Table 3.
Correlates of anal hr‐HPV infection among transwomen in Transcender study, Rio de Janeiro, 2015 to 2016
| Characteristic | hr‐HPV‐positive (N = 165), % | Univariable | Multivariable | ||
|---|---|---|---|---|---|
| Crude OR | p‐value | Adjusted OR | p‐value | ||
| Age a | |||||
| 18 to 24 | 48 (65.8) | 1.5 (0.8‐ 2.9) | 0.22 | 2.4 (1.1 to 5.2) | 0.03 |
| 25 to 35 | 71 (60.7) | 1.2 (0.7 to 2.1) | 0.52 | 1.9 (1.0 to 3.8) | 0.06 |
| >35 | 46 (56.1) | 1 | 1 | ||
| Race/color | |||||
| Black | 38 (58.5) | 1 | |||
| Mixed/other | 95 (66.0) | 1.4 (0.8 to 2.5) | 0.30 | ||
| White | 32 (50.8) | 0.7 (0.4 to 1.5) | 0.38 | ||
| Monthly income a , b | |||||
| ≤U$130 | 66 (58.4) | 1 | |||
| U$131 to 260 | 51 (62.2) | 1.1 (0.6 to 2.0) | 0.59 | ||
| >U$260 | 34 (59.6) | 1.2 (0.7 to 2.1) | 0.88 | ||
| Years of schooling a | |||||
| <4 | 9 (52.9) | 1 | |||
| 4 to 8 | 57 (67.1) | 1.8 (0.6 to 5.2) | 0.27 | ||
| >8 | 99 (58.2) | 1.2 (0.4 to 3.4) | 0.67 | ||
| Smoking | |||||
| Never | 51 (58.6) | 1 | |||
| Former | 22 (51.2) | 0.7 (0.4 to 1.5) | 0.42 | ||
| Current | 92 (64.8) | 1.3 (0.7 to 2.2) | 0.35 | ||
| Binge drinking c | |||||
| No | 55 (59.8) | 1 | |||
| Yes | 110 (61.1) | 1.1 (0.6 to 1.8) | 0.83 | ||
| Any illicit drug use in the last 12 months | |||||
| No | 64 (56.6) | 1 | |||
| Yes | 101 (63.5) | 1.3 (0.8 to 2.2) | 0.25 | ||
| Current hormone use | |||||
| No | 89 (64.0) | 1 | |||
| Yes | 76 (57.1) | 0.7 (0.5 to 1.2) | 0.25 | ||
| Previous reassignment surgery | |||||
| No | 159 (62.1) | 1 | |||
| Yes | 6 (37.5) | 0.4 (0.1 to 1.0) | 0.06 | ||
| Sex work | |||||
| Never | 35 (61.4) | 1 | |||
| Former | 44 (53.7) | 0.7 (0.4 to 1.4) | 0.37 | ||
| Currently | 86 (64.7) | 1.2 (0.6 to 2.2) | 0.67 | ||
| N. male sex partners in the last six months a | |||||
| 0 to 4 | 38 (54.3) | 1 | |||
| 5 to 9 | 15 (60.0) | 1.3 (0.5 to 3.3) | 0.62 | ||
| 10+ | 103 (64.0) | 1.5 (0.8 to 2.6) | 0.17 | ||
| Condomless anal sex with last 3 partners | |||||
| No | 48 (67.6) | 1 | 1 | ||
| Yes | 102 (57.0) | 0.6 (0.4 to 1.1) | 0.12 | 0.6 (0.3 to 1.2) | 0.16 |
| Condomless anal sex with main partner | |||||
| No | 54 (58.1) | 1 | |||
| Yes | 104 (61.5) | 1.2 (0.7 to 1.9) | 0.58 | ||
| Consistent condom use | |||||
| No | 132 (60.6) | 1 | |||
| Yes | 26 (59.1) | 0.9 (0.5 to 1.8) | 0.86 | ||
| Self‐reported condyloma | |||||
| No | 140 (60.3) | 1 | |||
| Yes | 25 (64.1) | 1.2 (0.6 to 2.4) | 0.66 | ||
| HIV status | |||||
| Negative | 73 (48.7) | 1 | 1 | ||
| Positive | 92 (75.4) | 3.2 (1.9 to 5.5) | <0.001 | 4.0 (2.2 to 7.3) | <0.001 |
| Current active syphilis | |||||
| No | 115 (60.5) | 1 | |||
| Yes | 48 (60.0) | 1.0 (0.6 to 1.7) | 0.94 | ||
| Current rectal CT | |||||
| Negative | 134 (59.8) | 1 | |||
| Positive | 25 (64.1) | 1.2 (0.6 to 2.5) | 0.61 | ||
| Current rectal NG | |||||
| Negative | 141 (58.3) | 1 | 1 | ||
| Positive | 18 (81.8) | 3.2 (1.2 to 11.4) | 0.04 | 3.9 (1.3 to 14.4) | 0.02 |
CT, Chlamydia trachomatis; hr‐HPV, high‐risk human papillomavirus; NG, Neisseria gonorrhoeae; OR, odds ratio.
a
Continuous variables were reclassified as categorical
b
US$1.00 = R$3.85
c
defined as six or more alcoholic drinks on any occasion.