04 (0.77–1.40) | 0.99 (0.73–1.34) |
| Group | Not Sure / I don’t know HIV status | Does not Know Where to HIV Test (Among Those Never HIV Tested) | Does not Know Where to Get Hepatitis B Vaccination (Among Those Vulnerable to It) | ||||||
| % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | % | OR (95% CI), Unadjusted | OR (95% CI), Adjusted * | |
| AMB men N = 124,838 | 3.8 | 1.00 | 1.00 | 41.2 | 1.00 | 1.00 | 54.1 | 1.00 | 1.00 |
| AMB trans men N = 373 | 9.0 | 2.50 (1.74–3.58) | 2.47 (1.72–3.54) | 47.5 | 1.29 (0.91–1.85) | 1.70 (1.18–2.47) | 56.7 | 1.11 (0.84–1.46) | 1.08 (0.82–1.42) |
| AFB trans men N = 498 | 2.2 | 0.57 (0.31–1.03) | 0.48 (0.26–0.87) | 48.0 | 1.31 (1.01–1.71) | 1.01 (0.77–1.32) | 59.3 | 1.23 (0.99–1.53) | 1.09 (0.88–1.36) |
| AFB men N = 178 | 6.3 | 1.69 (0.91–3.10) | 1.49 (0.81–2.76) | 48.5 | 1.34 (0.83–2.18) | 1.09 (0.67–1.77) | 55.4 | 1.05 (0.72–1.53) | 0.97 (0.66–1.41) |
OR = Odds ratio; CI = Confidence Interval; * adjusted for age, country and employment; emboldened results are significant at p < 0.05 after adjustment.