Table 3.

Multinomial logistic regression model of predictors of syndemic latent classes among sexual minority men

Predictors	Class 2 (“Alcohol Misuse and Polydrug Use Syndemic Class”; n = 72; 7.7%)		Class 3 (“Polydrug Use and HIV Syndemic Class”; n = 23; 2.5%)		Class 4 (“Alcohol Misuse Class”; n = 51; 5.4%)		Wald statistic	Omnibus p-value
	AOR (95% CI)	SE	AOR (95% CI)	SE	AOR (95% CI)	SE
Demographic Characteristics
Race/ethnicity							3.10	.38
White	ref		ref		ref
Racial/ethnic minority	0.85 (0.50, 1.45)	0.27	1.19 (0.42, 3.35)	0.53	0.65 (0.39, 1.08)	0.26
Sexual orientation							7.13	.31
Gay	ref		ref		ref
Bisexual	0.56 (0.28, 1.14)	0.36	0.21 (0.03, 1.54)	1.01	1.24 (0.73, 2.11)	0.27
Othera	0.38 (0.05, 3.04)	1.06	1.84 (0.25, 13.45)	1.02	1.15 (0.31,4.28)	0.67
Age	0.96 (0.93, 0.99)	0.02	1.05 (1.01, 1.08)	0.02	0.97 (0.95, 1.00)	0.01	16.93***	<.001
Social status characteristics
Parent class background							.64	.89
Working class or greater	ref		ref		ref
Poor	0.75 (0.25, 2.20)	0.55	0.47 (0.03, 6.81)	1.37	1.08 (0.46, 2.53)	.44
Hometown rurality							3.83	.28
Town, village, or small city	ref		ref		ref
Medium size city or larger	0.91 (0.52, 1.60)	0.29	5.27 (0.91, 30.53)	0.90	0.88 (0.53, 1.46)	0.26
Socioeconomic distressb							9.34*	.03
Low socioeconomic distress	ref		ref		ref
High socioeconomic distress	0.59 (0.22, 1.58)	0.51	4.02 (1.19, 13.63)	0.62	0.44 (0.17, 1.14)	0.49

Note AOR adjusted odds ratio; CI confidence interval; ref reference group. Omitted (reference) category is “Class 1 (No Syndemic Class)” for latent classes of syndemic conditions (n = 791, 84.4%)

^aOther sexual orientation includes men who identified as queer (n = 21, 2.2%), heterosexual (n = 1, 0.1%), or unsure (n = 5, 0.5%)

^bSocioeconomic distress (i.e., a composite index of current financial status, education attainment, work status, and worry about current financial status)

^‡p < .10,

^*p < .05,

^**p < .01,

^***p < .001