Table IV.
Crude and adjusted prevalence ratios modeling associations between partner and partnership contexts with sexual communication behaviors and CAI among Peruvian MSM and TW, 2017, participant N = 568, partner N = 1518
| MSM (participant N = 446, partner N = 1191)a | TW (participant N =122, partner N = 327)a | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condom Use Discussions (n/N= 163/1281)b | HIV serostatus Communication (n/N= 196/1281)b | CAI (n/N= 681/1278)b | Condom Use Discussions (n/N= 45/347)b | HIV serostatus Communication (n/N= 59/347)b | CAI (n/N= 146/347)b | ||||||||||||||||||||||
| PR (95 % CI) | p-val ue | aP R (9 5 % CI ) | p-val ue | PR (95 % CI) | p-val ue | aP R (95 % CI) | p-val ue | PR (95 % CI) | p-val ue | aP R (95 % CI) | p-val ue | PR (95 % CI) | p-val ue | aP R (95 % CI) | p-val ue | PR (95 % CI) | p-val ue | aP R (95 % CI) | p-val ue | PR (95 % CI) | p-val ue | aP R (95 % CI) | p-val ue | ||||
| Age | 0.98 (0.96, 1.00) | 0.08 | 1.00 (0.99, 1.02) | 0.79 | 1.00 (0.98, 1.02) | 0.86 | 1.00 (0.99, 1.00) | 0.96 | 1.00 (0.97, 1.03) | 0.98 | 1.00 (0.96, 1.03) | 0.90 | 0.99 (0.96, 1.02) | 0.44 | 0.99 (0.95, 1.02) | 0.48 | |||||||||||
| Education (<Secondary is reference) | |||||||||||||||||||||||||||
| Secondary | 0.78 (0.39, 1.58) | 0.49 | 0.55 (0.32, 0.94) | 0.03 | 0.45 (0.24, 0.82) | 0.009 | 0.93 (0.68, 1.28) | 0.67 | 1.74 (0.68, 4.46) | 0.25 | 1.14 (0.44, 2.94) | 0.79 | 1.40 (0.56, 3.50) | 0.47 | 0.96 (0.34, 2.71) | 0.94 | |||||||||||
| >Secondary | 1.07 (0.55, 2.08) | 0.83 | 0.73 (0.45, 1.19) | 0.21 | 0.67 (0.38, 1.20) | 0.18 | 1.03 (0.76, 1.39) | 0.87 | 1.50 (0.51, 4.42) | 0.46 | 1.38 (0.50, 3.78) | 0.54 | 1.47 (0.51, 4.20) | 0.48 | 1.12 (0.35, 3.52) | 0.85 | |||||||||||
| Participant Sexual Orientation/Gender Identity (Heterosexual is reference) | |||||||||||||||||||||||||||
| Bisexual | 0.49 (0.17, 1.44) | 0.20 | 0.32 (0.18, 0.55) | <0.001 | 0.35 (0.15, 0.81) | 0.01 | 1.14 (0.65, 2.01) | 0.65 | 2.73 (0.58, 12.87) | 0.21 | 1.71 (0.40, 7.22) | 0.47 | 1.30 (0.33, 5.05) | 0.71 | 1.43 (0.26, 7.82) | 0.68 | |||||||||||
| Gay | 0.40 (0.15, 1.08) | 0.07 | 0.28 (0.18, 0.42) | <0.001 | 0.28 (0.14, 0.59) | 0.001 | 1.48 (0.87, 2.51) | 0.15 | 0.72 (0.20, 2.68) | 0.63 | 0.70 (0.23, 2.11) | 0.53 | 0.50 (0.17, 1.46) | 0.20 | 0.53 (0.17, 1.67) | 0.28 | |||||||||||
| Transgender | 1.26 (0.27, 5.83) | 0.77 | 1.14 (0.28, 4.70) | 0.85 | 0.77 (0.23, 2.59) | 0.67 | 0.78 (0.22, 2.70) | 0.69 | |||||||||||||||||||
| Participant Role (Pasivo is reference) | |||||||||||||||||||||||||||
| Moderno | 0.88 (0.63, 1.23) | 0.46 | 0.95 (0.70, 1.30) | 0.76 | 0.85 (0.59, 1.22) | 0.38 | 0.97 (0.85, 1.11) | 0.69 | 0.94 (0.40, 2.25) | 0.89 | 0.50 (0.19, 1.33) | 0.16 | 0.56 (0.21, 1.49) | 0.25 | 0.37 (0.10, 1.27) | 0.11 | |||||||||||
| Discussed questions or concerns about HIV/STI preventi on with close social contacts | 1.47 (0.91, 2.37) | 0.11 | 1.87 (1.04, 3.35) | 0.04 | 2.18 (1.19, 4.02) | 0.01 | 1.00 (0.34, 2.90) | 1.00 | 1.19 (0.44, 3.27) | 0.73 | |||||||||||||||||
| Sexual Network Size > Median (<Media n is reference) | 0.84 (0.59, 1.19) | 0.32 | 0.71 (0.51, 0.98) | 0.04 | 0.76 (0.52, 1.12) | 0.16 | 0.83 (0.42, 1.66) | 0.60 | 1.33 (0.65, 2.77) | 0.44 | |||||||||||||||||
| Partner Gender Identity (Cisgender man is reference) | |||||||||||||||||||||||||||
| Cisgender woman | 0.77 (0.13, 4.74) | 0.78 | 3.60 (0.92, 14.11) | 0.07 | 5.02 (0.73, 34.78) | 0.10 | 0.95 (0.09, 9.79) | 0.97 | 0.79 (0.07, 9.00) | 0.85 | |||||||||||||||||
| Transgender woman | 1.33 (0.38, 4.64) | 0.66 | 4.05 (1.58, 10.40) | 0.004 | 4.27 (1.31, 13.89) | 0.02 | 3.16 (1.55, 6.46) | 0.002 | 4.15 (1.15, 14.96) | 0.03 | |||||||||||||||||
| Perceived Partner Sexual Orientation (Heterosexual is reference) | |||||||||||||||||||||||||||
| Bisexual | 0.79 (0.48, 1.28) | 0.34 | 0.82 (0.51, 1.33) | 0.42 | 1.10 (0.52, 2.34) | 0.81 | 0.88 (0.52, 1.48) | 0.64 | |||||||||||||||||||
| Gay | 0.94 (0.59, 1.49) | 0.79 | 1.14 (0.72, 1.81) | 0.58 | 1.29 (0.47, 3.54) | 0.62 | 1.52 (0.77, 3.00) | 0.23 | |||||||||||||||||||
| Partner Type (Stable is reference) | |||||||||||||||||||||||||||
| Casual | 0.76 (0.47, 1.22) | 0.26 | 0.42 (0.30, 0.58) | <0.001 | 0.37 (0.25, 0.54) | <0.001 | 1.06 (0.87, 1.29) | 0.55 | 2.59 (0.66, 10.22) | 0.17 | 2.34 (0.61, 8.96) | 0.21 | 0.58 (0.34, 0.97) | 0.04 | 0.97 (0.50, 1.87) | 0.93 | |||||||||||
| Anonymous | 0.74 (0.44, 1.26) | 0.27 | 0.29 (0.19, 0.45) | <0.001 | 0.28 (0.17, 0.46) | <0.001 | 0.94 (0.76, 1.16) | 0.55 | 2.71 (0.63, 11.64) | 0.18 | 2.00 (0.48, 8.32) | 0.34 | 0.59 (0.29, 1.22) | 0.16 | 0.91 (0.40, 2.06) | 0.82 | |||||||||||
| Commercial | 1.02 (0.50, 2.08) | 0.96 | 0.48 (0.28, 0.83) | 0.008 | 0.47 (0.23, 0.98) | 0.04 | 0.89 (0.66, 1.20) | 0.45 | 1.56 (0.34, 7.14) | 0.57 | 1.37 (0.35, 5.34) | 0.65 | 0.47 (0.25, 0.89) | 0.02 | 0.67 (0.31, 1.43) | 0.30 | |||||||||||
| Partnership Length | 1.00 (1.00, 1.00) | 0.08 | 1.00 (1.00, 1.00) | 0.08 | 1.00 (1.00, 1.00) | 0.24 | 1.00 (1.00, 1.00) | 0.04 | 1.00 (1.00, 1.00) | 0.05 | |||||||||||||||||
| Partnership Concurrency | 0.96 (0.70, 1.30) | 0.78 | 1.27 (0.97, 1.66) | 0.08 | 2.41 (1.23, 4.73) | 0.01 | 2.27 (1.08, 4.77) | 0.03 | 0.84 (0.47, 1.50) | 0.56 | |||||||||||||||||
| Alcohol use by participant or partner | 0.99 (0.70, 1.41) | 0.96 | 0.82 (0.58, 1.15) | 0.26 | 0.81 (0.57, 1.16) | 0.25 | 1.15 (1.03, 1.29) | 0.01 | 1.17 (0.60, 2.30) | 0.65 | 1.42 (0.71, 2.83) | 0.33 | 0.66 (0.39, 1.12) | 0.13 | 0.78 (0.44, 1.37) | 0.38 | |||||||||||
| Drug use by participant or partner | 1.12 (0.64, 1.95) | 0.70 | 1.64 (1.11, 2.43) | 0.01 | 1.87 (1.20, 2.91) | 0.006 | 1.09 (0.92, 1.28) | 0.32 | 0.92 (0.42, 1.99) | 0.82 | 0.77 (0.34, 1.71) | 0.52 | 1.42 (0.74, 2.70) | 0.29 | 1.15 (0.58, 2.29) | 0.69 | |||||||||||
| Knowledge of partner HIV status | 1.34 (0.86, 2.07) | 0.19 | 0.84 (0.67,1.05) | 0.13 | 0.36 (0.06,2.19) | 0.27 | 0.95 (0.54,1.67) | 0.85 | |||||||||||||||||||
| Condom use discussions before or during sex | 2.67 (2.01,3.55) | <0.001 | 1.19 (1.04,1.36) | 0.01 | 1.20 (1.04,1.37) | 0.01 | 3.73 (2.29,6.06) | <0.001 | 1.07 (0.77,1.48) | 0.68 | |||||||||||||||||
| HIV serostat us communication | 3.00 (2.19,4.12) | <0.001 | 0.94 (0.80, 1.10) | 0.44 | 5.95 (3.29, 10.74) | <0.001 | 0.95 (0.65, 1.41) | <0.001 | 0.81 | ||||||||||||||||||
N for multivariate analyses based on complete case data; Ns for individual variables may vary, depending on completeness of participant responses.
n represents the population size reporting each outcome, written over the total population size, N.
Definitions: CAI: condomless anal intercourse, aPR: adjusted prevalence ratio, 95% CI: 95% confidence interval.
Bold text indicates p < 0.05. Multivariate analyses were adjusted for participant age, education, sexual orientation/gender identity, and sexual role; partner type; and alcohol and drug use prior to sex.
Unless otherwise specified, “No” is reference.